A double-blind, placebo
Transcription
A double-blind, placebo
Presentazione delle Ricerche in corso sulle medicine tradizionali del Centro di Documentazione Prof. Emilio Minelli Centro Collaborante OMS per la Medicina Tradizionale Università degli Studi di Milano COS’E’? Medicina Tradizionale /Medicina Complementare MT/MC secondo l’OMS: ¾ prezioso patrimonio di conoscenze, accumulate dalle diverse comunità etniche nei secoli ¾ fonte inesauribile di esperienze teoriche e pratiche ¾ contributo alla promozione e alla tutela della salute dell’umanità, a costi inferiori rispetto a quelli del sistema medico occidentale ¾ più facilmente accettate da molte comunità etniche per il riferimento a credenze e opinioni omogenee alle differenti culture tradizionali WHO-TRM Strategy 2002-2005 TERAPIE E TECNICHE TERAPEUTICHE USATE COMUNEMENTE DALLA MC/MT Medicina cinese Ayurveda Unani Osteopatia Omeopatia Omeoterapie Antroposofia C C C T T C Agopuntura/ Agopressione C C Terapie manuali T C C I T C C C Fitoterapici Terapie spirituali Esercizi T T T Chiropratica T C Incorpora comunemente questa terapia/tecnica terapeutica T Incorpora talvolta questa terapia/tecnica terapeutica I Incorpora il tocco terapeutico Epistemologia e MT/MC Feyerabend Kuhn […] se le organizzazioni […] ci troviamo di fronte a due mondi che concettuali interne delle diverse teorie scientifiche, sono incommensurabili, per l’incommensurabilità delle culture, che si pone a partire da diversi principi logici, sono condannati all’incomprensione […] ma se il linguaggio ha natura metaforica e, contemporaneamente, descrive e istituisce il mondo, esso ha anche un carattere autotrasformativo ed è passibile di approssimazioni ai significati espressi da altre culture Le basi per la diffusione della MT/MC 2000 HEALTH FOR ALL 1979 Dichiarazione di Alma-Ata Cure Primarie disponibili per tutta la popolazione Popolazioni mondiali che usano TM/CAM Paesi che usano la medicina tradizionale all’interno delle cure primarie Paesi in via di sviluppo che hanno usato la medicina complementare e alternativa almeno una volta Ethiopia Benin 70% India 70% Rwanda 70% 90% Tanzania 60% Uganda 60% 80% Germany Canada 70% France 49% Australia 48% USA 42% Sources: Eisenberg DM et al. 1998; Fisher P & Ward A, 1994; Health Canada, 2001; World Health Organization, 1998; and government reports submitted to WHO. Countries' progress in the field of TM/CAM WHO Global Survey and Database of National Policy and Regulation of TM/CAM and Herbal Medicines including information from 142 of 192 countries, 2004 Summary report of the global survey on national policy on traditional medicine and regulation of herbal medicines 2005 Number of Member States with Recently Established Herbal Medicines Law or Regulation 16 65% of respondents have stablished herbal medicine law or regulation 14 12 10 8 6 4 2 0 Before 1986 - 1988 - 1990 - 1992 - 1994 - 1996 - 1998 - 2000 - 2002 1986 1987 1989 1991 1993 1995 1997 1999 2001 2003 14 4 5 2 8 7 13 Number of Countries before 1986: 14 Number of Countries Total: 83 16 9 5 42 (49%) declared regulations were in the process of being developed. Main Difficulties Regarding Regulatory Issues on Traditional Medicines 102 Lack of research data Lack of appropriate control mechanisms 88 Lack of education and training 81 64 Lack of expertise Other 33 Member States' needs for WHO Support Member States' needs for WHO support Information-sharing on regulatory issues 44 83 4 127 Herbal medicine safety monitoring workshops 68 48 7 116 General guidelines on research and evaluation of herbal medicines 70 47 5 117 50 3 117 Provision of databases 67 Herbal medicine regulation workshops 66 50 Global meetings Much needed Needed Not needed 44 110 9 55 12 105 16 8 0 Other 0 20 40 60 80 100 Number of Member States 120 140 Relazioni intercorrenti tra sistema allopatico e TM/CAM • Nei paesi in cui il sistema sanitario è basato sulla medicina allopatica, o in quelli in cui la Medicina Tradizionale non è stata incorporata nel sistema sanitario nazionale, la Medicina Tradizionale è spesso chiamata • “complementare” • “alternativa” • “non-convenzionale” Tre sistemi di relazione: •1. integrato •2. inclusivo •3. tollerante WHO Traditional Medicine Strategy 2002-2005 1 Policy: integrate TM/CAM with national health care systems Safety, efficacy and quality: 2 provide evaluation, guidance and support for effective regulation Access: ensure availability and 3 affordability of TM/CAM, including essential herbal medicines 4 Rational use: promote therapeutically-sound use of TM/CAM by providers and consumers Evidence base for traditional medicine A A. Clinical trial of randomizing control (RCT) 8% B B. Well conduct clinical study C C. Expert committee review or clinical experience of respected authors 28% 14% “Using Clinical Guidelines to Improve Patient Care within the NHS 1996 L’Efficacia e il dibattito sulle Evidenze DEFINIZIONE DEL LIVELLO DI EVIDENZA [Tratto da USA Agency for Health Care Policy and Research, 1992] Livelli di evidenza • I a) Evidenza ottenuta da studi di meta-analisi effettuata su trials controllati randomizzati • I b) Evidenza ottenuta da almeno un trial controllato randomizzato • II a) Evidenza ottenuta da almeno uno studio ben definito controllato senza randomizzazione • II b) Evidenza ottenuta da almeno un altro tipo di studio opportunamente definito, quasi-sperimentale • III) Evidenza ottenuta da studi ben definiti descrittivi non sperimentali, come per esempio studi comparativi, studi di correlazione e studi basati su singoli casi • IV) Evidenza ottenuta da rapporti o opinioni di comitati di esperti e/o dall’esperienza clinica di autorità competenti [“General guidelines for methodologies on research and evaluation of traditional medicine”, WHO, Hong Kong SAR 2000] Entusiasmo acritico versus scetticismo disinformato 9 Molti sostenitori della TM/CAM spesso ricercano riconoscimenti continui—e talora indebiti—per l’efficacia della TM/CAM nei diversi campi di azione. 9 Molti professionisti della medicina allopatica, spesso appartenenti a paesi con una forte storia di TM, esprimono grandi riserve e spesso aperto discredito nei confronti dei supposti benefici della TM/CAM. 9 I legislatori lottano con i problemi della sicurezza e dell’efficacia dei fitoterapici tradizionali, mentre i consumatori non vorrebbero alcun limite di accesso alle terapie di TM/CAM. 9 Insieme alla domanda crescente di TM/CAM, è aumentata anche quella di evidenze su: • • • sicurezza efficacia qualità dei prodotti e della pratica della TM/CAM La necessità della ricerca scientifica 9 La grande diffusione della fitoterapia nei paesi industrializzati, ove il modello medico-epistemologico prevalente è costituito dal modello medico-scientifico, ha reso urgente il confronto dell’immensa mole del patrimonio di conoscenze tradizionali con le procedure di ricerca e validazione scientifiche, volte a dimostrare la sicurezza e l’efficacia delle droghe singole o associate in complessi in uso, talora, da millenni. 9 Per realizzare ciò, è importante un’attività congiunta di diverse figure specialistiche che consentano di traslare l’uso, spesso sicuro, delle ricette tradizionali all’interno delle società industriali. Revisione della letteratura sulla sicurezza e sull’efficacia 9 Una revisione della letteratura deve mostrare il livello attuale di evidenza sulla sicurezza e sull’efficacia nell’uso di un fitoterapico. 9 L’OMS ritiene che nuovi studi clinici dovrebbero essere realizzati solo nei casi in cui l’uso tradizionale di una pianta medicinale nell’uomo non abbia documentato con chiarezza la sua sicurezza ed efficacia. 9 Se erbe medicinali, già conosciute, vengono riformulate in nuove miscele, si deve tener conto dei requisiti di sicurezza ed efficacia già definiti per ogni singola erba medicinale. 9 Comunque, non deve essere dimenticato che nuovi metodi di preparazione possono alterare il profilo dei fitoterapici, usati tradizionalmente, dal punto di vista chimico, tossicologico e anche farmaceutico. Sicurezza 9 Vanno tenuti in considerazione gli effetti collaterali segnalati e documentati (registrati secondo i ben definiti principi di farmaco vigilanza) di erbe, miscele di erbe, specie correlate, costituenti dell’erba, loro preparazioni e prodotti finiti. 9 L’assenza di qualsiasi documentato effetto collaterale non costituisce un’assoluta garanzia di sicurezza per i prodotti fitoterapici. Comunque può non essere necessaria una serie completa di test tossicologici. 9 Sappiamo, però, che esistono effetti collaterali che sono difficili o impossibili da determinare dal punto di vista clinico. Per questo devono, comunque, essere completati test che valutino: immunotossicità (per es. Test per reazioni allergiche) genotossicità, carcinogenicità e tossicità sul sistema riproduttivo. 9 Solo nel caso non esista documentazione di un prolungato uso storico di fitoterapici o quando esistano dubbi sulla loro sicurezza, si deve procedere a studi aggiuntivi sulla loro tossicità. 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Fortschr Neurol Psychiatr. 2000 Mar;68(3):137-44. • Röschke J, Wolf C, Müller MJ, Wagner P, Mann K, Grözinger M, Bech S.The benefit from whole body acupuncture in major depression. J Affect Disord. 2000 Jan-Mar;57(1-3):73-81. • Akhondzadeh, S.; Noorbala, A. A.; Tahmacebi-Pour, N.; Kashani, L. Crocus sativus L. in the treatment of mild to moderate depression: a double-blind, randomized and placebo controlled trial. British Journal of Clinical Pharmacology. 59(5):630, May 2005. Depressione e Cure Primarie • Brown C., Abe-Kim J. S., Barrio C. Depression in Ethnically Diverse Women: Implications for Treatment in Primary Care Settings. Professional Psychology: Research and Practice Copyright 2003 by the American Psychological Association, Inc. 2003, Vol. 34, No. 1, 10–19 Cancro e Medicina Ayurvedica • Marie Winters, ND. Ancient Medicine, Modern Use: Withania somnifera and its Potential Role in Integrative Oncology. Alternative Medicine Review, Volume 11, Number 4 – 2006 • Subhash Chander Gangar, Rajat Sandhir, Durg Vijay Rai, Ashwani Koul. Modulatory effects of Azadirachta indica on benzo(a)pyreneinduced forestomach tumorigenesis in mice. World J Gastroenterol 2006 May 7;12(17):2749-2755 I PRINCIPALI CAMPI DI USO DELLA MTC NEL SETTORE DELLA TERAPIA COMPLEMENTARE IN ONCOLOGIA 1/3 • • • DOLORE • • Correlato alla malattia tumorale • Correlato alla terapia antitumorale • Correlato a tecniche terapeutiche invasive • Preanestesia e anestesia diagnostico- • Agopuntura • Elettroagopuntura • Laser-terapia • Auricolo-terapia • Moxibustione • Fitoterapia EDEMA DISPNEA • • • Agopuntura • Laser-terapia sui punti di agopuntura • Agopuntura • Ginnastiche Mediche LEUCOCITOPENIA • Agopuntura e Moxibustione • Agopuntura • Digitopressione • TENS NAUSEA SINTOMI VASOMOTORI • • • MOBILITA’ E RIABILITAZIONE Agopuntura QUALITA’ DELLA VITA • Agopuntura • Fitoterapia • Ginnastiche Mediche I PRINCIPALI CAMPI DI USO DELLA MTC NEL SETTORE DELLA TERAPIA COMPLEMENTARE IN ONCOLOGIA 2/3 • • SISTEMA IMMUNITARIO • Agopuntura • Moxibustione ALTRI: ALTRI • PERDITA DI PESO XEROSTOMIA • Agopuntura • TERAPIA PER L’INTERRUZIONE DEL FUMO O DELL’ALCOOL • Agopuntura • Fitoterapia • Moxibustione ANORESSIA PREVENZIONE: PREVENZIONE • • • Agopuntura • Fitoterapia • Moxibustione • Qi Gong TOSSE • Agopuntura • Laser-terapia • Agopuntura • Aghi a dimora • Fitoterapia • Agopuntura • Fitoterapia • Moxibustione • ASTENIA I PRINCIPALI CAMPI DI USO DELLA MTC NEL SETTORE DELLA TERAPIA COMPLEMENTARE IN ONCOLOGIA 3/3 • • • STIPSI • Agopuntura • Fitoterapia • Dietetica • • • PARESI • Agopuntura • Fitoterapia • INCONTINENZA Agopuntura CATETERISMI • Agopuntura • Agopuntura DISFAGIA LESIONI DA DECUBITO • Agopuntura • Fitoterapia • Infrarossi multipla a sorgente • Agopuntura • Agopuntura • Fitoterapia • Agopuntura • Fitoterapia ITTERO INSONNIA • • • DIARREA Evidenze cliniche in MTC in PubMed 1/3 Citazione Cancer and acupuncture Numero negativi fuori tema 64 8 14 49 1 2 Dal 2000 al 2005, con abstract 86 Cancer and CHM positivi Dal 2000 al 2005, con abstract 52 Evidenze cliniche in MTC in PubMed 2/3 Cancer and acupuncture • Anxiety 3 • Breathlness/ dyspnea 2 • Chronic orofacial pain 1 • Clinical depression 3 • Decrease of PSA 1 • Distress 3 • Edema 2 • Fatigue 1 • Fibromyalgia 1 • Hot flashes 4 • Immune system stimulation 3 • Improve QOL 3 • Improve the function of liver 1 • Improvement of blood cells 1 • Loss of appetite 1 • Low urinary tract symptoms 1 • Menopausa related symptoms 1 • Nausea • Osteoporosis 1 • Pain 9 • Palliative cancer care 1 • Recovery of intestinal function 1 • Sweating 1 • Throat diseases 1 • Vasomotor symptoms 3 • Vomiting 7 • Xerosostomia 6 15 Evidenze cliniche in MTC in PubMed 3/3 Cancer and CHM • Anti-angiogenesis • Anti-proliferative (blocking cancer transformation, growth inibitory effects on cancer, induce apoptosis) 27 • Improving hepatic function after liver carcinomectosomy 3 • Increase of QOL 1 • Lessening menopausal symptoms 1 • Nausea- vomito 1 • Ostalgia relieving 1 • Preventing metastasis 1 • Preventing myalgia 1 • Recovery of hemopoietic function 1 • Stomatitis 1 • Survival rate 3 1 • Arthritis 1 • Blood leucocyte reduction 1 • Body weight 1 • Colon cancer chemoprevention 1 • Hypnotic use 1 • Hypocromic anemia 1 • Immune enhancing effects 5 La ricerca Studi sulle interazioni dei composti della CHM con Chemioterapici • Mitomycina C + Ginseng Î Effetto sinergico Matsuda H, Pharmacological study on panax ginseng C. A. Meyer. XIV. Effect of 70% methanolic extract from red ginseng on the cytocidal effect of mitomycin c against rat ascites hepatoma AH 130. [Yakugaku Zasshi. 1992 Nov:112 (11):846-55.] • Mitomycina C + Polyporus umbellatus Î Effetto sinergico [You Js, Comined effects of chuling (Polyporous umbellatus) extract and mitomycin C on experimental liver cancer, Am J Chin Med. 1994;22(1):19-28.] • Adriamycina + Baked Licorice Decoction Î Riduzione cardiotossicità [Ruizhi L., et al. Utilizing Zhigancao Tang to relieve doxorubicin’s adverse effects, Chinese Journal of Chinese Materia Medica. 1995:20(1):56-57.] • IL-2 + Astragalus membranaceus Î Potenziamento [Chu DT, The in vitro potentiation of LAK cell cytotoxicity in cancer and AIDS patients induced by F3-a fractionatextract of astragalus membranaceus. Chung Hua Chung LIU Tsa Chih. 1994. May:16(3):167-71]. • Azathioprina + Ginseng Î Riduzione di efficacia [Shin HR, Kim JY, et al. The cancer-preventive potential of Panax ginseng: a review of human and experimental evidence. Cancer Causes Control 200,11:565-76] La ricerca Studi sulle interazioni dei composti della CHM con Prodotti per il sistema cardiovascolare Diuretici tiazidici A Liquirizia Ipopotassiemia Prodotti per il sistema urogenitale e gli ormoni sessuali Contraccettivi orali D Ginseng Controindicati in gravidanza Terapia ormonale sostitutiva D Liquirizia Può interferire con i contraccettivi orali perché ha attività modulante ormonale Trattamenti di fecondazione assistita D Ginkgo Può inibire la fecondazione dell’ovocita Fenitoina D Paeonia lactiflora Può diminuire i livelli di fenitoina e la sua efficacia terapeutica Farmaci antidepressivi IMAO A Arancio amaro Può aumentare il rischio di effetti collaterali con crisi ipertensive per la presenza di sinefrina Prodotti per il sistema nervoso centrale La ricerca Studi sulle interazioni dei composti della CHM con Citocromi • Paeonia lactiflora induce P450-2C9 (antiepilettici) • Ginseng inibisce P450-2D6 (antidepressivi triciclici) • Liquirizia inibisce P450-3A4 (Lovastatina, Triazolam, Ketoconazolo) Allergie 3 Artiglio del diavolo TrM Harpagophytum procumbens Centella TrM Centella asiatica Elicriso TrM Helicrysum angustifolium Liquirizia TrM PhR Glycyrrhiza glabra Piantaggine TrM PhR Plantago lanceolata, Plantago major Schisandra TrM Schisandra sinensis Allergie - Liquirizia • Lee YM, Hirota S, Jippo-Kanemoto T, Kim HR, Shin TY, Yeom Y, Lee KK, Kitamura Y, Nomura S, Kim HM. Inhibition of histamine synthesis by glycyrrhetinic acid in mast cells cocultured with Swiss 3T3 fibroblasts. Int Arch Allergy Immunol. 1996 Jul;110(3):272-7. Allergie - Piantaggine • Ikawati Z, Wahyuono S, Maeyama K. Screening of several Indonesian medicinal plants for their inhibitory effect on histamine release from RBL2H3 cells. J Ethnopharmacol. 2001 May; 75(2-3):249-56. Anemia 3 Angelica cinese TrM PhR Angelica sinensis Equiseto TrM Equisetum arvense Fieno Greco TrM Trigonella foenum graecum Genziana TrM Gentiana lTrMea Ortica, Foglie TrM Urtica dioica Anemia - Angelica cinese • Ma LF et al. The effect of Angelica sinensis polysaccharides on mouse bone marrow hematopoiesis. Zhonghua Xinxueguanbing Zazhi, 1988, 9:148-149. • Chen YC, Gao YQ. Research on the mechanism of blood-tonifying effect of danggui buxue decoction. Chung Kuo Chung Yao Tsa Chih, 1994, 19:43-45, 63. • Wang Y, Zhu B. The effect of Angelica polysaccharide on proliferation and differentiation of hematopoietic progenitor cells. Chung Hua I Hsueh Tsa Chih, 1996, 76:363-366. Angina pectoris 2 Biancospino 1 Astragalo TrM PhR Crataegus oxyacantha ClR TrM Astragalus membranaceus Angina pectoris - Biancospino • Schussler M, Holzl J, Rump AFE, Fricke U: Functional and anti- ischemic effects of monoacetyl-vitexinrhamnoside in different in vitro models. Gen Pharmacol 26:1565-1570, 1995. • Chen ZY, Zhang ZS, Kwan KY, et al: Endothelium-dependent relaxation by hawthorn extract in rat mesenteric artery. Life Sci 63:1983-1991, 1998. • Schwinger RHG, Pietsch M, Frank K, Brixius K: Crataegus spezial extract WS 1442 increases force of contraction in human myocardium cAMP indipendently. J Cardiovasc Pharmacol 35:700-707, 2000. • Muller A, Linke W, Klaus W: Cratageus extract blocks potassium currents in guinea pig ventricular cardiac myocytes. Planta Med 65:335-339,1999. • Ammon HPT, Kaul R. Crataegus, Herz-Kreislauf-Wirkungen von Crataegusextrakten, Flavonoiden und Procyanidinen. Teil 1: Historisches und Wirkstoffe. Deutsche Apotheker Zeitung, 1994, 134:2433–-2436. • Costa R et al. Étude comparée de l’activité cardiovasculaire des jeunes pousses, des feuilles et des fleurs de Crataegus oxyacantha L. III. Action protectrice sur le cœur isolés de rat vis-à-vis des agents arythmogènes et dans les arythmies par reperfusions. Plantes médicinales et Phytothérapie, 1986, 20:115–-128. • Occhiuto F et al. Étude comparée de l’activité cardiovasculaire des jeunes pousses, des feuilles et des fleurs de Crataegus oxyacantha L. I. Activité electrique et tension arterielle chez le rat. Plantes médicinales et Phytothérapie, 1986, 20:37-–51. Angina pectoris - Biancospino • Popping S, Rose I, Ionescu Y, et al: Effect of a hawthorn extract on contraction and energy turnover of isolated rat cardiomyocytes. Arzneim-Forsch/Drug Res 45:1157-1161, 1995. • Muller A, Linke W, Zhao Y, Klaus W: Cratageus extract prolongs action potential duration in guinea-pig papillary muscle. Phytomed 3:257-261, 1996 • Nasa Y et al. Protective effect of Crataegus extract on the cardiac mechanical dysfunction in isolated perfused working rat heart. Arzneimittel-Forschung, 1993, 43:945–-949. • Chatterjee SS et al. In vitro und in vivo-Untersuchungen zur kardioprotektiven Wirkung von oligomeren Procyanidinen in einem Crataegus-Extrakt aus Blättern mit Blüten. ArzneimittelForschung, 1997, 47:821–-825. • Krzeminski T, Chatterjee SS. Ischemia and early reperfusion-induced arrhythmias: beneficial effects of an extract of Crataegus oxyacantha L. Pharmacy and Pharmacological Letters, 1993, 3:45–-48. • Mävers WH, Hensel H. Veränderungen der lokalen Myokarddurchblutung nach oraler Gabe eines Crataegus-Extraktes bei nichtnarkotisierten Hunden. Arzneimittel-Forschung, 1974, 24:783–-785. • Roddewig C, Hensel H. Reaktion der lokalen Myokarddurchblutung von wachen Hunden und narkotisierten Katzen auf orale und parenterale Applikation einer Crataegus Fraktion (oligomere Procyanidine). Arzneimittel-Forschung, 1977, 27:1407–-1410. • Chatterjee SS, Koch E, Jaggy H, Krzeminski T: In vitro and in vivo investigations on the cardioprotective effects of oligomeric procyanidins in a Crataegus extract from leaves with flowers. Arzneim-Forsch/Drug Res 47:821-825, 1997. Angina pectoris - Astragalo • Miller AL. Botanical influences on cardiovascular disease. Altern Med Rev. 1998 Dec;3(6):422-31. Review. • Chen LX, Liao JZ, Guo WQ. Effects of Astragalus membranaceus on left ventricular function and oxygen free radical in acute myocardial infarction patients and mechanism of its cardiotonic action. Chung Kuo Chung His I Chieh Ho Tsa Chih 1995;15:141-143. • Lei ZY, Qin H, Liao JZ. Action of Astragalus membranaceus on left ventricular function of angina pectoris. Chung Kuo Chung His I Chieh Ho Tsa Chih 1994;14:195,199-202. • Li SQ, Yuan RX, Gao H. Clinical observation on the treatment of ischemic heart disease with Astragalus membranaceus. Chung Kuo Chung His I Chieh Ho Tsa Chih 1995;15:77-80. Ansia 2 Avena TrM Avena sativa Biancospino TrM Crataegus oxyacantha Centella ClR Cimicifuga TrM Iperico TrM ClR Hypericum perforatum Luppolo PhR TrM Meliloto TrM Melissa ClR + PhR TrM Melissa officinalis Passiflora ClR TrM Passiflora incarnata Primula, Fiori TrM Primula veris Rodiola TrM Rhodiola rosea Salice TrM Salix alba Valeriana ClR Withania TrM PhR Centella asiatica Cimicifuga racemosa Humulus lupulus Melilotus officinalis TrM Valeriana officinalis Withania somnifera Ansia - Centella • Bradwejn J, Zhou Y, Koszycki D, Shilk J: A double-blind, placebocontrolled study on the effects of Gotu Kola (Centella asiatica) on acoustic startle response in healthy subjects. J Clin Psychopharmacol 20:680-684, 2000. Ansia - Iperico • Kumar V, Jaiswal AK, Singh PN, Bhattacharya SK. Anxiolytic activity of Indian Hypericum perforatum Linn: an experimental study. Indian J Exp Biol 2000; 38:36-41 Ansia - Luppolo • Wohlfart R, Hansel R, Schmidt H. The sedative-hypnotic action of hops. Pharmacology of the hop substance 2-methyl-3-buten-2-ol. Planta Med. 1983 Jun;48(2):120-3. • Wohlfart R, Wurm G, Hansel R, Schmidt H. Detection of sedativehypnotic active ingredients in hops. 5. Degradation of bitter acids to 2-methyl-3-buten-2-ol, a hop constituent with sedative-hypnotic activity. Arch Pharm (Weinheim). 1983;316(2):132-7. Ansia - Melissa • Cerny A, Schmid K: Tolerability and efficacy of valerian/lemon balm in healthy volunteers (a double-blind, placebo-controlled, multicentre study). Fitoterapia 70:221-228, 1999. • Dressing H, Riemann D, Low H, et al: Insomnia: Are valerian/balm combinations of equal value to benzodiazepine? Therapiewoche 42:726-736,1992. • Soulimani R, Fleurentin J, Mortier F, et al: Neurotropic action of the hydroalcoholic extract of Melissa officinalis in the mouse. Planta Med 57:105-109, 1991. Ansia - Passiflora • Akhondzadeh S, Naghavi HR, Vazirian M, Shayeganpour A, Rachidi H, Khani M. Passionflower in the treatment of generalized anxiety: a pilot double-blind randomized controlled trial with oxazepam. J Clin Phar Ther. 2001 Oct; 26 (5):363-367. Ansia - Valeriana • Cropley M, Cave Z, Ellis J, Middleton RW. Effect of kava and valerian on human physiological and psychological responses to mental stress assessed under laboratory conditions. Phytother Res 2002;16:23-7. • Kohnen R, Oswald WD. The effects of valerian, propanolol, and their combination on activation, performance and mood of healthy volunteers under social stress conditions. Pharmacopsychiatry 1988; 21:447-8. • Andreatini R, Sartori VA, Seabra ML, Leite JR. Effect of valepotriates (valerian extract) in generalized anxiety disorder: a randomized placebo-controlled pilot study. Phytother Res 2002; 16:650-4. Artrite 1 Artiglio del diavolo ClR TrM 2 Astragalo TrM Boswellia ClR Echinacea a. TrM Echinacea angustifolia Ortica, Foglie TrM Urtica dioica Ortica, Parti aeree ClR TrM Urtica dioica Salice ClR TrM Salix alba Sambuco TrM Sambucus nigra Withania TrM Withania somnifera Zenzero ClR Harpagophytum procumbens Astragalus membranaceus TrM TrM Boswellia serrata Zingiber officinalis Artrite – Artiglio del diavolo • Leblan D, Chantre P, Fournie B. Harpagpphytum procumbens in the treatment of knee and hip osteoarthritis. Four-month results of a prospective, multicenter, double-blind trial versus diacerhein. Joint Bone Spine 67:462-467, 2000. • Wegener T: Devil’s claw From African traditional remedy to modern analgesic and anti-infiammatory. HerbalGram 50 47-54, 2000. • Ernst E, Chrubasik S. Phyto-anti-inflammatories: A systematic review of randomized, placebo-controlled, double-blind trials. Rheum Dis Clin North Am 26:13-27, 2000. Artrite – Boswellia • Atal, CK et al. Salai guggal ex-Boswellia serrata. A promising antihyperlipidemic and antiarthritic agent. lndian Journal of Pharmacology, 1980, 12: 59A. Artrite – Ortica • Chrubasik S, Enderlein W, Bauer R, Grabner W: Evidence for antirheumatic effectiveness of herba Urticae dioicae in acute arthritis: A pilot study. Phytomed 4:105-108,1997. Artrite – Salice • • Schmid B et al. Efficacy and tolerability of a standardized willow bark extract in patients with osteoarthritis: randomized placebo controlled, double-blind clinical trial. Phytother Res 2001;15:344-50. Mills SY et al. Effect of a proprietary herbal medicine on the relief of chronic arthritic pain: A double-blind study. British Journal of Rheumatology, 1996, 35:874-878. Artrite – Zenzero • • • Altman RD, Marcussen KC. Effects of ginger extract on knee pain in patients with osteoarthritis. Arthritis Rheum 2001;44:2531-38. Marcus DM, Suarez-Almazor ME. Is there a role for ginger in the treatment of osteoarthritis? Arthritis Rheum 2001;44:2461-2. Bliddal H, Rosetzsky A, Schlichting P, et al. A randomized, placebocontrolled, cross-over study of ginger extracts and ibuprofen in osteoarthritis. Osteoarth Cartilage 2000;8:9-12. Artrosi Artrosi, Uso esterno 2 2 Artiglio del diavolo ClR TrM Bardana TrM Arctium lappa Betulla TrM Betula alba Curcuma PhR Curcuma longa Equiseto TrM Equisetum arvense Verga d'oro TrM Solidago virgaurea Vischio TrM Viscum album Borsa pastore TrM Capsella Bursa pastoris Eucalipto TrM Eucalyptus globulus Fieno Greco TrM Trigonella foenum graecum Harpagophytum procumbens Artrosi – Artiglio del diavolo • Leblan D, Chantre P, Fournie B. Harpagpphytum procumbens in the treatment of knee and hip osteoarthritis. Four-month results of a prospective, multicenter, double-blind trial versus diacerhein. Joint Bone Spine 67:462-467, 2000. • Wegener T: Devil’s claw From African traditional remedy to modern analgesic and anti-infiammatory. HerbalGram 50 47-54, 2000. • Ernst E, Chrubasik S. Phyto-anti-inflammatories: A systematic review of randomized, placebo-controlled, double-blind trials. Rheum Dis Clin North Am 26:13-27, 2000. Artrosi – Curcuma • • • • • • Arora RB et al. Anti-inflammatory studies on Curcuma longa (turmeric). Indian journal of medical research, 1971, 59:1289–1295. Yegnanarayan R, Saraf AP, Balwani JH. Comparison of antiinflammatory activity of various extracts of Curcuma longa (Linn). Indian journal of medical research, 1976, 64:601–608. Ammon HP, Wahl MA. Pharmacology of Curcuma longa. Planta medica, 1991, 57:1– 7. Kunchandy E, Rao MN. Oxygen radical scavenging activity of curcumin. International journal of pharmacognosy, 1990, 58:237–240. Ammon HP, Anazodo MI, Safayhhi H, Dhawan BN, Srimal RC. 1992. Curcumin: a potent inhibitor of leukotriene B4 formation in rat peritoneral polymorphonuclear neutrophils. Planta Med 58(2):226. Duke, J.A. 1999. Clippings from my COX box. Journal of Medicinal Food 1(4):293-298. Asma 1 Boswellia ClR TrM Desmodium TrM Desmodium adscendens Elicriso TrM Helicrysum angustifolium Ginkgo TrM Ginkgo biloba Liquirizia PhR Withania TrM Boswellia serrata TrM Glycyrrhiza glabra Withania somnifera Asma – Boswellia • • Gupta I, Gupta V, Parihar A et al., Effect of Boswellia gum resin in patients with bronchial asthma: results of a double-blind, placebocontrolled, 6-week clinical study, Eur: J: Med Res., 3(11):511-4,1998. Miller AL, The etiologies, pathophysiology, and alternative/complementary treatment of inhibitor of leukotriene biosynthesis, Eur: J. Med. Res., 1(8):369-70, 2001. Asma – Liquirizia • Anderson DM, Smith WG. The antitussive activity of glycyrrhetinic acid and its derivatives. J Pharm Pharmacol. 1961 Jul;13:396-404. Bronchite Bronchite cronica 1 2 Altea PhR TrM Elicriso TrM Eucalipto ClR Liquirizia TrM Glycyrrhiza glabra Piantaggine TrM Plantago lanceolata, Plantago major Primula, Rizoma TrM Primula veris Sambuco ClR Timo TrM Thymus vulgaris Aglio TrM Allium sativum Angelica arcangelica TrM Angelica archangelica Bardana TrM Arctium lappa Boswellia TrM Boswellia serrata Eucalipto ClR Ganoderma TrM Althea officinalis Helicrysum angustifolium TrM TrM TrM Eucalyptus globulus Sambucus nigra Eucalyptus globulus Ganoderma lucidum Bronchite – Altea • Nosal’ova G et al. Antitussive efficacy of the complex extract and the polysaccharide of marshmallow (Althaea officinalis L. var. Robusta). Pharmazie, 1992, 47:224–226. Bronchite – Eucalipto • Nosal’ova G et al. Antitussive efficacy of the complex extract and the polysaccharide of marshmallow (Althaea officinalis L. var. Robusta). Pharmazie, 1992, 47:224–226. Bronchite – Sambuco • Marz RW, Mallhys H: Phytomedicines in the treatment of the lower respiratory tract. What is proven? In Loew D, Rielbrock N (eds): Phytopharmaka 111. Forschung und klinische Anwendung. Darmstadt, Germany, Steinkopff Verlag, 1997, pp 161-178. Bronchite cronica – Eucalipto • • Burrow, A, R. Eccles, A.S. Jones. 1983. The effects of camphor, eucalyptus and menthol vapour on nasal resistance to airflow and nasal sensation. Acta Otolaryngol (stockh) 96(1-2):157-161. Whitmen, B.W and H. Ghazizadeh. 1994. Eucalyptus oil: therapeutic and toxic aspects of pharmacology in humans and animals. J Paediatr Child Health 30(2):190-191. Cardiopatia, 1 Aglio coadiuvante Astragalo e come prevenzione Avena Biancospino ClR ClR Allium sativum TrM ClR PhR Astragalus membranaceus Avena sativa TrM Crataegus oxyacantha Cardiopatia – Aglio • Kiesewetter H et al. Effect of garlic on platelet aggregation in patients with increased risk of juvenile ischaemic attack. European journal of clinical pharmacology, 1993, 45:333-336. Cardiopatia – Astragalo • • • • Miller AL. Botanical influences on cardiovascular disease. Altern Med Rev. 1998 Dec;3(6):422-31. Review. Chen LX, Liao JZ, Guo WQ. Effects of Astragalus membranaceus on left ventricular function and oxygen free radical in acute myocardial infarction patients and mechanism of its cardiotonic action. Chung Kuo Chung His I Chieh Ho Tsa Chih 1995;15:141-143. Lei ZY, Qin H, Liao JZ. Action of Astragalus membranaceus on left ventricular function of angina pectoris. Chung Kuo Chung His I Chieh Ho Tsa Chih 1994;14:195,199-202. Li SQ, Yuan RX, Gao H. Clinical observation on the treatment of ischemic heart disease with Astragalus membranaceus. Chung Kuo Chung His I Chieh Ho Tsa Chih 1995;15:77-80. Cardiopatia – Avena • • • • • • • • • Ludwig DS, Pereira MA, Kroenke CH, et al. Dietary fiber, weight gain, and cardiovascular disease risk factors in young adults. JAMA 1999;282:1539-46 FDA Talk Paper. FDA Allows Whole Oat Foods to make Claim on Reducing the Risk of Heart Disease. 1997. Available at: vm.cfsan.fda.gov/~lrd/tpoats.html. Pietinen P, Rimm EB, Korhonen P, et al. Intake of dietary fiber and risk of coronary heart disease in a cohort of Finnish men. The alpha-tocopherol, betacarotene cancer prevention study. Circulation 1996;94:2720-7. Van Horn L. Fiber, lipids, and coronary heart disease. A statement for healthcare professionals from the Nutr Committee, Am Heart Assn. Circulation 1997;95:2701-4. Rimm EB, Ascherio A, Giovannucci E, et al. Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. JAMA 1996;275:447-51. He J, Klag MJ, Whelton PK, et al. Oats and buckwheat intakes and cardiovascular disease risk factors in an ethnic minority of China. Am J Clin Nutr 1995;61:366-72. Khaw KT, Barrett-Connor E. Dietary fiber and reduced ischemic heart disease mortality rates in men and women: a 12-year prospective study. Am J Epidemiol 1987;126:1093-102 Morris JN, Marr JW, Clayton DG. Diet and heart: a postscript. Br Med J 1977;2:1307-14 Kromhout D, de Lezenne C, Coulander C. Diet, prevalence and 10-year mortality from coronary heart disease in 871 middle-aged men. The Zutphen Study. Am J Epidemiol 1984;119:733-41 Claudicatio intermittens 1 Ginkgo ClR TrM Ginkgo biloba Pittler MH, Ernst E. Ginkgo biloba extract for the treatment of intermittent claudication: A meta-analysis of randomized trials. Am J Med 108:276-281, 2000. Colite ulcerosa 1 Colite ulcerosa per enteroclismi, Uso esterno Colon irritabile 3 Aloe ClR TrM Aloe vera Boswellia ClR TrM Boswellia serrata Psillio bianco ClR TrM Plantago ovata, Plantago ispaghula Camomilla TrM Matricaria chamomilla Achillea TrM Achillea millefolium Altea TrM Althea officinalis Carciofo ClR Cynara scolymus Ficodindia TrM Opuntia ficus indica Meliloto TrM Melilotus officinalis Mirtillo, Frutti TrM Vaccinium myrtillus Ortica, Foglie TrM Urtica dioica Psillio bianco ClR Psillio nero TrM Plantago afra, Plantago indica Rabarbaro, a basso dosaggio TrM Rheum palmatum TrM Plantago ovata, Plantago ispaghula Colite ulcerosa – Aloe • • Langmead L, Feakins RM, Goldthorpe S, et al. Randomized, doubleblind, placebo-controlled trial of oral aloe vera gel for active ulcerative colitis. Aliment Pharmacol Ther 2004;19:739-47. Langmead L, Makins RJ, Rampton DS. Anti-inflammatory effects of aloe vera gel in human colorectal mucosa in vitro. Aliment Pharmacol Ther 2004;19:521-7. Colite ulcerosa – Boswellia • Gupta, I et al. Effects of Boswellia serrata gum resin in patients with ulcerative colitis. European Journal of Medical Research, 1997, 21:3743. Colite ulcerosa – Psillio bianco • • Fernandez-Banares F, Hinojosa J, Sanchez-Lombrana JL, Navarro E, Martinez-Salmeron JF, Garcia-Puges A, Gonzalez-Huix F, Riera J, Gonzalez-Lara V, Dominguez-Abascal F, Gine JJ, Moles J, Gomollon F, Gassull MA. Randomized clinical trial of Plantago ovata seeds (dietary fiber) as compared with mesalazine in maintaining remission in ulcerative colitis. Spanish Group for the Study of Crohn's Disease and Ulcerative Colitis (GETECCU). Am J Gastroenterol. 1999 Feb; 94(2):427-33. Hallert C, Kaldma M, Petersson BG. Ispaghula husk may relieve gastrointestinal symptoms in ulcerative colitis in remission. Scand J Gastroenterol. 1991 Jul; 26(7):747-50. Colon irritabile – Carciofo • Walker AF, Middleton RW, Petrowicz O. Artichoke leaf extract reduces symptoms of irritable bowel syndrome in a post-marketing surveillance study. Phytotherapy Research, 2001, 15:58-61. Colon irritabile – Psillio bianco • Jalihal A, Kurian G. Ispaghula therapy in irritable bowel syndrome: improvement in overall well-being is related to reduction in bowel dissatisfaction. J Gastroenterol Hepatol. 1990 Sep-Oct; 5(5):507-13. • Prior A, Whorwell PJ. Double blind study of ispaghula in irritable bowel syndrome. Gut. 1987 Nov; 28(11):1510-3. • Kumar A, Kumar N, Vij JC, Sarin SK, Anand BS. Optimum dosage of ispaghula husk in patients with irritable bowel syndrome: correlation of symptom relief with whole gut transit time and stool weight. Gut. 1987 Feb; 28(2):150-5. • Misra SP, Thorat VK, Sachdev GK, Anand BS. Long-term treatment of irritable bowel syndrome: results of a randomized controlled trial. Q J Med. 1989 Oct; 73(270):931-9. Coronaropatia, come coadiuvante 1 Tribolo ClR Deficit cognitivo 2 Centella ClR TrM Centella asiatica Ginseng ClR TrM Panax ginseng Degenerazione maculare 2 Ginkgo ClR Demenza senile 2 Ginkgo ClR Tribulus terrestris Ginkgo biloba TrM Ginkgo biloba Coronaropatia – Tribolo • Wang B, Ma L, Liu T. 406 cases of angina pectoris in coronary heart disease treated with saponin of Tribulus terrestris. ZhongXi Yi JieHe Za Zhi, 1990, 10:85-87. . Deficit cognitivo – Centella • • Appa Rao MVR, Srinivasan K, Koteswara RTL: The effects of Centella asiatica on the general ability of mentally retarded children. Ind J Psych 19:54-59, 1977. Chittaranjan A, Sudha S, Venkataraman BV: Herbal treatments for ECS-induced memory deficits: A review of research and a discussion on animal models. J ECT 16:145-156, 2000.. Deficit cognitivo – Ginseng • Neri M, Andermarcher E, Pradelli JM, Salvioli G. Influence of a double blind pharmacological trial on two domains of wellbeing in subjects wlth age assocìated memory impairment Arch Gerontol Geriatr 1995;21:241-252. • Thommessen B, Laake K. No identìficable effect of ginseng (Gericomplex) as an adjuvant in the treatment of geriatrìc patients. Aging Clin Exp Res 1996; 8:417-420. Degenerazione maculare – Ginkgo • Chavez ML, Chavez PI. Ginkgo (part 2): Clinical efficacy, dosage, and adverse effects. Hosp Pharm 33:10761095,1998. . Demenza senile – Ginkgo • • • • Oken BS, Storzbach DM, Kaye JA. The efficacy of Ginkgo bì/oba on cognitive function in Alzheimer's disease. Arch Neurol 55:1409-1415, 1998. Ernst E, Pittler MH. Ginkgo biloba for dementia: A systematic review of double-blind, placebo-controlled trials. Clio Drug Invest 17:301-308, 1999. Oken BS, Storzbach DM, Kaye JA. The efficacy of Ginkgo bìloba on cognitive function in Alzheimer's disease. Arch Neurol 55:1409-1415, 1998. van Dongen MCJM, van Rossum E, Kessels AGH, et al. The efficacy of Ginkgo for elderly people with dementia and age-associated memory impairment: New results of a randomized clìnical trial. J Am Geriatr Soc 48: 1183-1194, 2000 Depressione 1 Angelica arcangelica TrM Angelica archangelica Eleuterococco TrM Eleutherococcus senticosus Ginkgo ClR Ginkgo biloba Ginseng ClR Tr M Panax ginseng Iperico ClR1 ClR2 ClR3 Tr M Hypericum perforatum Rodiola TrM Rhodiola rosea Depressione – Ginkgo • Chavez ML, Chavez PI. Ginkgo (part 2): Clinical efficacy, dosage, and adverse effects. Hosp Pharm 33:1076-1095,1998 Depressione menopausale – Ginseng • Wiklund IK, Mattsson LA, Lindgran R, Limoni C ( 1999). Effects of a standardized ginseng extract on quality of lire and physiological parameters in symptomatic postmenopausal women: A double-blind, placebo-controlled trial. International Joumal of Clinical Pharmacology Research 19 (3): 89-99. Depressione – Iperico - 1 • Linde K, Ramirez G, Mulrow CD, et al. St. John’s wort for depression – An overview and meta-analysis of randomized clinical trials. BMJ 1996; 313:253-258. • Linde K, Mulrow CD. St. John’s wort for depression (Cochrane Review). In The Cochrane Library. Issue 4. Oxford, Update Software, 2000. • Ernst E. St John’s wort, an antidepressant? A systematic, criteriabased review. Phytomedicine, 1995, 2:67-71. • Vorbach EU, Arnoldt KH, Hübner W-D. Efficacy and tolerability of St John’s wort extract LI 160 versus imipramine in patients with severe depressive episodes according to ICD-10. Pharmacopsychiatry, 1997, 30:81-85. • Harrer G, Schmidt U, Kuhn U, Biller A. Comparison of equivalence between the St. John's wort extract LoHyp-57 and fluoxetine. Arzneim-Forsch/Drug Res 1999;49:289-296. Depressione – Iperico - 2 • • • • • Schrader E, on behalf of the Study Group. Equivalence of St John's wort extract (ZE 117) and fluoxetine: a randomized, controlled study in mild-moderate depression. Int Clin Psychopharmacol 2000; 15:61-68. Brenner R, Azbel V, Madhusoodanan S, Pawlowska M. Comparison af an extract of Hypericum (LI 160) and sertraline in the treatment of depression: A double-blind, randomized pilot study. Clio Ther 2000; 22:411-419 Schellenberg R et al. Pharmacodynamic effects of two different Hypericum extracts in healthy volunteers measured by quantitative EEG. Pharmacopsychiatry, 1998, 31 (Suppl. 1):S44-S53. Johnson D. Neurophysiologische Wirkungen von Hypericum im Doppelblindversuch mit Probanden. Nervenheilkunde, 1991, 10:316-317. Johnson D et al. Effects of Hypericum extract LI 160 compared with maprotiline on resting EEG and evoked potentials in 24 volunteers. Journal of Geriatric Psychiatry and Neurology, 1994, 7 (Suppl. 1):S44-S46. Depressione – Iperico - 3 • Martinez B et al. Hypericum in the treatment of seasonal affective disorders. Journal of Geriatric Psychiatry and Neurology, 1994, 7 (Suppl. 1):S29-S33. • Kasper S. Treatment of seasonal affective disorder (SAD) with Hypericum extract. Pharmacopsychiatry, 1997, 30 (Suppl. 1):S89S93. • Schempp CM, Winghofer B, Langheinrich M, et al. Hypericin levels in human serum and interstitial skin blister fluid after oral singledose and steady state administration of Hypericum perforatum extract (St. John's Wort). Skin Pharmacol Appl Skin Physiol 1999; 12:299-304. • Wilhelm KP, Biel S, Siegers CP. Role of flavonoids in controlling the phy?ototoxicity of Hypericum perforatum extracts. Phytomedicine 2001; 8:306-9. Dermatite 3 Dermatite seborroica, Uso esterno 3 Dermatite, Uso esterno 3 Aloe TrM Bardana PhR Centella TrM Centella asiatica Elicriso TrM Helicrysum angustifolium Fumaria TrM Fumaria officinalis Piantaggine TrM Plantago lanceolata, Plantago major Sambuco TrM Sambucus nigra Withania TrM Withania somnifera Aloe ClR Aloe vera Avena TrM Avena sativa Aloe ClR TrM Aloe vera Amamelide ClR TrM Hamamelis virginiana Calendula TrM Calendula officinalis Camomilla TrM Matricaria chamomilla Echinacea a. TrM Echinacea angustifolia Echinacea p. TrM Echinacea purpurea Piantaggine TrM Plantago lanceolata, Plantago major Primula, Rizoma TrM Primula veris Aloe vera TrM Arctium lappa Dermatite – Bardana • Kardosova A, Ebringerova A, Alfoldi J, et al. A biologically active fructan from the roots of Arctium lappa L., var. Herkules. Int J Biol Macromol 2003;33:135-40. Dermatite seborroica – Aloe • • • • • • Vardy DA, Cohen AD, Tchetov T, et al: A double-blind, placebocontrolled trial of an Aloevera (A. barbadensis) emulsion in the treatment of seborrheic dermatitis. J Dermatol Treat 10:7-11,1999. Syed TA, Ahmad SA. Holt AH, et al: Management of psoriasis with Aloe vera extract in a hydrophilic cream: A placebo-controlled, double-blind study. Trop Med loti Health 1 :505-509, 1996. Syed TA, Cheema KM, Ahmad SA, Holt AH: Aloe vera extract 0.5% in hydrophilic cream versus aloe vera gel far the management of genital herpes in males. A placebo-controlled, double-blind, comparative study. J Eur Acad Dermatol Venereo I7:294-295, 1996. Syed TA, Afzal M, Ahmad SA, et al: Management of genital herpes in men with 0.5% Aloe vera extract in hydrophilic cream: A placebocontrolled double-blind study. J Dermatol Treat 8:99-102, 1997. Vogler BK, Ernst E. Aloe vera: a systematic review of its clinical effectiveness. Br J Gen Pract 1999;49:823-8. Syed TA, Ahmad SA, Holt AH, et al. Management of psoriasis with Aloe vera extract in a hydrophilic cream: a placebo-controlled, double-blind study. Trop Med Int Health 1996;1:505–9. Dermatite, uso esterno – Aloe • Vogler BK, Ernst E: Aloe vera: A systematic review of its clinical effectiveness. Br J Gen Pract 49:823-828, 1999 . Dermatite, uso esterno – Amamelide • • • . Pfister R. Zur Problematik der Behandlung und Nachbehandlung chronischer Dermatosen. Eine klinische Studie über Hametum Salbe. Fortschritte der Medizin, 1981, 99:1264–1268. Swoboda M, Meurer J. Therapie von Neurodermitis mit Hamamelis virginiana Extrakt in Salbenform. Zeitschrift für Phytotherapie, 1991, 12:114–117. Wokalek H. Zur Bedeutung epidermaler Lipide und des Arachidonsäurestoff wechsels bei feuilles d’hamamelis. Journal de Pharmacie de Belgique, 1993, 27: 498–506. Diabete, come coadiuvante 1 1 Bardana TrM Fieno Greco ClR Aloe ClR Aloe vera Astragalo TrM Astragalus membranaceus Avena ClR Avena sativa Ganoderma TrM Ganoderma lucidum Ginseng ClR Psillio bianco Cl1 ClR2 ClR3 Plantago ovata, Plantago ispaghula Withania TrM Withania somnifera Arctium lappa TrM TrM Trigonella foenum graecum Panax ginseng Diabete – Fieno greco • • • • • • • Mazdar Z, Abel R, Samish S, Arad J. Glucose-lowering effect of fenugreek in noninsulin-dependent diabetics. Eur J Clin Nutr 42:51-54, 1988. Sharma RD. Effect of fenugreek seeds and leaves on blood glucose and serum insulin responses in human subjects. Nutr Res 6: 1353-1364, 1986. Raghuram TC, Sharma RD, Sivakumar B. Effect of fenugreek seeds on intravenous glucose disposition in noninsulin-dependent diabetic patients. Phytother Res 8:83-86, 1994. Sharma RD, Raghuram TC, Rao SN. Effect of fenugreek seeds on blood glucose and serum lipids in type I diabetes. Europ J Clin Nutr 44: 301-306, 1990. Sharma RD, Sarkar A, Hazra DK, et al. Use of fenugreek seed powder in the management of noninsulin-dependent diabetes mellitus. Nutr Res 16: 1331-1339,1996. Kumar N, Kumar A, Sharma ML. Clinical evaluation of single and herbomineral compound drugs in the management of Madhumeha (diabetes). J Res Ayurveda Siddha 20(1-2):1-9, 1999. Bordia A, Verma SK, Srivastava KC. Effect of ginger and fenugreek on blood lipids, blood sugar and platelet aggregation in patients with coronary artery disease. Prostagl Leukotr Essent Fatty Acids 56:379-384, 1997. Diabete – Aloe • Bunyapraphatsara N, Yongchaiyudha S, Rungpitarangsi V, Chokechai-jaroenparn O: Antidiabetic activity af Aloe vera L. juice. II. Clinical trial in diabetes mellitus patients in cambination with glibenclamide. Phytomed 3:245-248,1996 Diabete – Avena • • • . Pick ME, Hawrysh ZJ, Gee MI, et al. Oat bran concentrate bread products improve long-term control of diabetes: a pilot study. J Am Diet Assoc 1996;96:1254-61. Braaten JT, Scott FW, Wood PJ, et al. High beta-glucan oat bran and oat gum reduce postprandial blood glucose and insulin in subjects with and without type 2 diabetes. Diabet Med 1994;11:3128. Chandalia M, Garg A, Lutjohann D, et al. Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus. N Engl J Med 2000;342:1392-8. Diabete – Ginseng • Sotaniemi EA, Haapakoski E, Rautio A. Ginseng therapy in noninsulin-dependent diabetic patients. Diabetes Care 1995;18:13731375.. Diabete – Psillio bianco - 1 • Anderson JW, Allgood LD, Turner J, Oeltgen PR, Daggy BP. Effects of psyllium on glucose and serum lipid responses in men with type 2 diabetes and hypercholesterolemia. Am J Clin Nutr. 1999 Oct; 70(4):466-73. • Pastors JG, Blaisdell PW, Balm TK, Asplin CM, Pohl SL Psyllium fiber reduces rise in postprandial glucose and insulin concentrations in patients with non-insulin-dependent diabetes. Am J Clin Nutr. 1991 Jun; 53(6):1431-5. • Wolever TM, Vuksan V, Eshuis H, Spadafora P, Peterson RD, Chao ES, Storey ML, Jenkins DJ. Effect of method of administration of psyllium on glycemic response and carbohydrate digestibility. J Am Coll Nutr. 1991 Aug; 10(4):364-71. • Frati Munari AC, Benitez Pinto W, Raul Ariza Andraca C, Casarrubias M. Lowering glycemic index of food by acarbose and Plantago psyllium mucilage. Arch Med Res. 1998 Summer; 29(2):137-41. Diabete – Psillio bianco - 2 • Rodriguez-Moran M, Guerrero-Romero F, Lazcano-Burciaga G. Lipid- and glucose-lowering efficacy of Plantago Psyllium in type II diabetes. J Diabetes Complications. 1998 Sep-Oct; 12(5):273-8. • Sierra M, Garcia JJ, Fernandez N, Diez MJ, Calle AP. Therapeutic effects of psyllium in type 2 diabetic patients. Eur J Clin Nutr. 2002 Sep; 56(9):830-42. • Anderson JW, Allgood LD, Turner J, Oeltgen PR, Daggy BP. Effects of psyllium on glucose and serum lipid responses in men with type 2 diabetes and hypercholesterolemia. Am J Clin Nutr. 1999 Oct; 70(4):466-73. • Pastors JG, Blaisdell PW, Balm TK, Asplin CM, Pohl SL. Psyllium fiber reduces rise in postprandial glucose and insulin concentrations in patients with non-insulin-dependent diabetes. Am J Clin Nutr. 1991 Jun; 53(6):1431-5. Diabete – Psillio bianco - 3 • Uribe M, Dibildox M, Malpica S, Guillermo E, Villallobos A, Nieto L, Vargas F, Garcia Ramos G. Beneficial effect of vegetable protein diet supplemented with psyllium plantago in patients with hepatic encephalopathy and diabetes mellitus. Gastroenterology. 1985 Apr; 88(4):901-7. • Wolever TM, Vuksan V, Eshuis H, Spadafora P, Peterson RD, Chao ES, Storey ML, Jenkins DJ. Effect of method of administration of psyllium on glycemic response and carbohydrate digestibility. J Am Coll Nutr. 1991 Aug; 10(4):364-71. • Frati Munari AC, Benitez Pinto W, Raul Ariza Andraca C, Casarrubias M. Lowering glycemic index of food by acarbose and Plantago psyllium mucilage. Arch Med Res. 1998 Summer; 29(2):137-41. Diarrea 1 Aglio TrM Allium sativum Amamelide TrM Hamamelis virginiana Astragalo TrM Astragalus membranaceus Borsa pastore TrM Capsella Bursa pastoris Boswellia TrM Boswellia serrata Meliloto TrM Melilotus officinalis Mirtillo, Foglie TrM Vaccinium myrtillus Mirtillo, Frutti TrM Vaccinium myrtillus Ortica, Foglie TrM Urtica dioica Piantaggine TrM Plantago lanceolata, Plantago major Psillio bianco e nero ClR Plantago ovata, Plantago ispaghula + Plantago afra, Plantago indica Rabarbaro, a basso dosaggio TrM Rheum palmatum Tribolo TrM Tribulus terrestris Zenzero TrM Zingiber officinalis Diarrea – Psillio bianco e nero • Washington N, Harris M, Mussellwhite A, Spiller RC. Moderation of lactuloseinduced diarrhea by psyllium: effects on motility and fermentation. Am J Clin Nutr. 1998 Feb; 67(2):317-21. • Eherer AJ, Santa Ana CA, Porter J, Fordtran JS. Effect of psyllium, calcium polycarbophil, and wheat bran on secretory diarrhea induced by phenolphthalein. Gastroenterology. 1993 Apr; 104(4):1007-12. • Bliss DZ, Jung HJ, Savik K, Lowry A, LeMoine M, Jensen L, Werner C, Schaffer K. Supplementation with dietary fiber improves fecal incontinence. Nurs Res. 2001 Jul-Aug; 50(4):203-13. • Marlett JA, Kajs TM, Fischer MH. An unfermented gel component of psyllium seed husk promotes laxation as a lubricant in humans. Am J Clin Nutr. 2000 Sep; 72(3):784-9. • Qvitzau S, Matzen P, Madsen P. Treatment of chronic diarrhoea: loperamide versus ispaghula husk and calcium. Scand J Gastroenterol. 1988 Dec; 23(10):1237-40. • Strommen GL et al. Treatment of suspected postcholecystectomy diarrea with psyllium hydrophilici mucilloid. Clin Pharm 1990;9:206-8. • Harmouz W. Therapy of acute and chronic diarrhea with Agiocur ®. Medizinische Klinik, 1984, 79:32-33. Dismenorrea 3 Achillea TrM Achillea millefolium Agnocasto TrM Vitex agnus-castus Amamelide TrM Hamamelis virginiana Angelica arcangelica TrM Angelica archangelica Angelica cinese ClR Calendula TrM Calendula officinalis Camomilla TrM Matricaria chamomilla Cimicifuga ClR Meliloto TrM Melilotus officinalis Mirtillo, Frutti ClR Vaccinium myrtillus Salvia TrM Salvia officinalis Timo TrM Thymus vulgaris TrM TrM Angelica sinensis Cimicifuga racemosa Dismenorrea – Angelica cinese • Compendium of materia medica. Shanghai, State Administration of Traditional Chinese Medicine, Shanghai Science and Technical Press, 1996:1341-1355 Dismenorrea – Cimicifuga • Görlich N. Behandlung ovarieller Störungen in der Allgemeinpraxis. Ärztliche Praxis, 1962, 14:1742–1743. • Stiehler K. Über die Anwendung eines standardisierten CimicifugaAuszuges in der Gynäkologie. Ärztliche Praxis, 1959, 26:916–917. Emorroidi Emorroidi, Uso esterno 3 3 Achillea TrM Achillea millefolium Amamelide TrM Hamamelis virginiana Cardo mariano TrM Carduus marianus Ippocastano TrM Aesculus ippocastanus Meliloto TrM Melilotus officinalis Mirtillo, Frutti ClR TrM Vaccinium myrtillus Psillio bianco ClR TrM Plantago ovata, Plantago ispaghula Pungitopo TrM Ruscus aculeatus Achillea TrM Achillea millefolium Amamelide ClR Fieno Greco TrM Trigonella foenum graecum Iperico TrM Hypericum perforatum Ippocastano TrM Aesculus ippocastanus Pungitopo TrM Ruscus aculeatus TrM Hamamelis virginiana Emorroidi – Mirtillo frutti • Teglio et al 1987, citato da Upton R et al., eds. Bilberry fruit. Vaccinium myrtillus L. In: American Herbal Pharmacopoeia. Santa Cruz, CA, American Herbal Pharmacopoeia, 2001. • Pezzangora et al 1984, citato da Upton R et al., eds. Bilberry fruit. Vaccinium myrtillus L. In: American Herbal Pharmacopoeia. Santa Cruz, CA, American Herbal Pharmacopoeia, 2001. . Emorroidi – Psillio bianco • Ho YH, Tan M, Seow-Choen F. Micronized purified flavonidic fraction compared favorably with rubber band ligation and fiber alone in the management of bleeding hemorrhoids: randomized controlled trial. Dis Colon Rectum. 2000 Jan; 43(1):66-9. Emorroidi – Amamelide • • Knoch HG. Hämorrhoiden ersten Grades: Wirksamkeit einer Salbe auf pflanzlicher Basis. Münchener Medizinische Wochenschrift, 1991, 133:481–484. Reynolds JEF, Prasad AB. Martindale, the extra pharmacopoeia, 30th ed. London, The Pharmaceutical Press, 1996. Epatiti, come coadiuvante, ed epatopatie 2 Achillea ClR TrM Angelica arcangelica TrM Astragalo ClR TrM Astragalus membranaceus Bardana PhR TrM Arctium lappa Calendula TrM Cardo mariano ClR1 ClR2 ClR3 ClR4 Cordyceps TrM Cordyceps sinensis Curcuma TrM Curcuma longa Desmodium TrM Desmodium adscendens Elicriso TrM Helicrysum angustifolium Fieno Greco TrM Trigonella foenum graecum Fumaria TrM Fumaria officinalis Ganoderma TrM Ganoderma lucidum Ginseng TrM Panax ginseng Iperico TrM Hypericum perforatum Ippocastano TrM Aesculus ippocastanus Liquirizia TrM Glycyrrhiza glabra Schisandra PhR1 PhR2 Achillea millefolium Angelica archangelica Calendula officinalis TrM TrM Carduus marianus Schisandra sinensis Epatiti ed epatopatie – Achillea • Harnic TP. The use of preparations of plant origin in treating and rehabilitating elderly patients with cronic hepatitis. Lik Sprava 1999, (78): 168-170. • Sama SK, Krishnamurthy L, Ramachandran K, Lal K. Efficacy of an indigenous compound preparation (Liv-52) in acute viral hepatits: A double-blind study. Indian J Med Res 64:738-742, 1976. . Epatiti ed epatopatie – Astragalo • Zhou QJ. Chinese medicinal herbs in the treatment of viral hepatitis. World Scientific, 215-219, Singapore, 1985. • Kitagawa I, Wang HK, Takagi A, Fuchida M, Miura I, Saito M, Yoshikawa M. Chem Pharm Bull 31: 689-722. . Epatiti ed epatopatie – Cardo mariano - 1 • • • • • Albrecht M et al. Die Therapie toxischer Leberschäden mit Legalon®. Zeitschrift für Klinische Medizin, 1992, 47:87–92. Grüngreiff K et al. Nutzen der medikamentösen Lebertherapie in der hausärztlichen Praxis. Die Medizinische Welt, 1995, 46:222–227. Deák G et al. Silymarin kezelés immunmoduláns hatása krónikus alkoholos májbetegségben. Orvosi Hetilap, 1990, 131:1291–1296. Feher J et al. Hepatoprotective activity of silymarin Legalon therapy in patients with chronic alcoholic liver disease. Orvosi Hetilap, 1989, 130:2723–2727. Müzes M et al. Silymarin (Legalon®) kezelés hatása idült alkoholos májbetegek antioxidáns védorendszerée és a lipid peroxidációra (kettos vak protokoll). Orvosi Hetilap, 1990, 131:863–866. Epatiti ed epatopatie – Cardo mariano - 2 • Láng I et al. Hepatoprotective and immunomodulatory effects of antioxidant therapy. Acta Medica Hungarica, 1988, 45:287–295. • Feher J et al. Hepatoprotective activity of silymarin Legalon therapy in patients with chronic alcoholic liver disease. Orvosi Hetilap, 1989, 130:2723–2727. • Ferenci P et al. Randomized controlled trial of silymarin treatment in patients with cirrhosis of the liver. Journal of Hepatology, 1989, 9:105– 113. • Magliulo E, Gagliardi B, Fiori GP: Results of a double-blind study on the effect of silymarin in the treatmen of acute viral hepatitis, carried out at two medical centers. Med Klin 73:1060-1065, 1978. Epatiti ed epatopatie – Cardo mariano - 3 • Buzzelli G, Moscarella S, Giusti A, et al: A pilot study on the liver protective effect of sylibin-phosphatidylcholine complex (IdB 1016) in chronic active hepatitis. Int J Clin Pharmacol Ther Toxicol 31:456-460, 1993. • Kiesewetter E, Leodolter I, Thaler H: Results of two double-blind studies on the effect of silymarin in chronic hepatitis. Leber Magen Darm 7:318323, 1977. • Szilárd S et al. Protective effect of Legalon® in workers exposed to organic solvents. Acta Medica Hungarica, 1988, 45:249–256. • Magula D, Galisova Z, Iliev N, et al: Effect of silymarine and Fumaria alkaloids in the prophylaxis of drug-induced liver injury during antituberculotic treatment. Stud Pneumol Physeol 56:206-209, 1996. Epatiti ed epatopatie – Cardo mariano - 4 • • • Palasciano G et al. The effect of silymarin on plasma levels of malondialdehyde in patients receiving long-term treatment with psychotrophic drugs. Current Therapeutic Research, 1994, 55:537545. Saba P et al. Effetti terapeutici della silimarina nelle epatopatie croniche indotte da psicofarmaci. Gazzetta Medicina ITALIANA, 1976, 135:236-251. Floersheim GL et al. Clinical deathcap (Amanita phalloides) poisoning: prognostic factors and therapeutic measures. Analys of 205 cases. Schweizerische Medizinische Wochenschrift, 1982, 112:1164-1177. Epatiti ed epatopatie – Schisandra - 1 • Chiu PY, Mak DH, Poon MK, Ko KM. In vivo antioxidant action of a lignan-enriched extract of Schisandra fruit and an anthraquinonecontaining extract of Polygonum root in comparison with schisandrin B and emodin. Planta Med. 2002 Nov;68(11):951-6. • Zhu M, Yeung RY, Lin KF, Li RC Improvement of phase I drug metabolism with Schisandra chinensis against CCl4 hepatotoxicity in a rat model Planta Med. 2000 Aug;66(6):521-5. • Ip SP, Yiu HY, Ko KM. Schisandrin B protects against menadioneinduced hepatotoxicity by enhancing DT-diaphorase activity. Mol Cell Biochem. 2000 May;208(1-2):151-5. • Ip SP, Yiu HY, Ko KM. Differential effect of schisandrin B and dimethyl diphenyl bicarboxylate (DDB) on hepatic mitochondrial glutathione redox status in carbon tetrachloride intoxicated mice. Mol Cell Biochem. 2000 Feb;205(1-2):111-4 Epatiti ed epatopatie – Schisandra - 2 • Zhu M, Lin KF, Yeung RY, Li RC. Evaluation of the protective effects of Schisandra chinensis on Phase I drug metabolism using a CCl4 intoxication model J Ethnopharmacol. 1999 Oct;67(1):61-8. • Ip SP, Mak DH, Li PC, Poon MK, Ko KM Effect of a lignan-enriched extract of Schisandra chinensis on aflatoxin B1 and cadmium chloride-induced hepatotoxicity in rats. Pharmacol Toxicol. 1996 Jun;78(6):413-6. Febbre 3 Achillea PhR TrM Achillea millefolium Artiglio del diavolo TrM Harpagophytum procumbens Bardana TrM Arctium lappa Genziana TrM Gentiana Lutea Ginseng TrM Panax ginseng Salice PhR Sambuco TrM Sambucus nigra Zenzero TrM Zingiber officinalis TrM Salix alba Febbre – Achillea • Nikonorow M. Investigation of the antipyretic action of native medicinal plants. Acta Poloniae Pharmaceutica, 1939, 3:23-56. Febbre – Salice • Leslie GB. A pharmacometric evaluation of nine bio-strath herbal remedies. Medita, 1978, 8:3-19. • Fiebich BL, Appel K. Anti-inflammatory effects of willow bark extract. Clinical Pharmacology & Therapeutics, 2003, 74:96-97. Ferite e piaghe 1 Ferite infette 1 Ferite 1 Boswellia TrM Centella ClR Meliloto TrM Melilotus officinalis Piantaggine TrM Plantago lanceolata, Plantago major Echinacea a. PhR TrM Echinacea angustifolia Echinacea p. ClR TrM Echinacea purpurea Achillea ClR TrM Achillea millefolium Aloe ClR TrM Aloe vera Amamelide TrM Hamamelis virginiana Bardana PhR Arctium lappa Borsa pastore TrM Capsella Bursa pastoris Ficodindia TrM Opuntia ficus indica Piantaggine TrM Plantago lanceolata, Plantago major Primula, Rizoma TrM Primula veris Timo TrM Thymus vulgaris Uncaria TrM Uncaria procumbens Boswellia serrata TrM Centella asiatica Ferite e piaghe – Centella • • • • • • • • • Morisset R et al. Evaluation of the healing activity of Hydrocotyle tincture in the treatment of wounds. Phytotherapy research, 1987, 1:117. Bosse JP et al. Clinical study of a new antikeloid agent. Annals of plastic surgery, 1979, 3:13–21. Huriez C. Action of the titrated extract of Centella asiatica in the cicatrization of leg ulcers (10 mg tablets). Apropos of 50 cases. Lille medicale, 1972, 17(Suppl. 3):574–579. Bourde C, Bourde J. The place of cicatrizing agents in leg ulcers. Semaine des hôpitaux de Paris, 1952, 2:105–113. Chaudhuri S et al. Use of common Indian herb Mandukaparni in the treatment of leprosy (preliminary report). Journal of the Indian Medical Association, 1978, 70:177– 180. Nebout M. Résultats d’un essai controlé de l’extrait titré de Centella asiatica (E.T.C.A.) (I) dans une population lepreuse présentant des maux perforants plantaires. Bulletin de la Société de Pathologie exotique, 1974, 67:471–478. Shin HS et al. Clinical trials of madecassol (Centella asiatica) on gastrointestinal ulcer patients. Korean journal of gastroenterology, 1982, 14:49–56. Rhee JC, Choi KW. Clinical effect of the titolated extract of Centella asiatica (madecassol) on peptic ulcer. Korean journal of gastroenterology, 1981, 13:35–40. Cho KH et al. Clinical experiences of madecassol (Centella asiatica) in the treatment of peptic ulcer. Korean journal of gastroenterology, 1981, 13:49–56. Ferite infette – Echinacea angustifolia • Rehman J, Dillow JM, Carter SM, Chou J, Le B, Maisel AS. Increased production of antigen-specific immunoglobulins G and M following in vivo treatment with the medicinal plants Echinacea angustifolia and Hydrastis canadensis. Immunol Lett. 1999 Jun 1;68(2-3):391. • Büsing KH. Hyaluronidase inhibition by Echinacin. ArzneimittelForschung, 1952, 2:467–469 • Schwarz E, Metzler J, Diedrich JP, et al. Oral administration of freshly expressed juice of Echinacea purpurea herbs fail to stimulate the nonspecific immune response in healthy young men: results of a double-blind, placebo-controlled crossover study. J Immunother 2002;25:413-20. Ferite infette – Echinacea purpurea • Schwarz E, Metzler J, Diedrich JP, et al. Oral administration of freshly expressed juice of Echinacea purpurea herbs fail to stimulate the nonspecific immune response in healthy young men: results of a double-blind, placebo-controlled crossover study. J Immunother 2002;25:413-20. Ferite – Aloe • • • • Reynolds T, Dweck AC: Aloe vera leaf gel: A review update. J Ethnopharmacol 68:3-37,1999. Boon H, Smith M: The Botanical Pharmacy: The Pharmacology of 47 Common Herbs. Kingston, Ontario, Quarry Press, 1999. Klein AD, Penneys NS. Aloe vera. J Am Acad Dermatol 1988;18:71420. Chithra P, Sajithlal GB, Chandrakasan G Influence of aloe vera on the healing of dermal wounds in diabetic rats. J Ethnopharmacol 1998 Jan;59(3):195-201. Gastrite e ulcera gastrica 2 Achillea ClR TrM Aloe TrM Aloe vera Altea TrM Althea officinalis Calendula TrM Calendula officinalis Eleuterocco TrM Eleutherococcus senticosus Ficodindia TrM Opuntia ficus indica Ginseng TrM Panax ginseng Liquirizia PhR1 PhR2 ClR Ortica, Foglie TrM Urtica dioica Piantaggine TrM Plantago lanceolata, Plantago major Psillio bianco e nero TrM Plantago ovata, Plantago ispaghula e Plantago afra, Plantago indica Uncaria TrM Uncaria procumbens Withania TrM Withania somnifera Zenzero TrM Zingiber officinalis TrM Achillea millefolium Glycyrrhiza glabra Gastropatie – Achillea • Mahler P. The action of bitters on the secretion of gastric juice. Zeitscrift Gesamte Experimentelle Medizin, 1926, 51:267-277. Ulcera gastrica – Liquirizia 1 • • • • • • • Jones FA, Langman MJS, Mann RO (eds). Peptic ulcer healing: recent studies on carbenoxolone. MTP Press, Lancaster, 1978, p 1. Lojda Z, Maratka Z. Histochemistry of the gastric and duodenal mucosa under cimetidine and carbenoxolone treatment. Scand J Gastroenterol Suppl. 1989;167:13-5. McLean AJ, Harcourt DM, McCarthy PG, Dudley FJ, McNeil JJ. Relative effectiveness and costs of antiulcer medications as a basis for rational prescribing. Med J Aust. 1987 Apr 20;146(8):431-3, 4368, 442. van Marle J, Aarsen PN, Lind A, van Weeren-Kramer J. Deglycyrrhizinised liquorice (DGL) and the renewal of rat stomach epithelium. Eur J Pharmacol 1981; 72:219-25. Turpie AG, Runcie J, Thomson TJ. Clinical trial of deglycyrrhizinized liquorice in gastric ulcer. Gut 1969; 10:299-302. Tewari SN, Wilson AK. Deglycyrrhizinated liquorice in duodenal ulcer. Practitioner 1973; 210:820-3. Balker ME, Fanestil DD. Liquorice as a regulator of steroid and prostaglandin metabolism. Lancet 1991; 337:428-429. Ulcera gastrica – Liquirizia 2 • Dehpour AR et al. The protective effect of liquorice components and their derivatives against gastric ulcer induced by aspirin in rats. Journal of pharmacy and pharmacology, 1994, 46:148–149. • Russell RI, Morgan RJ, Nelson LM. Studies on the protective effect of deglycyrrhinized liquorice against aspirin (ASA) and ASA plus bile acid-induced gastric mucosal damage, and ASA absorption in rats. Scandinavian journal of gastroenterology, 1984, 19(Suppl.):97–100. . Ulcera gastrica – Liquirizia • Morgan AG, Pacsoo C, McAdam WAF. Comparison between ranitidine and ranitidine plus Caved-S in the treatment of gastric ulceration. Gut 1985; 26:1377-1379. • Schenk J, Schmack B, Rosch W, Domschke W. Controlled trial of carbenoxolone sodium vs. cimetidine in duodenal ulcer. Scand J Gastroenterol Suppl 1980;65:103-107. • Young GP, Nagy GS, Myren J, et al. Treatment of reflux esophagitis with a carbenoxolone/antiacid/alginate preparation. A double-blind controlled trial. Scand J Gastroenterol 1986; 21: 1 098-11 04. Immunodeficienza 3 Aloe TrM Astragalo PhR ClR TrM Astragalus membranaceus Cordyceps PhR ClR TrM Cordyceps sinensis Echinacea a. PhR TrM Echinacea angustifolia Echinacea p. PhR TrM Echinacea purpurea Eleuterocco PhR TrM Eleutherococcus senticosus Ganoderma PhR Ganoderma lucidum Liquirizia TrM Glycyrrhiza glabra Schisandra ClR Schisandra sinensis Uncaria PhR Uncaria procumbens Aloe vera Immunodeficienza – Astragalo • • Chu DT, Wong WL, Mavligit GM. Immunotherapy with Chinese medicinal herbs I. Immune restoration of local xenogeneic graft-versushost reactions in cancer patients by fractionated Astragalus membranaceus in vitro. ]ournal of clinical laboratory immunology, 1988, 25:119-123. • Chu DT, Wong WI, Mavligit GM. Immunotherapy with Chinese medicinal herbs II. Reversal of cyclophosphamide-induced immune suppression by administration of fractionated Astragalus membranaceus in vivo. Journal of clinical laboratory immunology, 1988,25:125-129. • Zhou KS, Mancini C, Doria G. Enhancement of the immune response in mice by Astragalus membranaceus extracts. Immunopharmacology, 1990, 20:225-233. • Chu DT et al. Fractionated extract of Astragalus membranaceus, a Chinese medicinal herb, potentiates LAK cell cytotoxicity generated by a low dose of recombinant interleukin-2. Journal of clinical laboratory immunology, 1988, 26:183-187. Immunodeficienza – Cordiceps • • • • • Chen GZ, Chen GL, Sun T, et al. Effects of Cordyceps sinensis on murine T lymphocyte subsets. Chin Med J (English) 1991;104:4-8. Xu RH, Peng XE, Chen GZ, Chen GL. Effects of cordyceps sinensis on natural killer activity and colony formation of B16 melanoma. Chin Med J (English) 1992;105:97-101. Chen YJ, Shiao MS, Lee SS, Wang SY. Effect of Cordyceps sinensis on the proliferation and differentiation of human leukemic U937 cells. Life Sci 1997;60:2349-59. Chen GZ, Chen GL, Sun T, et al. Effects of Cordyceps sinensis on murine T lymphocyte subsets. Chin Med J (English) 1991;104:4-8. Zhu JS, Halpern GM, Jones K. The scientific rediscovery of a precious ancient Chinese herbal regimen: Cordyceps sinensis: part II. J Altern Complement Med 1998;4:429-57 Immunodeficienza – Echinacea angustifolia • Bauer R et al. Immunological in vivo examinations of Echinacea extracts. Arzneimittel-Forschung, 1988, 38:276–281. • Goel V, Chang C, Slama J, Barton R, Bauer R, Gahler R. Echinacea stimulates macrophage function in the lung and spleen of normal rats. J Nutr Biochem. 2002 Aug;13(8):487. • Rehman J, Dillow JM, Carter SM, Chou J, Le B, Maisel AS. Increased production of antigen-specific immunoglobulins G and M following in vivo treatment with the medicinal plants Echinacea angustifolia and Hydrastis canadensis. Immunol Lett. 1999 Jun 1;68(2-3):391. . Immunodeficienza – Echinacea purpurea • • • • • • . Luettig B, Steinmuller C, Gifford GE, et al. Macrophage activation by the polysaccharide arabinogalactan isolated from plant cell cultures of Echinacea purpurea. J Natl Cancer Inst 1989;81:669-75. Stimpel M, Proksch A, Wagner H, et al. Macrophage activation and induction of macrophage cytotoxicity by purified polysaccharide fractions from the plant Echinacea purpurea. Infect Immun 1984;46:845-9. Bauer R et al. Immunological in vivo examinations of Echinacea extracts. Arzneimittel-Forschung, 1988, 38:276–281. Goel V, Chang C, Slama J, Barton R, Bauer R, Gahler R. Echinacea stimulates macrophage function in the lung and spleen of normal rats. J Nutr Biochem. 2002 Aug;13(8):487. Stotzem CD, Hungerland U, Mengs U. Influence of Echinacea purpurea on the phagocytosis of human granulocytes. Medical science research, 1992, 20:719–720. Bodinet C, Lindequist U, Teuscher E, Freudenstein J. Effect of an orally applied herbal immunomodulator on cytokine induction and antibody response in normal and immunosuppressed mice. Phytomedicine. 2002 Oct;9(7):606-13.Related Articles, Links Immunodeficienza – Eleuterococco • Szolomicki S, Samochowiec L, Wojcicki J, Drozdzik M. The influence of active components of Eleutherococcus senticosus on cellular defense and physical fitness in man. Phytother Res 2000;14:30-5. Immunodeficienza – Ganoderma • Wasser SP, Weis AL. Therapeutic effects of substances occurring in higher Basidiomycetes mushrooms: a modern perspective. Crit Rev Immunol. 1999;19(1):65-96. • Wasser SP Medicinal mushrooms as a source of antitumor and immunomodulating polysaccharides. Appl Microbiol Biotechnol. 2002 Nov;60(3):258-74. • Wang SY, Hsu ML, Hsu HC, et al. The anti-tumor effect of Ganoderma lucidum is mediated by cytokines released from activated macrophages and T lymphocytes. Int J Cancer 1997;70:699-705. • Yuen JW, Gohel MD. Anticancer effects of Ganoderma lucidum: a review of scientific evidence. Nutr Cancer 2005;53:11-7. Kim HS, Kacew S, Lee BM. In vitro chemopreventive effects of plant polysaccharides (Aloe barbadensis miller, Lentinus edodes, Ganoderma lucidum and Coriolus versicolor). Carcinogenesis 1999;20:1637-40 . Immunodeficienza – Schisandra • Kormosh N, Laktionov K, Antoshechkina M. Effect of a combination of extract from several plants on cell-mediated and humoral immunity of patients with advanced ovarian cancer. Phytother Res. 2006 May;20(5):424-5. Immunodeficienza – Uncaria • • • • • • • • Lin et al Lin CC, Lin JM, Chili HF. Studies on folk medicine "thang-kau-tin" from Taiwan (I), the antiinflammatory and liver-protectant effect. Chung-kuo chung yao tsa chi li, 1990, 15:617-622. Kiuchi F et al. Inhibition of prostaglandin biosynthesis by the constituents of medicinal plants. Chemical and pharmaceutical bulletin, 1983, 31:3391-3396. Sandoval M, Charbonnet RM, Okuhama NN, et al. Cat's claw inhibits TNFalpha production and scavenges free radicals: Role in cytoprotection. Free Radical Biol Med 29:71-78, 2000. Lemaire I, Assinewe V, Cano P, et al. Stimulation of interleukìn-1 and -6 production in alveolar macrophages by the neotropical liana, Uncaria tomentosa (Uña de Gato). J Ethnopharmacol 64:109-115, 1999. Keplinger K, Laus G, Wurm M, al al. Uncaria tomentosa (Willd.) DC Ethno medicinal use and new pharmacological, toxicological and botanical results. J Ethnopharmacol 64:23-34, 1999. Wagner H, Kreutzkamp B, Jurcic K. The alkaloids of Uncaria tomentosa and their phagocytosis-stimulating action. Planta Med 5:419-423, 1985. Sheng Y, Bryngelsson C, Pero RW. Enhanced DNA repair, immune function and reduced toxicity of C-MED-100, a novel aqueous extract from Uncaria tomentosa. J Ethnopharmcol 69:115-126, 2000. Sheng Y, Pero AG, Wagner H. Treatment of chemotherapy-induced leukopenia in a rat model with aqueous extract from Uncaria tomentosa. Phytomed 7:137-143, 2000. Insonnia 2 Biancospino PhR TrM Cimicifuga TrM Cimicifuga racemosa Eleuterocco TrM Eleutherococcus senticosus Ganoderma TrM Ganoderma lucidum Luppolo PhR ClR Meliloto TrM Melissa ClR TrM Melissa officinalis Passiflora PhR TrM Passiflora incarnata Primula, Fiori TrM Primula veris Salice TrM Salix alba Valeriana PhR ClR TrM Valeriana officinalis Withania PhR TrM Withania somnifera TrM Crataegus oxyacantha Humulus lupulus Melilotus officinalis Insonnia – Biancospino • Beretz A et al. Choix de méthodes pharmacologiques pour l’étude des activités de l’aubépine. Plantes médicinales et Phytothérapie, 1978, 12:305-314. • Della Loggia R et al. Depressive effect of Crataegus oxyacantha L. on central nervous system in mice. Science and Pharmacy, 1983, 51:319324. Insonnia – Luppolo • • • Schmitz, M. and M. Jackel. 1998. Comparative study for assessing quality of life of patients with exogenous sleep disorders (temporary sleep onset and sleep interruption disorders) treated with a hopsvalerian prepararion and a benzodiazepine drug. Wien Med Wochenschr 148{13):291-298.. Wohlfart R, Hansel R, Schmidt H. The sedative-hypnotic action of hops. Pharmacology of the hop substance 2-methyl-3-buten-2-ol. Planta Med. 1983 Jun;48(2):120-3. Wohlfart R, Wurm G, Hansel R, Schmidt H. Detection of sedativehypnotic active ingredients in hops. 5. Degradation of bitter acids to 2methyl-3-buten-2-ol, a hop constituent with sedative-hypnotic activity. Arch Pharm (Weinheim). 1983;316(2):132-7. Insonnia – Melissa • Cerny A, Schmid K: Tolerability and efficacy of valerian/lemon balm in healthy volunteers (a double-blind, placebo-controlled, multicentre study). Fitoterapia 70:221-228, 1999. • Dressing H, Riemann D, Low H, et al: Insomnia: Are valerian/balm combinations of equal value to benzodiazepine? Therapiewoche 42:726-736,1992. Insonnia – Passiflora • Speroni E, Billi R, Mercati V, et al: Sedative effects of crude extract of Passiflora incarnata after oral administration. Phytotherapy Res 10:S92-S94, 1996. Insonnia – Valeriana • • • • • • Yuan CS, Mehendale S, Xiao Y, et al. The gamma-aminobutyric acidergic effects of valerian and valerenic acid on rat brainstem neuronal activity. Anesth Analg 2004;98:353-8. Leathwood PD, Chauffard F, Heck E, Munoz-Box R. Aqueous extract of valerian root (Valeriana officinalis L.) improves sleep quality in man. Pharmacol Biochem Behav 1982; 17:65-71. Poyares DR, Guilleminault C, Ohayon MM, Tufik S. Can valerian improve the sleep of insomniacs after benzodiazepine withdrawal.? Prog Neuropsychopharmacol Biol Psychiatry 2002; 26:539-45. Francis AJ, Dempster RJ. Effect of valerian, Valeriana edulis, on sleep difficulties in children with intellectual deficits: randomised trial. Phytomedicine 2002; 9:273-9. Donath F, Quispe S, Diefenbach K, et al. Critical evaluation of the effect of valerian extract on sleep structure and sleep quality. Pharmacopsych 2000; 33:47-53. Stevinson C, Ernst E. Valerian for insomnia: a systematic review of randomized clinical trials. Sleep Med 2000; 1:91-9 Insonnia – Withania • Mishra LC, Singh BB, Dagenais S. Scientific basis for the therapeutic use of Withania somnifera (ashwagandha): a review. Altern Med Rev. 2000 Aug;5(4):334-46. Iperlipemia 2 Aglio PhR ClR TrM Aloe ClR Carciofo ClR Curcuma ClR Ficodindia PhR TrM Opuntia ficus indica Fieno Greco ClR TrM Trigonella foenum graecum Psillio bianco ClR1 ClR2 Allium sativum Aloe vera TrM Cynara scolymus Curcuma longa Plantago ovata, Plantago ispaghula Iperlipemia – Aglio • • • • • • • Lawson LD et al. HPLC analysis of allicin and other thiosulfinates in garlic clove homogenates. Planta medica, 1991, 57:263-270. Mader FH. Treatment of hyperlipidemia with garlic-powder tablets. Evidence from the German Association of General Practitioner's multicentric placebo-controlled, double-blind study. ArzneimittelForschung, 1990,40:1111-1116. Lata S et al. Beneficial effects of Allium .sativum, Allium cepa, and Commiphora mukul on experimental hyperlipidemia and atherosclerosis: a comparative evaluation. Journal of postgraduate medicine, 1991,37:132-135. Gebhardt R. Multiple inhibitory effects of garlic extracts on cholesterol biosynthesis in hepatocytes. Lipids, 1993,28:613-619. Gebhardt R. Amplification of palmitate-induced inhibition of cholesterol biosynthesis in cultured rat hepatocytes by garlic-derived organosulfur compounds. Phytomedicine, 1995, 2:29-34. Platt D, Brosche T, Jacob BG. Cholesterin-senkende Wirkung von Knoblauch? Deutsche Medizinische Wochenschrift, 1992, 117:962963. Grαünwald J. Knoblauch: Cholesterinsenkende Wirkung doppelblind nachgewiesen. Deutsche Apotheker Zeitung, 1992, 132:1356. Iperlipemia – Aglio • Silagy CA, Neil A. Garlic as a lipid lowering agent: a meta-analysis. Journal of the Royal College of Physicians of London, 1994, 28:39-45. • Warshafsky S, Kamer RS, Sivak SL. Effect of garlic on total serum cholesterol. A meta-analysis. Annals of internal medicine, 1993, 119:599-605. • Brosche T, Platt D. Garlic as a phytogenic lipid lowering drug: a review of clinical trials with standardized garlic powder preparation. Fortschritte der Medizin, 1990, 108:703-706. • Auer, W. et al. 1.990. Hypertension and hyperlipidaemia: garlic helps in mild cases. Br J Clin Pract Suppl44(suppl.69):3-6. Iperlipemia – Aloe • Vogler BK, Ernst E: Aloe vera: A systematic review of its clinical effectiveness. Br J Gen Pract 49:823-828, 1999. Iperlipemia – Carciofo • Lietti A. Choleretic and cholesterol lowering properties of two artichoke extracts. Fitoterapia, 1977,48:153-158. • Montini M et al. Controlled application of cynarin in the treatment of hyperlipemic syndrome. Observations in 60 cases. ArzneimittelForschung, 1975,25:1311-1314. • Petrowicz o et al.. Effects of artichoke leaf extract (ALE) on lipoprotein metabolism in vitro and in vivo. Atherosclerosis, 1997, 129: 147. Iperlipemia – Curcuma • Soni KB, Kuttan R. Effect of oral curcumin administration on serum peroxides and cholesterol levels in human volunteers. Indian J Physiol Pharmacol 1992;36:273-275. • Chang H-M, But PP-H, Pharmacology and Applications of Chinese Materia Medica. Vol. 2, Singapore, World Scientific, 1986, pp 936-939. Iperlipemia – Ficodindia • Fernandez ML, Lin EC, Trejo A, McNamara DJ. Prickly pear (Opuntia sp.) pectin alters hepatic cholesterol metabolism without affecting cholesterol absorption in guinea pigs fed a hypercholesterolemic diet. J Nutr. 1994 Jun;124(6):817-24.. Iperlipemia – Fienogreco • Prasanna M. Hypolipidemic effect of fenugreek: A clinical study. Indian J Pharmacol 32:34-36, 2000. • Sharma RD, Sarkar A, Hazra DK, et al. Hypolipidemic effect of fenugreek seeds: A chronic study in noninsulin-dependent diabetic patients. Phytother Res 10:332-334, 1996. • Kuppurajan K, Srivatsa A,. Krishnaswami CV, et al. Hypoglycemic and hypotriglyceridemic effects of methica churna (fenugreek). The Antiseptjc (3):78-79,1995. • Sowmya A, Rajyalakshmi P. Hypocholesterolemic effect of germinated fenugreek seeds in human subjects. Plant Food Human Nutr 53:359365,1999. Iperlipemia – Psillio bianco 1 • • • • • Anderson JW, Allgood LD, Lawrence A, Altringer LA, Jerdack GR, Hengehold DA, Morel JG. Cholesterol-lowering effects of psyllium intake adjunctive to diet therapy in men and women with hypercholesterolemia: meta-analysis of 8 controlled trials. Am J Clin Nutr. 2000 Feb; 71(2):472-9. Sprecher DL, Harris BV, Goldberg AC, Anderson EC, Bayuk LM, Russell BS, Crone DS, Quinn C, Bateman J, Kuzmak BR, Allgood LD. Efficacy of psyllium in reducing serum cholesterol levels in hypercholesterolemic patients on high- or low-fat diets. Ann Intern Med. 1993 Oct 1;119(7 Pt 1):545-54. Anderson JW, Davidson MH, Blonde L, Brown WV, Howard WJ, Ginsberg H, Allgood LD, Weingand KW. Long-term cholesterol-lowering effects of psyllium as an adjunct to diet therapy in the treatment of hypercholesterolemia. Am J Clin Nutr. 2000 Jun; 71(6):1433-8. Davidson MH, Maki KC, Kong JC, Dugan LD, Torri SA, Hall HA, Drennan KB, Anderson SM, Fulgoni VL, Saldanha LG, Olson BH. Long-term effects of consuming foods containing psyllium seed husk on serum lipids in subjects with hypercholesterolemia. Am J Clin Nutr. 1998 Mar; 67(3):36776. Anderson JW, Riddell-Mason S, Gustafson NJ, Smith SF, Mackey M. Cholesterol-lowering effects of psyllium-enriched cereal as an adjunct to a prudent diet in the treatment of mild to moderate hypercholesterolemia. Am J Clin Nutr. 1992 Jul; 56(1):93-8. Iperlipemia – Psillio bianco 2 • • • • • • Roberts DC, Truswell AS, Bencke A, Dewar HM, Farmakalidis E. The cholesterol-lowering effect of a breakfast cereal containing psyllium fibre. Med J Aust. 1994 Dec 5-19; 161(11-12):660-4. Bell LP, Hectorne K, Reynolds H, Balm TK, Hunninghake DB Cholesterol-lowering effects of psyllium hydrophilic mucilloid. Adjunct therapy to a prudent diet for patients with mild to moderate hypercholesterolemia. JAMA. 1989 Jun 16; 261(23):3419-23. Anderson JW, Zettwoch N, Feldman T, Tietyen-Clark J, Oeltgen P, Bishop CW. Cholesterol-lowering effects of psyllium hydrophilic mucilloid for hypercholesterolemic men. Arch Intern Med. 1988 Feb; 148(2):292-6. Gelissen IC, Brodie B, Eastwood MA. Effect of Plantago ovata (psyllium) husk and seeds on sterol metabolism: studies in normal and ileostomy subjects. Am J Clin Nutr. 1994 Feb; 59(2):395-400. Schectman G, Hiatt J, Hartz A Evaluation of the effectiveness of lipidlowering therapy (bile acid sequestrants, niacin, psyllium and lovastatin) for treating hypercholesterolemia in veterans. Am J Cardiol. 1993 Apr 1; 71(10):759-65. Moreyra AE, Wilson AC, Koraym A. Effect of combining psyllium fiber with simvastatin in lowering cholesterol. Arch Intern Med. 2005 May 23; 165(10):1161-6. Ipertensione di grado lieve Ipertensione, come coadiuvante 1 1 Aglio PhR ClR TrM Allium sativum Biancospino PhR ClR TrM Crataegus oxyacantha Achillea TrM Achillea millefolium Angelica cinese TrM Angelica sinensis Astragalo PhR Astragalus membranaceus Chelidonia TrM Chelidonium majus Ganoderma TrM Ganoderma lucidum Ginseng TrM Panax ginseng Tribolo PhR Valeriana TrM Valeriana officinalis Vischio TrM Viscum album TrM Tribulus terrestris Ipertensione – Aglio • Petkov V. Pharmacological and clinical studies of garlic. Deutsche Apotheker Zeitung, 1966, 106:1861-1867. • Ogawa H et al. Effect of garlic powder on lipid metabolism in strokeprone spontaneously hypertensive rats. Nippon eiyo, shokuryo gakkaishi, 1993, 46:417-423. • Foushee DB, Ruffin J, Banerjee U. Garlic as a natural agent for the treatment of hypertension: A preliminary report. Cytobios, 1982:145152. • Ozturk Y et al. Endothelium-dependent and independent effects of garlic on rat aorta. Journal of ethnopharmacology, 1994, 44:109-116. • Das I, Khan NS, Sooranna SR. Nitric oxide synthetase activation is a unique mechanism of garlic action. Biochemical Society transactions, 1995, 23:S136. • Das I, Khan NS, Sooranna SR. Potent activation of nitric oxide synthetase by garlic: a basis for is therapeutic applications. Current medical research opinion, 1995, 13:257-263. Ipertensione – Aglio • Rashid A, Hussain M, Khan HH. Bioassay for prostaglandin-like activity of garlic extract using isolated rat fundus strip and rat colon preparation. 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Étude des effets cardiovasculaires de l’hyperoside extrait del’Aubépine chez le chien anesthésié. Annales pharmaceutiques françaises, 1985,5:471-477. • Rácz-Kotilla E et al. Hypotensive and beta-blocking effect of procyanidins of Crataegus monogyna. Planta Medica, 1980, 39:239. • Thompson RS et al. Plant proanthocyanidins. Part 1. Introduction: the isolation, structure, and distribution in nature of plant procyanidins. Journal of the Chemical Society Perkin Transactions I, 1972:1387-1399. Menopausa 2 Agnocasto ClR Vitex agnus-castus Angelica cinese TrM Angelica sinensis Cimicifuga PhR ClR Luppolo ClR Humulus lupulus Meliloto TrM Melilotus officinalis Salvia TrM Salvia officinalis Withania TrM Withania somnifera TrM Cimicifuga racemosa Menopausa – Agnocasto • Upton R (ed). Chaste tree fruit: Vitex agnus-castus. American Herbal Pharmacopoeia and Therapeutic Compendium. Santa Cruz, CA,American Herbal Pharmacopoeia, 2001.. 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Human-pharmacological investigations during treatment of climacteric complaints with Cimicifuga racemosa (Remifemin®): no estrogen-like effects. In: Proceedings of the Fifth International ESCOP Symposium. London, European Scientific Community on Phytotherapy, 1998. Menopausa – Cimicifuga 2 • • • • • • Liske E, Wüstenberg P. Efficacy and safety of phytomedicines with particular reference to Cimicifuga racemosa. Journal of the Medical Association of Thailand, 1998, 81 (Suppl. 1):S108. Liske E, Wüstenberg P. Therapy of climacteric complaints with Cimicifuga racemosa: herbal medicine with clinically proven evidence. Menopause, 1998, 5:250. Lieberman S. A review of the effectiveness of Cimicifuga racemosa (black cohosh) for the symptoms of menopause. Journal of Women’s Health, 1998, 7:525–529. Stoll W. Phytotherapeutikum beeinflusst atrophisches Vaginalepithel: Doppelblindversuch Cimicifuga vs. Östrogenpräparat. Therapeutikon, 1987, 1:23–31. Warnecke G. Influencing menopausal symptoms with a phytotherapeutic agent. Die Medizinische Welt, 1985, 36:871–874. Düker EM et al. Effects of extracts from Cimicifuga racemosa on gonadotropin release in menopausal women and ovariectomized rats. Planta Medica, 1991, 57:420–424. Menopausa – Luppolo • Heyerick A, Vervarcke S, Depypere H, Bracke M, Keukeleire DD. A first prospective, randomized, double-blind, placebo-controlled study on the use of a standardized hop extract to alleviate menopausal discomforts. Maturitas. 2005 Nov 28.. Stipsi 3 Aloe TrM Aloe vera solo Altea TrM Althea officinalis ClR Angelica cinese TrM Angelica sinensis Carciofo PhR Ficodindia TrM Psillio nero ClR TrM Plantago afra, Plantago indica Rabarbaro ClR TrM Rheum palmatum Sambuco, Frutti TrM TrM Cynara scolymus Opuntia ficus indica Sambucus nigra Stipsi – Psillio nero • • • • • • • • Read NW. Dietary fiber and bowel transit. In: Vahouny GV, Kritchevsky D, eds. Dietary fiber. Basic and clinical aspects. New York, Plenum Press, 1986. Stevens J et al. Comparison of the effects of psyllium and wheat bran on gastrointestinal transit time and stool characteristics. Journal of the American Dietetic Association, 1988, 88:323–-326. Marteau P et al. Digestibility and bulking effect of ispaghula husks in healthy humans. Gut, 1994, 35:1747–-1752. Sölter H, Lorenz D. Summary of clinical results with Prodiem Plain, a bowel regulating agent. Today's therapeutic trends, 1983, 1:45–-59. Read NW. Dietary fiber and bowel transit. In: Vahouny GV, Kritchevsky D, eds. Dietary fiber. Basic and clinical aspects. New York, Plenum Press, 1986. Read NW. Dietary fiber and bowel transit. In: Vahouny GV, Kritchevsky D, eds. Dietary fiber. Basic and clinical aspects. New York, Plenum Press, 1986. Stevens J et al. Comparison of the effects of psyllium and wheat bran on gastrointestinal transit time and stool characteristics. Journal of the American Dietetic Association, 1988, 88:323–-326. Dahl WJ, Lockert EA, Cammer AL, Whiting SJ. Effects of flax fiber on laxation and glycemic response in healthy volunteers. J Med Food. 2005 Winter; 8(4):508-1. Stipsi – Rabarbaro • 20. Nishioka I. Biological activities and the active components of rhubarb. International journal of Oriental medicine, 1991, 16:193-212.. Stress 3 Centella TrM Centella asiatica sol o Eleuterocco TrM Eleutherococcus senticosus Cl R Ganoderma TrM Ganoderma lucidum Ginseng ClR TrM Panax ginseng Rodiola ClR TrM Rhodiola rosea Schisandra TrM Schisandra sinensis Tribolo TrM Tribulus terrestris Valeriana TrM Valeriana officinalis Withania ClR TrM Withania somnifera Stress – Ginseng • • • • • • Vogler BK, Pittler MH, Ernst E. The efficacy of ginseng. A systematic review of randomised clinical trials. Eur J Clin Pharmacol 1999;55:567575. Bahrke MS, Morgan WP. Evaluation of the ergogenic properties of ginseng: an update. Sports Med 2000:29:113-133. Pieralisi G, Ripari P, Vecchiet L. Effects of a standardized ginseng extract combined wìth dimethylaminoethanol bitartrate, vitamins, minerals, and trace elements on physical performance during exercise. Clin Therapeut 1991; 13:373-382. Kolokouri I, Engels H-J, Cieslak T, Wirth JC. Effect of chronic ginseng supplementation on short duration, supramaximal exercise test performance. Med Sci Sports Exercise 1999;31(Suppl):S117(abstract). Le Gal M, Cathebras P, Struby K. Pharmaton capsules in the treatment of functional fatigue: a double-blìnd study versus placebo evaluated by a new methodology. Phytother Res 1996;10:49-53. Caso Marasco A, Vargas Ruiz R, Salas Villagomez A, Begona Infante C. Double-blind study of a multivitamin complex supplemented with ginseng extract. Drugs Exptl Clin Res 1996;22:323-329. Stress – Rodiola • Shevtsov VA et al. A randomized trial of two different doses of a SHR-5 Rhodiola rosea extract versus placebo and control of capacity for mental work. 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Sid 1: 370, Warvic, Queensland: Phytoterapy Press 1980 Tumori, come coadiuvante 2 Aloe TrM sol o Astragalo ClR ClR Avena ClR Avena sativa Boswellia TrM Boswellia serrata Chelidonia TrM Chelidonium majus Curcuma TrM Curcuma longa Echinacea a. TrM Echinacea angustifolia Ganoderma ClR Ginseng ClR Panax ginseng Meliloto ClR Melilotus officinalis Uncaria, PhR TrM Uncaria procumbens Vischio PhR TrM Viscum album Aloe vera TrM TrM Astragalus membranaceus Ganoderma lucidum Tumori – Astragalo • • . Upton R, ed. Astragalus Root: Analytical, quality control, and therapeutic monograph. Santa Cruz, CA: American Herbal Pharmacopoeia. 1999:125. Tumori – Avena • . • Terry P, Lagergren J, Ye W, et al. Inverse association between intake of cereal fiber and risk of gastric cardia cancer. Gastroenterology 2001;120:387-91. • Schatzkin A, Lanza E, Corle D, et al. Lack of effect of a low-fat, high-fiber diet on the recurrence of colorectal adenomas. Polyp Prevention Trial Study Group. 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Evidenze cliniche in agopuntura secondo l’OMS Selection of clinical trial reports randomized controlled trials (mostly with sham acupuncture or conventional therapy as control) with an adequate number of patients observed; nonrandomized controlled clinical trials (mostly group comparisons) with an adequate number of patients observed and comparable conditions in the various groups prior to treatment. 1. Diseases, symptoms or conditions for which acupuncture has been proved—through controlled trials—to be an effective treatment: Adverse reactions to radiotherapy and / or chemotherapy • Leukopenia • Low back pain • Allergic rhinitis (including hay fever) • Malposition of fetus, correction of • Biliary colic • Morning sickness • Depression (including depressive neurosis and depression following stroke) • Nausea and vomiting • Dysentery, acute bacillary • Neck pain • Dysmenorrhoea, primary • Pain in dentistry (including dental pain and temporomandibular dysfunction) • Epigastralgia, acute (in peptic ulcer, acute and chronic gastritis, and gastrospasm) • Periarthritis of shoulder • Facial pain (including craniomandibular disorders) • Postoperative pain • Renal colic • • Headache • Rheumatoid arthritis • Hypertension, essential • Sciatica • Hypotension, primary • Sprain • Induction of labour • Stroke • Knee pain • Tennis elbow 2. Diseases, symptoms or conditions for which the therapeutic effect of acupuncture has been shown but for which further proof is needed: • Abdominal pain (in acute gastroenteritis or due to gastrointestinal spasm) • Acne vulgaris • Alcohol dependence and detoxification • Bell's palsy • Bronchial asthma • Cancer pain • Cardiac neurosis • Cholecystitis, exacerbation • Cholelithiasis • Competition stress syndrome • Craniocerebral injury, closed • Diabetes mellitus, non-insu1in-dependent • Earache • Epidemic haemorrhagic fever • Epistaxis, simple (without genera1ized or local disease) chronic, with acute • Eye pain due to subconjunctival injection • Female inferti1ity • Facial spasm • Female urethral syndrome • Fibromyalgia and fasciitis • Gastrokinetic disturbance • Gouty arthritis • Hepatitis B virus carrier status • Herpes zoster (human (alpha) herpesvirus 3) • Hyperlipaemia • Hypo-ovarianism • Insomnia • Labour pain • Lactation, deficiency • Male sexual dysfunction, non-organic • Menière disease • Neuralgia, post-herpetic 2. Diseases, symptoms or conditions for which the therapeutic effect of acupuncture has been shown but for which further proof is needed: • Neurodermatitis • Obesity • Retention of urine, traumatic • Opium, cocaine and heroin dependence • Schizophrenia • Osteoarthritis • Sialism, drug-induced • Pain due to endoscopic examination • Sjogren syndrome • Pain in thromboangiitis obliterans • Sore throat (including tonsillitis) • Polycystic ovary syndrome (Stein-Leventhal syndrome) • Spine pain, acute • Stiff neck • Temporomandibular joint dysfunction • Tietze syndrome • Tobacco dependence • Tourette syndrome • Ulcerative colitis, chronic • Urolithiasis • Vascular dementia • Whooping cough (pertussis) • Postextubation in children • Postoperative convalescence • Premenstrual syndrome • Prostatitis, chronic • Pruritus • Radicular syndrome • Raynaud syndrome, primary • Recurrent lower urinary-tract infection • Reflex sympathetic dystrophy and pseudoradicular pain 3. Diseases, symptoms or conditions for which there are only individual controlled trials reporting some therapeutic effects, but for which acupuncture is worth trying because treatment by conventional and other therapies is difficult: • Chloasma • Insufficienza vascolare venosa** • Choroidopathy, central serous • Parodontopatia** • Clour dness • Sindrome del Tunnel Carpale** • Irritable colon syndrome • Neuropathic bladder in spinal cord injury • Small airway obstruction 4. Diseases, symptoms or conditions for which acupuncture may be tried provided the practitioner has special modern medical knowledge and adequate monitoring equipment: • Breathlessness in chronic obstructive pulmonary disease • Coma • Convulsions in infants • Coronary heart disease ( angina pectoris ) • Diarrhoea in infants and young children • Encephalitis, viral, in children, late stage • Paralysis, progressive bulbar and pseudobulbar • Linfedema post-mastectomia** Homeopathy Clinical Studies Selection of clinical trial reports Systematic reviews and meta-analyses of homeopathy in humans Selected Randomized Controlled Trials - selected randomized controlled trials on high dilutions. - selected randomized controlled trials with low dilutions G O V E R N M E N T O F I N D I A Dr.ESWARA DAS. MD(Hom), MBA (Health Care) Deputy Adviser (Homoeopathy) Ministry of Health & Family Welfare Government of India. G O V E R N M E N T O F I N D I A HOMOEOPATHY IN INDIA Homoeopathy is recognized as one of the National systems of Medicine. Government has taken steps on the following four sectors to develop Homoeopathy EDUCATION RESEARCH** DRUG DEVELOPMENT HEALTH CARE SERVICES G O V E R N M E N T RESEARCH IN HOMOEOPATHTY Research in Homoeopathy is encouraged through two routes: INTRAMURAL ROUTE O F I N D I A EXTRAMURAL ROUTE G O V E R N M E N T O F I N D I A CENTRAL COUNCIL FOR RESEARCH IN HOMOEOPATHY Carry out: • Clinical Research • Drug Research • Drug Standardization • Literary Research • Documentation • Survey of Medicinal Plants used in Homoeopathy MAJOR RESEARCH WORKS BEING CARRIED OUT G O V E R N M E N T O F I N D I A HIV/AIDs – Pilot study suggest Homoeopathic medicines could control opportunistic infections and improve the quality of life of the patients. Homoeopathic medicines have a major role in drug de-addiction programmes Proved 36 Indian Drugs and Monographs published. G O V E R N M E N T O F EXTRAMURAL ROUTE I N D I A In the Extramural Route, the Government extend funds to other organizations/ Universities/ Institutions to carry out research in identified areas. This is to encourage the talents available out side the Government institution to contribute development of the system Research work is awarded to accredited institutions Financial assistance subject to a maximum of Rs 25 lakhs is provided to projects. The projects are assessed by Technical evaluation Committee by Technical experts and finally approved by a Screening Committee headed by Secretary (AYUSH) G O V E R N M E N T O F RESEARCH COMPLETED/ONGOING I N D I A Homoeopathic Medicines are found to be useful in detoxifying Chronic Arsenicosis by National Institute of Homeopathy Homoeopathic Medicines are found to be effective in the treatment of Keloid by Aurobindo Ashram jointly with Jawaharlal Nehru Institute of Post Graduate Medicinal Education and Research. Rheumatoid Arthritis at two centers Obesity at one center Lead poisoning in one center. Cancer research at All India Institute of Medical Sciences Chelidoniun 30, is found to be effective in the management of Liver Toxicity in animal studies. G O V E R N M E N T O F I N D I A EVIDENCE BASED HOMOEOPATHY -HEALTH CARE Homoeopathic Medicines are widely used as an independent or as an adjuvant treatment in Cancer. Improve the quality of life of patients with HIV/AIDs People uses widely for Skin complaints, Viral infections, various Iatrogenic conditions, Allergic diseases, Pediatric problems and Behavioral disorders. G O V E R N M E N T O F I N D I A PREVENTIVE AND PROMOTIVE HEALTH CARE Uses in Drug- de- addiction programme by Delhi police. Uses in Japanese Encephalitis control programme by the Government of Andhra Pradesh. Leptospirosis by the Government of Kerala. Found to be effective in Drug resistant Tuberculosis. – research is going on under the State Research programme of Govt. of Delhi. In the Hypothyroidism and Malnutrition syndromes. Primary Health care through 10,000 Govt. and thousand of Private and Charitable institutions. G O V E R N M E N T O F I N D I A NEW AREAS OF INTEREST Use of Homoeopathy in veterinary practice is increasing. In plant protection Homoeopathic medicines are used. Dental diseases Homoeopathic medicines are getting more popular.