1. Dr. Cedric Barrett Baker, Pharm.D., R.Ph
Adjunct Clinical Assistant Professor of Pharmacy Practice
Dept . Of Pharmacy Practice / Ctr. for Clinical Research CCR-15
Mercer University, College of Pharmacy, Atlanta,Ga.
Email: cedric@yak.net
Guest Lecture : Botanical Medicines & Health
Instructor : Dr. Cassandra Quave
Emory University – Center for the Study of Human Health
Atlanta , Georgia April 9th 2015 2:30pm
2. Champion of enlightenment !
Incomparable mind!
Great human being ! Helped a lot of people
all over the world ! A true mentor and friend to
me - God bless John and Mary Fran sempre !
3. “ … the body is the great whole and the
process by which the body digests food is
a smaller center of wholeness within the
body (Nutrition is one perspective on the
wholeness of the body.) You can apply this
concept to refer also to a human being as
a small center of wholeness within the
great whole of the biosphere of the planet
Earth …” T. Colin Campbell from
Whole p 53 (2013)
4.
5. Food-Medicine Continuum in the Evolution of Human Diets : New Paradigms &
Models !
Dietary Phytochemicals, Traditional Diets/Dietetics, Epigenomics & Dietary Patterns
Pleiotropic Phytochemistry & Phytopharmacological Synergy of Bioactive Food
Components
Traditional Caloric Restriction Methodologies with Prescribed Fasts and Traditional
Dietetics
Human Culture and Plant Co-Evolution and the Evolution of Consciousness :
Ethnopharmacognosy of Traditional Healers in Asia and the New World
Conclusions
7. Worldwide number of individuals overweight
is now equal to the number that are in the
opposite position of suffering from starvation !
Projections for 2015 are ~ 2.3 billion people
will be overweight and ~ 700 million will be
clinical obese (WHO 2008)
Obese class 1 BMI 30-34.9
Obese class 2 BMI 35-39.9
Obese class 3 BMI 40.0 or > (WHO 1998)
8. Food-Medicine Continuum in Local Ethnobotany
Traditional Regional Cusines
Traditional Dietary Patterns
Traditional Medicinal Foodways
Spice use as condiment and botanical medicine
Phytochemistry of Taste !
9. Zoopharmacognosy and Diet
Evolution to Ethnopharmacognosy
Primates self-medicate with plant-
foods / Humans have evolved spices
- Dr. Eloy Rodriquez & Dr. Richard Wrangham
posit ‘Zoopharmacognosy’ (term-concept)
Spice use in Southeast Asia
- The Phytochemistry of Taste
- Spice use world-wide
“… what humans regularly ingested ,
somewhere between 80-220 plants with
an estimated 80,000 – 220,000
secondary metabolites , modified multiple
physiological processes in a concerted
manner. The understanding … holds
promise for the fields of medicine and
biology not because it is a new insight ,
but because it is an ancient process that
shaped human physiology.”
Dr. Kevin Spelman
Ecological Pharmacology : Humans and plants
coherently couple through phytochemistry.
Unified Energetics 2006. 2(5) p. 40-45 (2)
10. “There is no fine
line between
spice and herb,
and futhermore,
no true line
between herb,
spice, foods, and
medicine.”
+
11.
12. “Spices differ from other
domesticated and
commercialized plant
species in at least one
pharmacologically
significant way : the
marked organoleptic
qualities that signal the
presence of
allelochemicals, which
have been bred out of
many cultivated food
plants…”
13. Used as a food-medicine in India & Southeast Asia for >
3,000 years
-1st century introduced to Greeks by Arab spice traders as “
yellow ginger ”
-Cultivated in China since 7th century
-~1200 CE brought to Africa and later to the Caribbean
-Found in Germany since 1150 CE first known as “ Indian
saffron “
------------------------------------------------------
-Used as a key ingredient in South & Southeast Asian rice
dishes & curries
-Long history of use in North & Central Africa as component
of sofrito sauces which are used to season chicken &
poultry dishes
-In Morocco used to flavor Couscous and as a component
of the la-kama spice mix
-Used as a substitute for saffron in sweet dishes and to
color various dishes
- Used in soups (lentil) & spice mixtures
-Essential oil used in liqueurs to improve flavors such as in
stomach bitters
-Turmeric oleoresin used in food industry as a spice in
soups , sauces , and instant meals
14. Medieval Materia Medica
Drug for strengthening the breathing
Red rose without stems 6 parts
Long galingale (galangal) 5 parts
Clove 3 parts
Mastic 3 parts
Nard 3 parts
Asarum 3 parts
Cinnamon , inferior 2 parts
Yew 2 parts
Saffron 2 parts
Mace 1 part
Common cinnamon 1 part
Cardamom 1 part
Lesser cardamom 1 part
Nutmeg 1 part
From the AQRABADHIN -The Medical Formulary of Al –
Kindi
Al-Kindi (c.800-870 CE) born in Kufa , Iraq
Medieval botanist , chemist , and pharmacist (3)
Recipe . 97 Nabatiyya : Chicken Broth with Itriya
Oldest recipe of pasta in soup in Mediterranean
Diet
Itriya-first hard grain pasta in Mediterranean
Cooking
----------------------------------------------------------------------
-
Chickens --( 2 ) put in pot with finely chopped
white onion , olive oil , chick peas
(crushed)
stick of Chinese cinnamon , Good
piece of
cheese , salt to taste – seasoned with
spices
All crushed in the mortar
Dry ground coriander (seeds)
Ground black pepper
Chinese cinnamon
Galangal
Spikenard
Cloves
Nutmeg
Long pepper
Ginger
3 handfuls of Itriya
10 dirhams of rose water (11)
16. New medicines from old
medicines
CBDA Cannabidiolic acid is
main component of glandular
hairs (up to 15 %) selective
Cox2 inhibitor IC50 2.2uM
Cannabinoid acids possess no
psychotropic activity
Do not send Cheech & Chong to
harvest the glandular hairs !
Traditional Thai dietetics
cannabis leaves are a substitute
for hot
basil
18. TRADITIONAL HORTICULTURE
& AGRICULTURE
TRADITIONAL FOOD
PROCESSING
Traditional Southeast Asian
Horticulture & Agriculture
Rice cultivars in the Phillipines
(~4,000) vs Thailand (17,000)
Neem fences throughout Asia
Traditional knowledge loss in Karen
tribes of Southeast Asia
Native American Jerusalem
Artichokes (Helianthus tuberosus)
Cocoa tea vs Tri-mate in
Bolivia
Green tea vs Black tea
Indian Chai vs Kashmiri
Chai
Indian curries vs Thai
curries
19. Karen village in the North of Thailand
Thailand – Traditional
Karen
Noelle Johnson in research
with the Karen in Northen
Thailand found ~ 50 edible
wild plant species via Karen
traditions in the geographic
area
Out of the ~ 50 wild plant
species
-- 31 have significantly
declined in use (over the last
10 years)
-- 7 had locally disappeared
( become extinct )
-- 17 were locally cultivated
in household gardens
Dr. Johnson concluded her
most important finding was a
redefinition of the term
Extinction !
20. Long-neck Karen tribe 2005
In the Shan states – Burma
(Myanmar) These people
are fiercely trying to hold
their traditions against a
lot obstacles.
There may be many
reasons for the loss of
traditional knowledge !
21. “Prehistory ~50,000-60,000 years ago humans wrapped
their food in leaves to retain juices , keep ashes off ,
sometimes enhance flavor , and to tenderize and
preserve meat” , and perhaps treat disease. (1) Dr. Jim Duke
Spices start appearing in the historical records of many
cultures approximately 5,000 years ago !
Looking at this 5,000 year old
historical evolution brings us to the present use of
spices in functional food science and biomedicine .
22.
23. PHYTOCHEMISTRY OF
SPICES
PHYTOCHEMISTRY OF
TASTE
Gingerols, zingerone
Allins, allicin, DAD, DAT
Curcuminoids
Caradmom (monoterpenes)
1,8 cineole (2 to 44 %)
limonene (2 to 14 %)
Capsaicinoids
Aromatic, pungent (m or l),
slightly bitter
Pungent , burning
(characteristic)
Mild aromatic, slightly pungent
Aromatic, slightly pungent,
spicy, mildly burning
Mild fruity to pungent, spicy and
burning
28. PLANTS PHYTOCHEMICALS
10 -100 million species of
organisms on planet earth
250,000 – 300,000 species
of plants (estimated) 6 %
explored
80 - 220 plant species in
early human diets
(estimated)
~ 1,000 to 10,000
phytochemicals per plant
(estimated)
139,000 (known) secondary
metabolites/phytochemicals
estimated at 15% of total
plant chemical constituents
80,000 to 200,000
phytochemicals in early
human diets
29. Asian Diet / Diets
---------------------------------
Traditional Japanese Diet
Okinawan Diet – greater use of spices
purple sweet potato widely consumed
--------------------------------------------
Traditional Thai Diet
Thai curry bases – wet curries/fresh spices
At the top of biodiverse use of herbs
and spices in world-wide dietary patterns
– very high vegetable intake
– very high & diverse fruit intake
--------------------------------------
North-vegetable oil base
Central-coconut oil base
South-tamarind paste/ghee base
30. TABLE OF CONTENTS EXAMPLES
Dietary patterns in health
and disease – Blue Zones
Biocultural niche
construction in regional
cuisines
Asian diets and
Mediterranean diets
Latin American diets
Epidemiology and Geography of
Diets/Dietary Patterns
Xenohormesis & Phytochemical
Synergy in Diets / Dietary
Patterns & Regional Cuisine
Construction
Epidemiology and Hawai’i in
Asian Foodways &
Transmigrations
Superfoods from the Incas and
Aztecs : Quinoa to Mole
31.
32.
33. FROM CHINA TO SYRIA EGYPT
10,000 – 15,000 years ago
Spices in fermented wines
of various bases
Most likely used as tonics
Anti-cancer bioactivity in
actual sampled products
~ 5,000 years ago
Extensive use of spices
Much of the later Greek
medical knowledge came
from Egypt
34. Egypt – 3,000 BC - garlic in use – spices used in
mummy prep.
Greece – ~400 BC - Hippocrates formulary included :
cinnamon , coriander , mint , saffron , thyme
Rome – Claudius & Nero’s surgeon general used
ginger for stomachic problems
China – ~3,000 B.C. - ginger in use
Aztecs – chile pepper used with cacao for black
mole
Mayans – chile pepper used for asthma
India – ~3,000 BC black pepper
used in cooking
Assyrians- ~3,000 BC used :
sesame spice in wine
-(~650 BC) used:
anise , cardamom , coriander ,
cumin , dill , garlic , myrrh , poppy
,thyme , saffron , and turmeric
Babylonians - ~700 BC used :
cardamom , coriander , garlic ,
saffron , thyme , and turmeric
35. Zingiberaceae
Turmeric – ( Curcuma domestica )
Thai – Khamin (~40 varieties in Thailand)
Found in practically all Thai curries , temu lawak
Malay variety used for stiff muscles and jaundice
Ginger – ( Zingiber officinale ) Thai – Khing
(found in almost all kitchens of SE Asia)
in Zingiber Tea -Thailand
in Jamu - rheumatic pain-key component of many
Jamu
Malay tonic tea – grated ginger ,quail eggs & honey
General tonic & aphrodisiac
Chinese Key – ( Boesenbergia pandurata )
Thai - Krachai / used in mixed veg. fish soups &
curries
Galangal – Thai – Kha -
( Alipinia galanga ) in Zingiber tea - indigestion ,
gas, diarrhea & dysentery
Southeast Asia – Traditional Cuisine & Medicine
has a transnational focus on complex plant mixtures for
traditional functional / medicinal foods & phytomedicines
Spices especially from the Zingiberaceae family form a major
part of this traditional food-medicine continuum.
-----------------------------------------------------------------------------
Traditional Thai Medicine (Thailand) – Zingiber
Tea
1 thumb length ginger & galangal
10 mls ginseng extract
Juice of ¼ lemon 15mls of honey or bee pollen
stimulates digestion,cure flatulence ,constipation,
Indigestion / decongest lungs , sinuses + bronchi due
to colds + allergies , general tonic ,
regulate menstruation + aphrodisiac
------------------------------------------------------------------
Traditional Thai Medicine / Jamu / Ramaun
-------------------------------------------------------------
Uses multiple ingredients in a single preparation for
pleiotropic pharmacological effects – different
pharmacological effects from different ingredients
------------------------------------------------------------------
Jamu - Turmeric in almost all Jamu as a blood
tonic, pain killer, anti-inflammatory
found in 16 jamu for womens health.
Galangal = 12 kinds have documented use in
Jamu
36. Krachai common ingredient in Thai soups and
seafood curries
Traditional Thai Cuisine – digestive
traditionally included in the diet to aid sluggish
digestion , flatulence , and indigestion
In Traditional Thai Medicine – rhizome used for :
oral inflammation , tooth and gum disease – diarrhea
–dysentery
-Also as a diuretic
-Tea from Krachai leaves is used in cases of food
poisoning and allergic reactions to food.
-This rhizome lowers HCA production specifically
through inhibition of the first step of enzymatic
activation of HCAs
37. GLOBAL CANCER BURDEN
“At an ecologic level, there
was a suggestive inverse
correlation between spice
consumption and all cancer
(excluding non-melanoma
skin cancer) age
standardized.” (6)
IHS Study & other studies
support data that show India &
SE Asia have some of the
lowest cancer rates and are
among the highest consumers
of ginger and turmeric in the
world.
India ~ 380,000 tons-yr
Indonesia~ 192,500 tons-yr
Thailand~ 170,00 tons-yr
IHS study turmeric & ginger
consumption 95%
Ginger intake per person
grams/month
New Dehli 41.7g/mo
Mumbai 58.3g/mo.
Trivandrum 37.3g/mo.
GINGER PRODUCTION 2008
38.
39. PLANTS &
PHYTOCHEMICALS
CHEMOPREVENTIVE &
PHARMACOLOGICAL TARGETS 10-100 million species of
organisms on earth
250,000 – 300,000 species of
plants (estimated) 6% explored
139,000 (known) phytochemicals
secondary metabolites * est. at
15% of total
30,000 (known) terpenes
16,800 (known) alkaloids
9,000 (known) phenolics
6,800 (known) flavonoids
50,000 (known) phytochemicals
with 3 or > bioactivities linked to
targets
20,000 plant species used in
ethnomedicine world-wide
10,000 health modifier genes
500 (known) phytochemical
cancer modifiers
350-400 (known)
pharmacolgical targets
12-20 epigenetic health
modifiers – phytochemicals
(known)
45. CuraMed (EuroPharm) Curcumin extract (BCM-95)
45patients (38females 7males) 38 finished 7 dropped
out. 28 joint assessment for tender joint count, swollen
joint count, and duration of morning stiffness
3 tmt protocols
BMC-95 curcumin (500mg) BID for 8 weeks 59.9%SS
IMP
BMC-95 curcumin + diclofenac 50mg BID x 8 weeks
Diclofenac 50mg BID x 8 weeks
Results : Pilot study shows BCM-95 reduced DAS28 &
ACR scores in pat with RA alone or in combination with
diclofenac. Intake levels of 500mg BID x 8weeks with few
adverse effects. Only BCM-95 alone sig decreased CRP
levels
46. Thai Functional / Medicinal Beverage
* Roselle / Hibiscus Tea
------------------------------------------------------------
Hibiscus tea – ACE inhibitor , diuretic-
bioactivity
--------------------------------------------------------------
-
Antihypertensive
Diuretic
Antihypercholesterolemic
Natural Standard rates Grade B
antihypertension
Clinical evidence lowers diastolic &
systolic blood pressure in mild to
moderate HTN
One study found comparable hypotensive
effect with Captopril
Functional Dietary Patterns
(29 , 33 , 34, 35 , 36 , 37)
47. Phytochemistry -
Cinnamaldehyde 6,000 to
30,000 ppm - main
constituent -
Comparing 49 herbs &
spices Cinnamon potentiated
insulin activity in vitro > 20
fold higher than any other
compound or plant
Dose dependent effects
similar to insulin
Pleiotropic synergy in PC
bioactivity of Cinnamon
components for metabolic
syndrome (type 2 diabetes,
dyslipidemias, HTN, CVD)
One beta blocker
(epicatechin)
3 diuretic compounds
6 calcium channel blockers
Precaution - Drug
interactions with insulin &
other anti-diabetic Rxs.
48. China – reduce body
temp, tonic , tmt
constipation
antiflatulence agent
Cambodia – leaves
used to combat fever
& delirium
Indonesia –
decoction of the
leaves is used to tmt
constipation & expel
intestinal worms
Malaysia – a poultice
of the powdered
leaves is applied to
burns
Philippines – juice
expressed from the
green fruit is used tmt
of chronic colitis &
dysentery
Cambodia, Laos ,
Vietnam – use
cooked fruit to tmt
colds & cough
49. Family - curcubitaceae Phytochemistry (main)
Genus – momordica Charantin , Vicine , P-insulin
Species – charantia
Habitat – Medical Ethnobotany -
tropical and subtropical vine Used in traditional medicine to
widely grown in India , China , prevent and treat diabetes in
SE Asia , Africa , and the China , India , and SE Asia
Carribbean
53. Studies show weight loss with attendant
health benefits in well-conditioned
physically active men who fast during
Ramadan vs non-fasters & HDL increase
Studies show in overwt , normal wt. , and
under wt. all have wt. loss most
pronounced by % in the overweight.
54. Coptic fast
More of a caloric restriction fast vs prolong
fast
Health benefits shown in some studies
55. JAPAN / OKINAWA ITALY / SARDINIA
Social closeness
Dietary pattens unique to
Okinawa vs the rest of
Japan
Caloric restriction in
traditional dietetics
BMI on traditional diets vs
nutrition intervention
Dietary patterns and social
patterns unique to Sardinia
Caloric restriction in
traditional dietetics
56.
57. BIOCULTURAL NICHE
CONSTRUCTION
PLANT CHEMISTRY &
CULTURE
Regional Moles in Mexico
Regional curries in SE Asia
Regional tagines in Maroc
Regional pasta dishes in Italy
Regional yogurt dishes
worldwide !
Zingiberaceae family and
neuroprotection in food-
medicine co-evolution of
Southeast Asian foodways
Thai curries as tonics
Chai teas as tonics
POM mango as a new tonic
58. Shamanic use of ginger
in New Guinea
In the Bimin-Kuskusmin
tribe plants and fungi
play the most central
role in sacred life
3 ginger, tobacco, and
mushrooms are
believed to possess
their own spirit unlike
the majority of plants
known to this tribe.
59. TRADITIONAL INDONESIAN
BOTANICAL MEDICINES
AMAZONIAN TRADITIONAL
MEDICAL SCHOOLS
“ Many Indonesians believe
that some of the older Jamu
recipes were received by
people while in trace, or
through dreams …
one fact is certain : dreams,
mysticism of one sort or
another, and even magic,
are an integral part of
Indonesian traditional
medicine.”
“ … the shamans sing to the
plants, or the spirits in them,
and are in turn sung back to.
These songs or icaros, are
said to map the vibrational
essence of the plants … ( “
The plant comes and talks
to you, it teaches you to
sing,” ) curandero Don
Solon Tello Lozano …”
60. HOLY BIBLE UNANI-TIBB/ AYURVEDIC &
ZOROASTRIAN TRADITIONS “ Their fruit will serve for food
and their leaves for healing.”
Ezekiel 47:12
Pomegranate
Zoroastrians hold the fruit as
sacred and it is used in their
rituals
Hadith of prophetic medicine
relates that Muhammed PBUH
advised his followers to eat this
fruit to purge envy
Vedic tradition holds the sweet
juice to be restorative , the root
bark given to expel worms.
61. “Our future medicines ,
especially for chronic
disease , perhaps will be
multi-component
phytochemical mixtures
that resemble good,
quality food.”
Dr. Kevin Spelman
Quote from ,
Ecological Pharmacology :
Humans and plants coherently
couple through
phytochemistry.
Unified Energetics 2006
2(5): p. 40-45
62. Dr. Eloy Rodriquez – Cornell Univ.
Dr. Jim Duke MUIH & Green Farmacy Garden
Dr. Michael Tims MUIH
Dr. Kevin Spelman MUIH
Dr. Dennis McKenna Univ. of Minn. Twin Cities
Kat Harrison Univ of Missouri KC
Mercer Univ. College of Pharmacy - Dean
Matthews