Current Traditional Medicine - Volume 11, Issue 5, 2025
Volume 11, Issue 5, 2025
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Comprehensive Review of the Ethnomedicinal Uses and Pharmacological Effects of Flavonoids of Tephrosia species
More LessAuthors: Douglas Kemboi, Veronica Ngyema and Jacqueline Vuyelwa TembuTephrosia is one of the largest genera in the Leguminosae (Fabaceae) family, with a wide range of distribution in temperate and tropical climates. This review examines the literature from 2000 to 2021 and focuses on medicinal uses, pharmacological research, and flavonoids extracted from Tephrosia species. The review also highlights existing knowledge gaps in Tephrosia species research, which could help speed up future studies aiming at discovering lead chemicals from these species. Tephrosia species are used as pesticides, animal feed additions, and to improve soil fertility through nitrogen fixation. Furthermore, Tephrosia species are frequently used in traditional medicine to treat ailments such as gastro-duodenal disorders, chest pains, chronic diarrhoea, inflammatory disorders, skin disorders, wounds, dysmenorrhea, asthma, elephantiasis, haemorrhoids, and bronchitis. Several recent pharmacological studies have established their efficacy as anti-plasmodium, anti-cancer, anti-protozoal, antibacterial, antifungal, and anti-insecticidal drugs. Furthermore, flavonoids isolated from these species have been proven to exhibit anti-plasmodia, anticancer, and anti-insecticidal properties, supporting the majority of Tephrosia species' traditional applications. Over 140 flavonoids have been identified and isolated from approximately 25 Tephrosia species to date. The majority of the isolated flavonoids have O-substituted, C-methylated, or prenylated patterns and are flavonol, chalcone, flavone, or flavanone. Notably, some of the flavonoids with unique skeletal structures were discovered for the first time in the species. Most of the reported biological activity, however, requires further testing against a wide range of diseases, though they can be recommended as possible promising compounds.
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Exploring the Fascinating Diversity, Medicinal Significance, and Ecological Adaptation of Ceropegia bulbosa Roxb.: A Comprehensive Review
More LessAuthors: Daya L. Chothani, Udit Trivedi and Jigneshkumar I. PatelA large variety of unknown plants has tremendous usefulness in improving human beings from a medicinal, nutritional, and dietary perspective. Ceropegia bulbosa species are threatened plant species by (the International Union for Conservation of Nature) IUCN which have significant medicinal value. Ceropegia bulbosa species are generally found in various regions of India. GC-MS data of different extracts such as Ethanol, Methanol, Acetone, Ethyl acetate, and chloroform show the biologically active compounds that exhibit various biological actions. Bioactive compounds reported in Ceropegia bulbosa are Tetradecanoic acid, Pentadecanoic acid, Heptadecanoic acid, Octadecanoic acid, Ergost-5-en-3-ol, (3 beta, 24R)-Stigmast-5-en-3-ol, Tetracontane, Squalene, Beta-stigmasterol.
Traditionally, leaves, tubers, stems, and flowers are used in the treatment of several diseases. Also, various tribal and rural regions have a different identity of Ceropegia bulbosa. Hence, it has the same ethnopharmacological remedies like the decoction of tubers used to treat dysentery and diarrhea and remove kidney stones. Pulp of leaves used for deafness.
Traditionally, it is used as an anti-urolithic, dysentery and diarrhea, deafness, and fertility enhancer. The plant is reported as anti-urolithic, anti-fungal, anti-oxidant, immunomodulatory, malnutrition, and Balya karma. Ceropegia bulbosa is reported to contain Tetradecanoic acid, Pentadecanoic acid, Heptadecanoic acid, Octadecanoic acid, Ergost-5-en-3-ol, (3 beta, 24R)-Stigmast-5-en-3-ol, Tetracontane, Squalene, Beta-stigmasterol.
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Herbal Medicine and Skeletal Muscle Atrophy: From Basic Science to Translational Medicine
More LessMuscle atrophy is the volume loss and strength of muscle and happens in various conditions, such as starvation, nerve cutting, cancer cachexia, heart failure, old age, and immobility. Muscle atrophy is increasing every year and is usually associated with a low quality of life. In the time of muscle atrophy, systems of proteolytic are turned on and muscle proteins are degraded, leading to the contraction of muscle fibers. However, the precise mechanisms involved in muscle atrophy, as well as effective treatments, remain to be investigated. The purpose of this article is to give an overview of the effectiveness of supplements, herbs, and herb bioactive compounds on muscle atrophy. The significant beneficial effects of some plants and plant-derived natural products, including curcumin, geranylgeraniol, resveratrol, soy protein, green tea, and coffee, on muscle atrophy are reviewed in this review article. According to clinical investigations, these natural products may positively affect the physical function of muscles, including hand grip strength and knee tension, weight-lifting capacity, muscle fatigue, time and distance traveled before feeling tired, mitochondrial function and average muscle fiber level. However, more clinical trials are necessary to explore the possible value of herbal agents on skeletal muscle atrophy.
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Benefits of Medicinal Plants in Boosting Immunity against Viral Infections Including COVID-19
More LessAuthors: Uday Bhan Prajapati, Arun Lal Srivastav and Ajmer Singh GrewalBackgroundMedicinal plants can be beneficial for boosting immunity against viral infections by inducing immune functions, antiviral activity, and immunomodulatory effects, and serving as potential alternative therapies. These benefits make them an important resource for managing viral diseases, including COVID-19. Millions of people in more than 200 countries are faced with health emergencies because of this viral disease. However, some allopathic medicines are being used to moderate the negative health impacts of coronavirus on human beings. Although many therapeutic drug candidates have reached phase 3 trials, due to a lack of sufficient clinical data and large randomized trials, none has been approved yet.
MethodsWe have employed databases, like Google Scholar, Research Gate, Scopus, PubMed, Web of Science, etc., for the literature review using keywords, like medicinal plants, antiviral activity, COVID-19, etc. Medicinal properties of some plants have been considered in the present study, especially those possessing anti-viral properties. Also, the antiviral potential of some phytoconstituents against COVID-19 has also been discussed.
ResultsIn the present article, therapeutic properties of numerous plants [e.g., Ocimum sanctum L. (Tulsi), Vitex trifolia L. (Nirgundi), Crocus sativus L. (Saffron or Kesar), etc.] have been thoroughly discussed against viral infections, including COVID-19. Several medicinal plants have been reported to exert immunomodulatory effects, which can help regulate the immune system and improve its response to viral infections. They can be used as a primary preventive measure during home quarantine to improve immunity and provide protection against viral infections. A strong immune system can help protect against infections, provide faster recovery from infections, prevent chronic diseases, and improve overall health and well-being.
ConclusionThis review article might be valuable for conducting future research for developing medicines against infectious diseases, like COVID-19. Medicinal plants could be useful for the pharmaceutical industries to minimize the impact of various viral infections, such as COVID-19.
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A Review of Dysuria in Traditional Persian Medicine
More LessAuthors: Vida Nazari, Bahram Mofid, Homa Hajimehdipoor, Hanieh Babaei and Ghazaleh HeydariradBackgroundDysuria is a very prevalent urinary symptom experienced by the majority of people at least once over their lifetime. Despite the advantages of conventional medications for the management of dysuria, in some patients, there is no thoroughly successful treatment, so numerous patients have a tendency to use complementary or traditional treatments. Persian medicine (PM) consists of the sum total of all the knowledge and practices used in identification, prevention, and treatment in Iran from ancient times to the present. Persian Medicine (PM) manuscripts are a valuable source of experiences of Iranian scholars over the centuries, which contain a lot of information about medicinal herbs that have been used for dysuria.
ObjectivesThe goal of this study was to assess the etiology of dysuria, its types, and treatment according to the principles of PM.
MethodsA literature search compiled some PM manuscripts, including the Canon of Medicine, Exir-e-Azam, and Tebb-e-Akbari, on the concept of dysuria as a prevalent disorder to review the etiology, types, and management of dysuria by PM scholars' approaches.
ResultsAccording to PM manuscripts, there are three main causes of dysuria. Also, dysuria was treated with three major approaches, including lifestyle modification, food substances, medicinal herbs, and finally, manual therapy.
ConclusionIn conclusion, it seems while there are flaws in the conventional management of dysuria, and PM recommendations have found empirical support over the centuries, some PM treatments can be helpful to conventional medicine as complementary medicine; however, more studies are necessary to confirm their effectiveness.
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A Review on the Effective Implications of Plant-generated Polyphenols as Novel Therapeutic Agents against Neurodegenerative Diseases
More LessAuthors: Diptayan Adhikari, Jayati Biswas, Bitihotra De and Bani Kumar PathakVarious neurodegenerative diseases have become a serious threat to human health all around the world. The progressive loss of functionality of active neurons causes neurodegenerative disease. Current research suggests that plant-derived foods, such as fruits and vegetables, are a good source of natural polyphenols, which can be effective in reducing the risk factors of neurodegenerative diseases, such as Alzheimer’s disease (AD), Parkinson’s disease (PD), Huntington’s disease (HD), etc. These polyphenols exhibit cognitive repair and can reduce the production of reactive oxygen species (ROS) to establish neuroprotection. Various animal models were developed to understand the neuromodulatory and therapeutic activities of polyphenols for the treatment of AD, PD, HD, etc. Moreover, polyphenols indirectly modulate the gut microbiome to generate neuroprotection. Although there is a disadvantage to the low oral bioavailability of these polyphenols, the conjugation can enhance the efficiency of these compounds with nanoparticles. The present review gives an outline of plant-generated polyphenols and highlights their effects in the treatment of various neurodegenerative diseases. As a result, the prevention of aging-related disorders through natural products certainly shows excellent therapeutic efficiency soon. For this study, various reviews as well as original research articles from PubMed describing the possible therapeutic effects of dietary polyphenols to cure neurodegenerative diseases are used.
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The Reporting Quality and Risk of Bias of Randomized Controlled Trials in Traditional Persian Medicine: A Systematic Review
More LessAuthors: Mojtaba Norouzi, Ali Akbar Haghdoost and Maryam KkarimiafsharObjectiveThis study aimed to assess the quality of randomized controlled trials (RCTs) in the field of Traditional Persian Medicine (TPM) by utilizing specific checklists and the Cochrane Risk-of-Bias tools (RoB 1.0 and RoB 2.0).
MethodsRCTs in the field of TPM were analyzed in a systematic review between 2018 and 2022. Quality assessment was performed using CONSORT 2010, CONSORT extensions, RoB1.0 and RoB 2.0.
ResultsOut of 1112 primary retrieval articles, 139 were eligible for quality assessment. The mean scores of multi-arm studies and trials of herbal medicine interventions, according to CONSORT extensions, were 1.47 ± 0.66 and 1.48 ± 0.61 out of 2. Based on RoB 2.0, two-thirds of the studies were assessed as “high risk” and “some concerns”. The highest risk and most concerns were related to outcome measurement and randomization process, respectively. The lowest mean score was related to the methods section. Reports on drug and herbal interventions were insufficient, and the scores of key items, such as randomization implementation and allocation concealment, were less than one.
ConclusionThe reporting style of a considerable number of the TPM randomized controlled trials, especially in methodology, is a point of concern. The utilization and adherence to CONSORT extensions can be effective in improving the methodological quality of these studies and enhancing the credibility of the obtained results.
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Reappraisal of Traditional Persian Medicine in the Treatment of Epilepsy and Seizure
More LessAuthors: Mohammad Dahri, Mohammad M. Zarshenas, Ali Kashkooe and Ali A. Asadi-PooyaBackgroundEpilepsy is a prevalent and serious brain disorder. Although drug therapy is commonly used to treat epilepsy, a significant portion of patients experience drug-resistant seizures. Alternative treatments such as ketogenic diets, brain neurostimulators, and surgical resection are available but may not be suitable for all patients. Traditional Persian Medicine (TPM) manuscripts offer insights into various therapeutic approaches for epilepsy.
AimThis study aims to compile and discuss the use of herbal therapies for epilepsy as outlined in ancient Persian manuscripts. Additionally, this study investigates the antiepileptic activities and mechanisms of actions of herbal remedies using contemporary medical literature.
MethodsTwo main search strategies were employed. Firstly, ancient Persian pharmaceutical manuscripts were analyzed to extract information about herbal remedies for epilepsy. These manuscripts included five primary texts that are highly regarded in TPM. Secondly, contemporary electronic databases such as Google Scholar, Scopus, PubMed, and ScienceDirect were searched to obtain information on the antiepileptic activities and mechanisms of action of the identified herbal remedies. Furthermore, the models/methods and extract types utilized in the studies were retrieved.
ResultsThe ancient Persian manuscripts revealed the identification of 102 medicinal plants used for the treatment of epilepsy, with the Apiaceae family being the most recommended. The most common route of administration was oral, but topical and nasal application methods were also mentioned. However, limited information regarding adverse effects was provided. Out of the 102 plants, 67 with scientifically approved names were included in the study. According to the recent literature review, many of these plants exhibited antiepileptic activities in animal studies, with their mechanisms of action primarily involving the GABAergic, opioid, and NMDA systems. Moreover, the MAO-A inhibitory properties of these plants, as a previously confirmed antiepileptic mechanism, were assessed.
ConclusionThe findings of this study highlight a wide range of medicinal plants used in TPM for epilepsy treatment. Several of these plants have demonstrated antiepileptic properties in animal studies, suggesting their potential effectiveness. Further research is needed to evaluate the efficacy and safety of these herbal remedies in human participants. The outcomes of such research may potentially lead to the development of new antiepileptic treatments with reduced side effects.
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Molecular Mechanisms of Persicaria hydropiper (L.) Delarbre against Trypanosoma brucei
More LessAuthors: Zichen Wen, Wenbing Sheng, Yupei Yang, Bin Li, Xudong Zhou, Hanwen Yuan, Muhammad Daniyal, Yixing Qiu, Huanghe Yu, Zhijian Yao, Xiong Cai, Wei Wang and Caiyun PengBackgroundPersicaria hydropiper (L.) Delarbre (P. hydropiper) has long been used for the treatment of parasitic diseases by the Chinese ethnic minority “Tujia” people residing in the mountainous area of southwestern China.
ObjectivesOur previous experiments have demonstrated remarkable pharmacological effects of P. hydropiper against Trypanosoma brucei (T. brucei). The present study aimed to investigate the molecular mechanisms underlying the anti-trypanosomiasis activity of P. hydropiper.
MethodsThirty-nine common targets of P. hydropiper and trypanosomiasis were obtained from the databases, and these common targets were uploaded to the STRING database to obtain a protein-protein interaction network diagram. Then, the hub genes of these common targets were screened using the CytoHubba. Gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses were conducted by the Metascape. Subsequently, the LeDock was used for molecular docking verification between the hub gene, anti-trypanosomiasis targets, and P. hydropiper. Finally, the most effective compound in P. hydropiper revealed by the docking results was used for the verification of the anti-trypanosomiasis ability by western blotting analyses.
ResultsEnrichment analysis indicated that the anti-trypanosomiasis of P. hydropiper was more frequently involved in mediating inflammation, probably by targeting interleukin-6 (IL-6), tumor necrosis factor (TNF), interleukin-10 (IL-10), and matrix metalloprotein-9 (MMP-9). Molecular docking demonstrated that the bioactive compound quercitrin in P. hydropiper exhibited the most stable binding mode with the trypanosomiasis target, and the compound previously confirmed to inhibit T. brucei, vanicoside F, exhibited the highest stability with ornithine decarboxylase (ODC) and cysteine protease (CYP). The western blotting results showed that quercitrin significantly suppressed lipopolysaccharide (LPS)-induced inflammation (mimicking T. brucei infection) and decreased expression of IL-10.
ConclusionOur study demonstrated that P. hydropiper acts on T. brucei via the characteristics of multiple targets and pathways with several components through network pharmacology and is thus a potential candidate to be developed as a novel anti-trypanosomiasis drug.
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Healing Effect of Hydroalcoholic Extracts of Thymbra Spicata and Ferulago Angulata on Second-degree Burn Wounds in Rats
More LessObjectiveBurns can be physically and mentally painful, making them one of the worst experiences. In this study, hydroalcoholic extracts of Thymbra spicata and Ferulago angulata were investigated as treatments for second-degree burns in male Wistar rats.
MethodsTo create the burn wounds, a circular metal tool with a diameter of 2 cm was used, followed by treatment with prepared ointments including Ferulago angulata (1%), Thymbra spicata (1%), Thymbra spicata plus Ferulago angulata (1%), and Adib derm ointment. The wound area was measured and the wound tissue was examined histopathologically on days 1, 7, 14, and 21 in each group. The ointments were applied every day for 21 days to determine the wound healing rate.
ResultsThe experiment showed that on the sixth and eleventh days, the groups treated with a combination of Ferulago angulata and Thymbra spicata, and Ferulago angulata alone, demonstrated significant reductions in wound area. According to histopathology, both Ferulago angulata alone and in combination with Thymbra spicata significantly improved the inflammatory condition, epithelialization process, fibroplasia, arrangement, and density of collagen fibers when compared to the other groups.
ConclusionThe study showed that Ferulago angulata extract, either on its own or in combination with Thymbra spicata extract, has significant healing and restorative effects on second-degree burn wounds in animal models.
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Potential of Orthosiphon aristatus Blume Miq as Larvicide and Repellent (Review)
More LessBackgroundThe tropical climate in Indonesia can potentially predispose to various diseases caused by mosquitoes, one of which is Dengue Hemorrhagic Fever (DHF). Prevention by eradication of mosquito larvae (with larvicide) and mosquito bites (with repellent) is a strategic countermeasure to control DHF disease vectors. Larvicide and synthetic repellent use also can cause the development of resistance against the larvicide and thereby hurt humans. Therefore, it is necessary to find natural alternatives that are safe and more effective. One plant that has potential as a natural larvicide and repellent is the cat's whisker white-purple variety (Orthosiphon aristatus). The main secondary metabolite groups in white-purple cat whiskers are flavonoids and phenolics, and both groups are thought to have potential as larvicide and repellent.
ObjectiveThis review aimed to analyze the potential of white-purple cat plants as larvicides and repellents.
MethodsJournal searches in this review came from primary data sources on the internet. Journal searches were conducted using search engines such as Google Scholar, PubMed, and ScienceDirect. In this review, the prediction of the activity of the active compounds in cat's whiskers (sinensetin and rosmarinic acid) as larvicides was also carried out in an in silico study.
ResultsThe rosmarinic acid and sinensetin contained in cat's whiskers plants have the potential as larvicide and repellent.
ConclusionBased on the literature search, flavonoid, and phenolic compounds have potential as larvicides and repellent. The larvicide and repellent mechanisms of the two secondary metabolites are of concern because they can cause certain disorders in the central nervous system through skin absorption or breathing.
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