Current Traditional Medicine - Volume 11, Issue 1, 2025
Volume 11, Issue 1, 2025
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Current Medicinal Herbal Advances in the Management of Diabetic Neuropathy
Authors: Neeru Singh, Kulsoom Hamid, Neha Chauhan, Rupesh Kumar Pandey and Lubhan SinghOne of the most common long-term complications of diabetes is a condition known as diabetic neuropathy. Chronic neuropathic pain is an important and debilitating disease that poses a huge healthcare challenge. Pathogenesis includes abnormalities in the blood arteries supplying the peripheral neurons, metabolic diseases such as myo-inositol depletion, and enhanced nonenzymatic glycation, among other things. Several metabolic processes are triggered when neurons are under oxidative stress, and free radicals are generated. Conventional treatments for neuropathic pain are ineffective despite the abundance of medications on the market today. The use of herbal-based natural medicines to treat hyperglycemia and its accompanying consequences is being studied extensively in addition to the commercially available formulations already on the market. Now that herbal formulations are becoming more common, researchers are paying more attention to them in medication discovery. Therefore, we conducted a comprehensive assessment of herbal medicines and plants that have been shown to have a protective effect on neuropathic pain. Here, the therapeutic effects of each plant have been documented in several neuropathic pain models in animals and humans. Furthermore, the various mechanisms for the protective effects are examined. This review's goal is to summarise the current research on herbal-based therapy for diabetic neuropathy, including pure chemicals derived from plant materials, plant extracts, and Ayurvedic formulations.
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An Updated Account of Multifaceted Medicinal Values of Garlic: A Systematic Review
Authors: Sutanu Maji, Pragya Anand and Yusuf AkhterBackgroundGarlic (Allium sativum L.), one of the most important medicinal plants and spices, has many neuroprotective medicinal properties. Garlic has been mentioned in Indian medical traditions and Chinese literature as a remedy for infectious and other non-communicable diseases. Raw garlic and its derivatives have been used to treat a variety of ailments.
ObjectivesIn this article, we attempted to summarize the numerous characteristics of specific sulfur-containing garlic components that have been observed thus far, to have a variety of medicinal aspects.
MethodsNon-overlapping literature sources from recent years were searched and extracted using databases such as Dimensions, Google Scholar, and PubMed. We have summarized the concluding outputs collectively from the systematic literature search. Second, the catalytic site of the alliinase enzyme was identified to be formed by Y165, N207, D225, Y228, and K251 amino acid residues. We investigated the interaction of active site residues with the alliinase enzyme's natural substrate further, and the catalytic mechanism was deduced using molecular docking.
ResultsSeveral studies on various garlic products and their numerous derivatives are currently being conducted and vividly reported. These studies have found that it has antitumor activity as well as the ability to treat digestive issues and ulcers. Additionally, several potential antibacterial, antiviral, anticoagulant, etc. characteristics were reported by garlic components.
ConclusionIn conclusion, the review focuses on the successful research on numerous novel garlic components and their derivatives, which may be useful in next-generation therapeutic approaches. In addition, it advises the use of garlic in moderation rather than carelessly.
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Ganoderma lucidum, a Potential Revolutionary Macro Fungus in the Field of Medicine
Authors: Isha Rani, Mehak Gupta, Samarth Sharma, Gagandeep Kaur and Pankaj SharmaGanoderma lucidum is a traditional Asian medication used in China, Korea, and Japan. It is a well-known medicinal fungus that is regarded as the elixir of life. Polysaccharides, proteins, enzymes, sterols, fatty acids, vitamins, minerals, and peptides are some of the 400 physiologically active substances. Anti-inflammatory, anti-ulcer, anti-diabetic, antiandrogenic, anti-aging, anti-fibrotic, antioxidant, hepatoprotective, sleep-promoting, anticarcinogenic, chemo and radioprotective, immunomodulation, estrogenic, and antibacterial properties are just a few of the numerous reported pharmacological effects. This review will help us to examine the role that this macro fungus holds in various therapeutic applications and how it can be a significant influence in the field of medicine.
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Natural Nanoparticulate Cosmeceuticals: Boon for Hyperpigmentation
Authors: Rupali A. Patil, Prashant L. Pingale, Anjali P. Bedse and Shilpa S. RautRecently nanotechnology has emerged with more attention to the cosmetic industry. Formulations for skin whitening are widely applied but hyperpigmentation treatment remains unnoticed. This review summarises use of nanotechnology in hyperpimentaion. Various organic and inorganic nanoparticles used in cosmeceuticals are explained. Various approaches for treatment of hyperpigmentation, barriers for Nanodelivery, availability of organic and inorganic synthetic nanoparticles are stated in the study. The advantages and disadvantages of these organic and inorganic compounds are enlisted. Special emphasis has been given to natural substances including arbutin, Aloesin, hesperidin, niacinamide, liquorice, mulberry, polyphenols, ginseng, gingko which are used in hyperpigmentation. Regulatory challenges and issues for clinical translation, Patents and publications available in last 20 years related to nanotechnology in hyperpigmentation are discussed in brief. It has been observed that amongst nanocosmeceuticals used for hyperpigmentation, lipid nanoparticles are most widely used due to more skin permeability, biocompatibility, and biodegradable nature. Nonetheless, investigation on health effects and safety profile of nanomaterials are essential for understanding the impact of using these materials.
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Immunomodulator Drugs in Unani Medicine: Evidence from Preclinical and Clinical Research
Authors: Hamiduddin, Sabeena Shah, Malik Itrat, Zaigham and Uzair AhmedThe immune system is one of our most intricate biological systems, maintaining bodily homeostasis. Substances that modulate the immune responses are called immunomodulators. In Unani system of medicine (USM), immunity is referred to as Quwate-Mudafia, which is part of Quwa and is maintained by Tabiyat. In Unani literature, many single drugs and formulations have been used for their immunomodulatory effect, apart from other therapeutic properties. Single Unani drugs with established immunomodulatory activity are Gilo (Tinospora cordifolia), Sibr (Aloe vera), Asgandh (Withania somnifera), Aamla (Emblica officinalis) etc. Compound formulations are Jawarish Amla sada, Iksir-e-badan, etc. We are living in the age of ever-mutating influenza viruses giving challenges to mankind (such as the recently prevailed SARS-CoV-2 pandemic); many Unani medicinal plants are still unexplored and need to be evaluated for their immunomodulatory property, which can act as substitutes for conventional drugs. To compile Unani immunomodulatory drugs under one heading, important critical texts of traditional Unani medicine, indexed peer-reviewed journals, and authentic literature from online sources were reviewed along with their reported in vivo/in vitro activities and clinical trials. Unani drugs explored in this review are time-tested remedies and can be utilized in these rapidly changing immunological challenges.
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An Insight into the Traditional Uses, Phytochemicals, and Pharmacological Properties of Polyalthia bullata King
Authors: Hadiza Shehu Giwa and Hazrulrizawati Abd HamidPolyalthia bullata King or Tongkat Ali Hitam, a term in the Malay language, encompasses a diverse group of plants belonging to different genera of the Annonaceae family. The native range of this species is Myanmar to Peninsula Malaysia, Borneo. It is a shrub or tree and grows primarily in the wet tropical biome. These plants have been utilized in Malaysia and Southeast Asia as an herbal aphrodisiac. The extracts of this plant have been reported to exert pharmacological activities, such as antioxidant, cytotoxicity, and aphrodisiac properties. The therapeutic properties of P. bullata are attributed to the presence of alkaloids and flavonoids. This study thoroughly analyzes the phytochemical and pharmacological research on P. bullata and its traditional medicinal properties. The review aims to provide a critical update on the scientific knowledge of P. bullata and to identify novel possibilities for investigating its therapeutic potential. There is limited scientific research on the phytochemical components and pharmaceutical application of P. bullata. To date, only a few compounds have been identified and isolated. There is a need for future studies to focus on the extraction technology, phytochemical profiling, and isolation of bioactive compounds from P. bullata to fill the research gap as well as to provide an important theoretical basis and valuable references for researchers and pave the way for the discovery and development of new and existing drugs.
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Cucurbitaceae Glycosides: An In-depth Review on its Source, Structural, and Medicinal Significance
Authors: Vallabh Mulay and Rajagopal DesikanBackgroundThe Cucurbitaceae family has been well-known since ancient times for its use in daily food preparations. Various traditional medicinal systems have also recognized its therapeutic importance. Its significance has also been established by modern techniques.
ObjectiveThe current review aims to emphasize the glycosides of the Cucurbitaceae family in terms of their source, structures, extraction media, and bioactivities in various therapeutic areas like anti-inflammatory, anti-bacterial, anti-cancerous, anti-diabetic, and cardiac models. Glycosides of Cucurbitaceae have been studied extensively. However, considering the vastness of the diversity among this family; there are still various avenues in which further research work is needed.
MethodsFor the present review, we used Elsevier-ScienceDirect, SpringerLink, PubMed, ArticlesPlus, Semantic Scholar, and Google Scholar to conduct a literature search.
ResultsCucurbitaceae is enriched with secondary metabolites, mainly glycosides. The occurrence of glycoside with its species, along with plant parts, is crucial and elaborately covered. It also captures the extraction system. The structure of selected glycosides is represented along with respective references. Various studies elaborate on the pharmacological significance of the extracts in diverse therapeutic areas.
ConclusionThis review provides extensive aspects about the glycosides of the family Cucurbitaceae and will help in further exploration of extraction, isolation, and bioactivity studies of this important class of compounds from one of the largest families, i.e., Cucurbitaceae. It reiterates the need for further exploration in standardization along with extensive safety and efficacy studies.
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Cryptocarya genus: Phytochemistry, Traditional Uses, and Pharmacological Properties
Medicinal plants are claimed to be a safer and more powerful treatment option for many ailments. Plants of the genus Cryptocarya, which biosynthesize numerous bioactive compounds, majorly flavonoids, pyrones, alkaloids, coumarins, and terpenoids, have demonstrated a variety of health benefits, including antimalarial, cytotoxic, antimicrobial, antituberculosis, and anti-inflammation properties. Due to the significant applications in traditional medicine of several communities and secondary metabolites already isolated, this study presents the ethnopharmacological, phytochemical and therapeutic potential of species of the genus Cryptocaria. A total of 177 new bioactive compounds with diverse chemical structures have been reported from the genus. The data set revealed that the genus Cryptocarya is a source of cytotoxic substances, which have the potential to be used in the treatment of diseases resulting from cellular mutations. Further phytochemical and biological assessments may lead to the development of new pharmacologically active compounds.
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Unani Approach to Graded Management of Thrombosis in COVID-19 Patients
Authors: Zikra Tahseen A., Ghulamuddin Sofi, Arisha Shahid, Sofia and Shahila AazamBackground and ObjectivesThis study aimed to explore the treatment of thrombosis caused by COVID-19 with the drugs used in Unani medicine. Unani medicine has rich literature that mentions the pathogenesis, causes, and treatment of the diseases caused by obstruction of vessels. The study explores various drugs with actions that complement the resulting thrombolytic actions and details the rational treatment plan following the Unani medicine protocol.
MethodologyThe literature regarding thrombosis was surveyed from indexed online journals. The concept of thrombosis in Unani literature was surveyed from the source texts of Unani medicine. The treatment strategy and drugs with anti-thrombotic actions were explored, and a rational graded management of thrombosis in COVID-19 patients was presented that forms the general treatment plan of Unani medicine in patients with thrombosis.
ResultsThe study observed that several Unani drugs from natural sources are mentioned for de-obstruent action. De-obstruent action is a composite action that encompasses anti-inflammatory, disintegratory, blood detoxification, and other activities. There was a concordance with the concept of thrombolytic action, as mentioned in conventional medicine. When rationally used, these drugs form a graded treatment of thrombosis associated with COVID-19.
ConclusionThere is a potentially successful treatment plan with several de-obstruent drugs in Unani medicine that may be explored to treat thrombosis associated with COVID-19.
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Punica granatum L. (Punicaceae): An Insight into Phytochemistry and Pharmacology
Authors: Sonali Labhade, Pranali Jadhav, Ritesh Bhole and Sohan ChitlangePunica granatum L. (Punicaceae) generally identified as pomegranate, seeded or granular fruit, has been widely used for centuries in many cultures. P. granatum exhibits a wide variety of medicinal activities, viz., anticancer, antioxidant, antimicrobial, anti-inflammatory, etc. A variety of ethnomedical uses of P. granatum in several formulations, like powder, pulp, decoction and extract on its own or in blend with additional herbs against various diseases, like inflammation, skin disorders, cancer, microbial infections, and asthma, have been recorded. A wide variety of phytochemicals, including polyphenols, terpenoids, fatty acids, sugars, amino acids, tocopherols, sterols, alkaloids, amino acids, etc., have been isolated and identified from P. granatum, amongst which punicalagin, the major polyphenolic component of pomegranate extract, has been well thought of as the main effective component of plant. Thorough information related to P. granatum was gathered using the keywords Punica granatum or pomegranate in various computerized databases, including Pubmed, ACS, Science Direct, Google Scholar, WoS, Springer Link, Sci Finder, and Wiley. All full-text articles and abstracts were reviewed. Additionally, book chapters and monographs were also screened. The current study has highlighted the botany, ethnopharmacology, phytochemical profile, pharmacological activity, and toxicological studies of P. granatum. The ethnopharmacological importance of pomegranate has been discussed in recent pharmacological studies, indicating its medicinal and nutritional benefits in varied human disorders. Moreover, inquiries related to various facets of P. granatum relating to safety, toxicity and quality control are yet unanswered. Additionally, the article has provided a thorough knowledge of the herb, including its mechanism of action, structure activity relationships, safety as well as toxicity, as reported in clinical studies.
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Phthalate-induced Toxicity and its Mitigation by Natural Plant Products
Authors: Kajal Gaur and Yasir Hasan SiddiquePhthalates are common synthetic chemicals in various industrial and consumer products, including plastics, personal care products, and medical equipment. They are dangerous even at extremely low concentrations during the crucial stages of life, such as pregnancy, infancy, early childhood, and adolescence. In recent years, there has been increased interest in looking into natural plant components as potential phthalate toxicity mitigators. Phthalates have been related to a number of health problems, including endocrine disruption, reproductive and developmental disorders, and carcinogenicity. As a result, effective ways to decrease phthalate exposure and attenuate its negative effects are required. Natural plant products have shown the potential to reduce phthalate toxicity via various methods. These methods include antioxidant and anti-inflammatory properties, detoxifying enzyme regulation, and competition for phthalate binding sites. Certain plant-derived chemicals, such as polyphenols, flavonoids, terpenes, and alkaloids, have been shown to interact with phthalates and potentially limit their absorption, distribution, and metabolism inside the body. This review highlights the effects of several naturally occurring plant products, such as apigenin, taxifolin, vitamin C, and many more, on the toxicity of phthalates. Natural products use nowadays is increasing due to their non-toxic nature, so in the future, more focus should be in favor of increasing the use of these natural products that we obtained from plants.
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Utilization and Awareness of Unani Medicine among Adults in Delhi, India: A Survey-based Study
ObjectivesThe objective of this study is to assess the level of knowledge, practice, and usage of Unani medicine among 250 participants in different areas of New Delhi, India.
Materials and MethodsA cross-sectional, observational descriptive survey with a sample size of 250 people was carried out in New Delhi utilizing a pretested, predesigned, and structured questionnaire to evaluate the awareness and usage patterns of Unani medicine. The study was conducted at three different spots in different regions of New Delhi.
ResultsWith a mean age of 40.056 ± 10.77 years and a range of 18 to 65 years, the 250 participants were divided into 66% men and 34% women. 60% of the population who had been adopted had knowledge of Unani medicine, and 54.6% of them relied on Unani medicine as a treatment regime. 40% of users reported Unani medicine due to lack of no or minimal side effects. Contrary to this, among non-user (n = 68), 51.4% populace considers Unani medicine as the slow onset of action medication. Although a small percentage of users (6.1%) chose to use Unani completely, most preferred it as an adjunct to allopathic care.
ConclusionFindings in the survey-based study depict that the awareness of Unani medicines is better than the utilization pattern. There is an urge and opportunity to advance health education and change people's perceptions of the Unani medical system.
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Therapeutic Potential of Traditional Medicines and Natural Products for COVID-19: A Review
The global threat posed by the COVID-19 pandemic has intensified the search for innovative treatments, sparking interest in the potential of natural materials as sources for antiviral medications. This paper delves into the realm of natural medicine, examining the utilization of plant extracts and microbial compounds to combat viral diseases like COVID-19. While these sources hold promise, safety remains paramount. Just as with conventional drugs, natural medications can yield adverse effects and interactions, necessitating rigorous evaluation. To mitigate potential risks, techniques to reduce after-effects are explored, emphasizing the importance of standardization and quality control. Integrating traditional knowledge with modern scientific methods presents an opportunity to discover novel therapies. The development of potent and effective natural antiviral medications and vaccines, crucial for managing future outbreaks, demands interdisciplinary collaboration, regulatory oversight, and comprehensive clinical trials. In navigating the dynamic landscape of viral diseases, the exploration of natural sources complements conventional approaches, underlining the need for a holistic and balanced strategy.
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Systematic Review and Meta-Analysis of Randomized Controlled Studies on the Fuke Qianjin Capsule
Authors: Si-Qi Lu, Qian-Xi Han, Long-Chen Xu, Ping-Da Zhou, Jia-Meng Zhou, Wei Wang, Jie Pan and Wen-Tao ZhuObjectiveThis research aims to evaluate the efficacy and safety of the Fuke Qianjin capsule combined with antibiotics in the treatment of chronic pelvic inflammatory disease, including the associated complications (endometritis and adnexitis).
MethodologyWe searched 4 Chinese and 3 English databases from their establishment to May, 2023. A randomized controlled trial (RCT) of the Fuke Qianjin capsule combined with antibiotics was included in the trial group. The meta-analysis used the RevMan 5.4 software provided by the Cochrane collaboration network.
ResultsA total of 103 RCTs were included, specifically 58 on chronic pelvic inflammatory disease, 6 on endometritis, and 39 on adnexitis (n= 9820, trial group n = 4925, control group n = 4895). The results of the meta-analysis demonstrated that the total effective rate of the Fuke Qianjin capsule combined with antibiotics in the treatment of chronic pelvic inflammatory disease (RR=1.21, 95%CI [1.18, 1.25], Z=14.86, p < 0.00001), endometritis (RR=1.22, 95%CI [1.13, 1.31], Z=5.31, p < 0.00001), and adnexitis (RR=1.26, 95%CI [1.23, 1.30], Z=16.49, p < 0.00001) was significantly better than that of antibiotics alone. Equally important, the relief time of clinical symptoms, the incidence of adverse reactions, and the recurrence rate (p < 0.05) were significantly lower than those of antibiotics alone.
ConclusionThe Fuke Qianjin capsule combined with antibiotics was found to be superior to those in the antibiotic group alone. However, this conclusion necessitates further improvements, such as being supported by a greater number of high-quality and substantive research samples.
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