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© Copyright PCNM 2011
Botany and Pharmacognosy
Session 11
© Copyright PCNM 2011
Review
Last session we covered:
• Ethnopharmacology, Part II
kettlemoraineacupuncture.com
© Copyright PCNM 2011
This Session
During this session we will cover:
• Phytotherapy, Part I
mdholistichealth.com
© Copyright PCNM 2011
Safety
• Phytotherapy has been used by humans for a very long time, and
has proven to be efficacious for many conditions. However it is vital
that when using phytotherapy to follow certain practices to minimise
any health risks.
www.yourdictionary.com
© Copyright PCNM 2011
Safety
Correct identification
• As we have seen, different plants
contain different constituents, or
sometimes the same constituents but
in differing amounts. For an herbal
preparation to exert the expected
therapeutic effect it is essential that
the correct herbs are in that
preparation. An herb that has been
knowingly or unknowingly substituted
for a named plant in a preparation will
have different phytoconstituents which
at best may be ineffective and at worst
may be toxic.
www.shtfpreparedness.com
© Copyright PCNM 2011
Misidentification
• Plants can be named in four different ways making it more difficult to
be certain the correct plant is being used.
• As an example, the Chinese herb dong quai is also known as
dong guai, danngui and tang kuei. Its botanical name is Angelica
polymorpha (formerly sinensis). Its common name is angelica.
Sometimes Radix Angelica is used to describe it. However, both
angelica and Radix angelica are also used to describe the
European species Angelica archangelica.
Left: Angelica
polymorpha
Right: Angelica
archangelica
medicinalherbinfo.org
jekkasherbfarm.wordpress.com
© Copyright PCNM 2011
Misidentification
• From a medicinal point of view
these herbs are not
interchangeable, so it is
important to choose the correct
species.
• Black cohosh and blue
cohosh have very similar
names; however the plants
are not only from different
genera but different families. Above
Black
cohosh
Below:
Blue
cohosh
identifythatplant.com
www.finegardening.com
© Copyright PCNM 2011
Misidentification
• Misidentification can result in erroneous associations being made.
This has clinical implications for that immediate herbal preparation
and for subsequent clinical uses. The misidentification may be made
at the time of the manufacturer’s bulk purchase of the herbal
material or it could be made earlier when the wild plants are picked
© Copyright PCNM 2011
Misidentification
• It is therefore necessary to be able to correctly identify plants.
• To identify plants botanists use one of several keys which enable individual
plants to be correctly identified. The most common type of key used is a
dichotomous key. In a dichotomous key, successive choices between
contrasting statements are followed until the correct name is found by a
process of elimination. The dichotomous key is made up of paired choices.
Each half of the pair consists of a statement that is either true or false.
Choosing one of these statements leads to another pair of statements where
the correct one needs to be selected, and so on.
www.layers-of-learning.com
© Copyright PCNM 2011
Misidentification
• Using a dichotomous key is like following
directions to a distant destination.
• Along the road there are junctions where
one of two paths must be followed. If the
roads are properly marked and the correct
choice made, the destination is finally
reached.
• A dichotomous key enables proper
identification of a plant’s family, species
and infraspecific taxon. Infraspecific taxa
in botany include subspecies, variety,
subvariety, form and subform.
• In zoology an animal can only be
identified down to sub species.
itsadeliverything.com
© Copyright PCNM 2011
Dichotomous keys
© Copyright PCNM 2011
More About Flowers
• This section requires the use of the
text: Chong SN. Basic morphology
of flowering plants.
• Angiosperm flowers vary widely in
their structure. To adequately
describe flowers so that they may
be identified many technical terms
have been developed. Terms have
been coined for both dicot and
monocot plants.
• Sections 7.1, provide an illustrated
glossary which will be worked
through.
www.studyblue.com
© Copyright PCNM 2011
More About Flowers
• The gynoecium is the collective term for all the carpels in the
flower, therefore the carpels are the building blocks of the
gynoecium. Section 7.2, shows how to determine the number of
carpels in a flower.
• Section 7.3, illustrates how to describe an angiosperm flower using
diagrams of a longitudinal half flower and a cross-section of the
ovary of the flower.
www.byflugur.is
© Copyright PCNM 2011
Floral formula
• The floral formula is a way to represent the structure of a flower
using specific letters, numbers and symbols. A general formula is
used to represent the flowers of a family rather than individual
species. The letters used may vary so this course will use the letters
and symbols depicted in the set text.
www.life.illinois.edu
© Copyright PCNM 2011
Floral formula
• The formula begins with either
the sign for actinomorphy or
zygomorphy. This is followed by
a series of letters in the order K
for calyx, C for corolla, A for
androecium and G for
gynoecium. The number of parts
(sepals, petals, stamens and
carpels respectively) in each
whorl is shown by a number
following the appropriate letter. If
there are more than twelve of a
particular part then the symbol
for infinity is used, 8.
en.wikipedia.org
© Copyright PCNM 2011
Floral formula
• If the parts are fused then the
number is bracketed, but if the
parts are free then they are
not enclosed in brackets. If the
parts are in distinct whorls or
groups this is indicated by
splitting the number
appropriately; e.g. in the
garden pea, Pisum sativum,
there are ten stamens. Nine of
these are fused and the tenth
is separate. This is
represented A(9)+1.
www.tutorvista.com
© Copyright PCNM 2011
Floral formula
• If two whorls are united then the
representative symbols are joined by
a single bracket or arch over the two
symbols. For example, in the
primrose, Primula vulgaris, the
stamens are inserted on the corolla
tube.
• If the sepals and petals are
indistinguishable then K and C are
replaced by P representing the
perianth. Primrose
en.wikipedia.org
© Copyright PCNM 2011
Floral formula
• The position of the ovary is
indicated by a line. In a superior
ovary the line is placed
underneath the number of
carpels, and in an inferior ovary
the line is placed above. If there is
no line above or below the
number of carpels this indicates a
half-inferior ovary.
• Please refer to the set text. Work
through these examples to gain
an understanding of the floral
formula
en.wikipedia.org
© Copyright PCNM 2011
Floral diagram
• A floral diagram is a stylised, pictorial
representation of the structure of a
flower.
• The whorls of the floral parts are shown
as a series of concentric circles. All
floral segments arising at the same
level are placed in the same circle at
their correct relative positions.
• The order of arrangement is therefore
as in the flower; from the outside
inwards the order is calyx, corolla,
androecium and gynoecium. Fusion of
parts is indicated where necessary.
The ovary is represented in cross
section in the centre of the whorls.
www.countrysideinfo.co.uk
© Copyright PCNM 2011
Floral diagram
• The bottom of the diagram represents the anterior side of the flower,
that is the side furthest from the axis of the inflorescence. This axis
is shown as a circle at the top or posterior side of the diagram. Any
bracts subtending the flower are inserted at the base of the diagram.
commons.wikimedia.org
www.excellup.com
© Copyright PCNM 2011
Floral diagram
• It is usual to present a floral diagram in conjunction with a
longitudinal section through the centre of the flower.
© Copyright PCNM 2011
Floral diagram
• Note the differing use of the symbol
representing ‘numerous’ in the floral
formula. In the floral diagram this
means a 2-lobed anther.
• Refer to the text, then attempt the
examples.
• Note that each of these descriptive
methods has its limitations. It is
useful then to show the half flower
diagram, the floral formula and the
floral diagram to give a complete
description of a flower.
commons.wikimedia.org
© Copyright PCNM 2011
Substitution
• Deliberate substitution is no less
dangerous than misidentification,
and it also implies malfeasance.
However this is not necessarily
the case. When raw materials are
being purchased there can be
unintentional adulteration.
• Adulteration is described as the
intentional substitution with
another plant species or
intentional addition of a foreign
substance to increase the weight
or potency of the product or to
decrease its cost.
mdholistichealth.com
© Copyright PCNM 2011
Substitution
• In 1994 it was reported that young
women taking a Belgian slimming
preparation developed rapidly
progressing interstitial nephritis. It was
discovered that the herb Aristolochia
fangchi had been substituted for
Stephania tetranda. Aristolochia fangchi
contains aristolochic acid which is toxic
to the kidneys. Eighty cases were
identified; more than half of these
developed terminal renal failure. bethwelch.buzznet.com
© Copyright PCNM 2011
Substitution
• There are documented cases of the cheaper Siberian ginseng,
Eleutherococcus senticosus or American ginseng, Panax
quinquefolium being substituted for the more expensive Korean
ginseng, Panax ginseng. Fortunately no adverse effects were
recorded, but there may well have been reduced efficacy of the
herbal preparation.
Eleutherococcus
senticosus
Panax ginseng
www.mdidea.com
www.herbs.org
© Copyright PCNM 2011
Substitution
• Deliberate substitution is no less dangerous than misidentification,
and it also implies malfeasance. However, not all substitutions are
deliberate malpractice. When raw materials are being purchased
there can be unintentional adulteration. Unintentional adulteration
may be due to several reasons:
preventdisease.com
© Copyright PCNM 2011
Substitution
• Name confusion. There may be
confusion over vernacular names. In
Chinese herbal medicine the vernacular
for Stephania tetranda is ‘Fang-jig’. This
can easily be confused with Aristolochia
fangchi, especially if only the species
name is used. In indigenous systems of
medicine there may be confusion
because of local dialects. In Ayurveda,
‘Parpatta’ refers to Fumaria parviflora. In
Siddha, ‘Parpadagam’ is taken to mean
Mollugo pentaphylla. These two are often
substituted one for the other, even
though they are distinctly different in
appearance. Fumaria has some
hepatoprotective applications whereas
Mollugo is used as an antifungal.
Fumaria parviflora
Fumaria parviflora
© Copyright PCNM 2011
Substitution
• Lack of knowledge about the authentic source. ‘Nagkesar’ is an
important drug in Ayurveda. Its authentic source is Mesua ferrea.
However, Calophyllum inophyllum is also sold as Nagkesa. True
Nagkesar from Mesua is a heart tonic and emmenagogue, and is
used as an abortifacient. A preparation from Calophyllum
inophyllum is anti-inflammatory and used to treat eczema and
psoriasis.
Mesua ferrea Calophyllum inophyllumtamilnet.com medplants.blogspot.com
© Copyright PCNM 2011
Substitution
• Similarity in morphology. Macuna
pruriens, the velvet bean, has long
been used in Ayurvedic medicine to
treat Parkinson’s Disease. It
contains L-DOPA, the precursor to
dopamine. However the seeds of
this plant are often confused with
very similar looking bean seeds that
do not contain L-Dopa so that the
innocent substitution leads to an
ineffective product.
Macuna pruriens seeds
www.indiamart.com
© Copyright PCNM 2011
Substitution
• Lack of authentic plant. Hypericum
perforatum, St John’s wort, is very widely
used in European countries. In Asian
countries it is not easily available. However
the Indo-Nepal species, Hypericum patulum
is widely available and is sold as H.
perforatum. There are about 450 species in
the genus Hypericum but only H. perforatum
has been extensively studied. One
preliminary study found two constituents in H.
patulum that are not in H. perforatum, but
little else is known of the phytoconstituents. It
is thus not possible to know if the substitution
of H. patulum for H. perforatum is an
effective substitution.
Hypericum perforatum
commons.wikimedia.org
© Copyright PCNM 2011
Substitution
• Careless collection. Herbal collectors and suppliers need to take
great care to collect the correct species and not to mix species
from a particular genus. Unintentional adulteration may occur
when a collector harvests weed species growing alongside the
herb. Many suppliers are illiterate and are not aware of
differences between species and sub-species. Illiteracy may also
be the reason for name confusion and lack of knowledge about
the authentic plant.
www.gardenersworld.com
© Copyright PCNM 2011
Substitution
Lack of knowledge may also result in inappropriate parts of the
plant being included in the collection. The World Health
organisation, in its publication on quality standards for medicinal
plant materials recommends rejecting any batch of raw material
which contains greater than 5% of any other plant part of the
same plant, such as stem in leaf collections, even though they
are derived from the authentic plant.
olliesyummyinyourtummy.blogspot.com
© Copyright PCNM 2011
Contamination
• During growth and storage, crude
plant material can become
contaminated. This contamination may
be from pesticide residue, radioactive
substances or heavy metals,
especially lead, cadmium, mercury
arsenic and thallium. In 1996 there
was a report of five people in Britain
who were poisoned by lead in some
Asian traditional remedies. The herbal
preparations implicated contained 6-
60% w/w lead. Other heavy metals
found in these medicines included
mercury, arsenic, aluminium and tin.
mynutrametrix.transitionslifestyle.com
© Copyright PCNM 2011
Contamination
• Some herbs may be
contaminated by micro-
organisms and toxins from
microbes, such as aflatoxin.
The Australian Code of Good
Manufacturing Practice
specifies detection of micro-
organisms but leaves the
estimation of other
contaminants to the discretion
of manufacturerswww.sloatgardens.com
© Copyright PCNM 2011
Adulteration
• There have been reports of the intentional addition of
pharmaceutical substances to herbal preparations. Chinese herbal
medicine has featured in a number of recent cases. An anti-arthritic
preparation, Tung Shueh was reported to have caused renal failure,
loss of blood pressure control and peptic ulceration. The product
was found to contain mefenamic acid and diazepam but neither of
these were listed on the label. Mefenamic acid is a non-steroidal
anti-inflammatory drug, and diazepam is a sedative and anxiolytic.
In 1995 a Chinese herbalist in Victoria was prosecuted for adding a
steroid cream to a herbal preparation, causing severe facial
erythema in a patient.
© Copyright PCNM 2011
Incorrect preparation or dosage
• How crude plant material is processed has
a major effect on the pharmacological
activity of the finished product. This
processing may be carried out by the
manufacturer, the practitioner or even the
patient. In 1994 a person in Western
Australia had a heart attack induced by
drinking a liquid preparation of aconite.
The herbalist who prescribed the aconite
had instructed the patient to boil the herb
in one and half litres of water for an hour,
and then to drink the decanted liquid. The
patient increased the recommended dose
and shortened the boiling time. The correct
boiling time changes the alkaloid
composition of the herb, reducing its
toxicity.
Aconite
www.abchomeopatia.com
© Copyright PCNM 2011
Incorrect preparation or dosage
• It should be noted however, that
aconite is a restricted plant in
Australia and ingestion is NOT
recommended. According to the
British Herbal Pharmacopoeia the
therapeutic dose is so close to the
toxic level that this remedy is not
suitable for internal administration
Aconite
www.cambridge2000.com
© Copyright PCNM 2011
Lack of standardisation
• The therapeutic and/or toxic components of plants vary depending:
• The part of the plant used
• The stage of ripeness
• Geographic area where the plant was grown
• Storage conditions
© Copyright PCNM 2011
Lack of standardisation
• This means that batch-to-batch reproducibility of plant material
should be assessed in the production of marketed products. In
practice, sampling has shown significant variation from one batch to
another. A study published in the Lancet in 1994 examined the
amount of ginsenoside in Panax ginseng preparations. Ginsenoside
is the glycosylated steroid which gives ginseng most of its biological
activity. Fifty commercial brands of ginseng were tested. The
amount of ginsenoside ranged from 0 to 9% w/w. One of these
samples contained no ginsenosides but did contain large amounts
of ephedrine. This was only discovered when an athlete was
accused of doping himself with ephedrine. The only product he had
consumed was a commercial ginseng. Upon investigation the
ephedrine content was discovered.
© Copyright PCNM 2011
Lack of standardisation
• Wild crafted versus farmed.
• As species face loss of habitat or overharvesting, there have been
new issues to deal with. When a previously wild crafted herb is
farmed the herb itself undergoes change.
© Copyright PCNM 2011
Checkpoint!
© Copyright PCNM 2011
Summary
During this session we covered:
• Phytotherapy, Part I
© Copyright PCNM 2011
Next Session
We will cover:
• Phytotherapy, Part II
© Copyright PCNM 2011
Preparation
Brief Notes
• Don’t forget to log on to the LMS and download and print off your
brief notes and handouts for the next session.

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Botany session 11

  • 1. © Copyright PCNM 2011 Botany and Pharmacognosy Session 11
  • 2. © Copyright PCNM 2011 Review Last session we covered: • Ethnopharmacology, Part II kettlemoraineacupuncture.com
  • 3. © Copyright PCNM 2011 This Session During this session we will cover: • Phytotherapy, Part I mdholistichealth.com
  • 4. © Copyright PCNM 2011 Safety • Phytotherapy has been used by humans for a very long time, and has proven to be efficacious for many conditions. However it is vital that when using phytotherapy to follow certain practices to minimise any health risks. www.yourdictionary.com
  • 5. © Copyright PCNM 2011 Safety Correct identification • As we have seen, different plants contain different constituents, or sometimes the same constituents but in differing amounts. For an herbal preparation to exert the expected therapeutic effect it is essential that the correct herbs are in that preparation. An herb that has been knowingly or unknowingly substituted for a named plant in a preparation will have different phytoconstituents which at best may be ineffective and at worst may be toxic. www.shtfpreparedness.com
  • 6. © Copyright PCNM 2011 Misidentification • Plants can be named in four different ways making it more difficult to be certain the correct plant is being used. • As an example, the Chinese herb dong quai is also known as dong guai, danngui and tang kuei. Its botanical name is Angelica polymorpha (formerly sinensis). Its common name is angelica. Sometimes Radix Angelica is used to describe it. However, both angelica and Radix angelica are also used to describe the European species Angelica archangelica. Left: Angelica polymorpha Right: Angelica archangelica medicinalherbinfo.org jekkasherbfarm.wordpress.com
  • 7. © Copyright PCNM 2011 Misidentification • From a medicinal point of view these herbs are not interchangeable, so it is important to choose the correct species. • Black cohosh and blue cohosh have very similar names; however the plants are not only from different genera but different families. Above Black cohosh Below: Blue cohosh identifythatplant.com www.finegardening.com
  • 8. © Copyright PCNM 2011 Misidentification • Misidentification can result in erroneous associations being made. This has clinical implications for that immediate herbal preparation and for subsequent clinical uses. The misidentification may be made at the time of the manufacturer’s bulk purchase of the herbal material or it could be made earlier when the wild plants are picked
  • 9. © Copyright PCNM 2011 Misidentification • It is therefore necessary to be able to correctly identify plants. • To identify plants botanists use one of several keys which enable individual plants to be correctly identified. The most common type of key used is a dichotomous key. In a dichotomous key, successive choices between contrasting statements are followed until the correct name is found by a process of elimination. The dichotomous key is made up of paired choices. Each half of the pair consists of a statement that is either true or false. Choosing one of these statements leads to another pair of statements where the correct one needs to be selected, and so on. www.layers-of-learning.com
  • 10. © Copyright PCNM 2011 Misidentification • Using a dichotomous key is like following directions to a distant destination. • Along the road there are junctions where one of two paths must be followed. If the roads are properly marked and the correct choice made, the destination is finally reached. • A dichotomous key enables proper identification of a plant’s family, species and infraspecific taxon. Infraspecific taxa in botany include subspecies, variety, subvariety, form and subform. • In zoology an animal can only be identified down to sub species. itsadeliverything.com
  • 11. © Copyright PCNM 2011 Dichotomous keys
  • 12. © Copyright PCNM 2011 More About Flowers • This section requires the use of the text: Chong SN. Basic morphology of flowering plants. • Angiosperm flowers vary widely in their structure. To adequately describe flowers so that they may be identified many technical terms have been developed. Terms have been coined for both dicot and monocot plants. • Sections 7.1, provide an illustrated glossary which will be worked through. www.studyblue.com
  • 13. © Copyright PCNM 2011 More About Flowers • The gynoecium is the collective term for all the carpels in the flower, therefore the carpels are the building blocks of the gynoecium. Section 7.2, shows how to determine the number of carpels in a flower. • Section 7.3, illustrates how to describe an angiosperm flower using diagrams of a longitudinal half flower and a cross-section of the ovary of the flower. www.byflugur.is
  • 14. © Copyright PCNM 2011 Floral formula • The floral formula is a way to represent the structure of a flower using specific letters, numbers and symbols. A general formula is used to represent the flowers of a family rather than individual species. The letters used may vary so this course will use the letters and symbols depicted in the set text. www.life.illinois.edu
  • 15. © Copyright PCNM 2011 Floral formula • The formula begins with either the sign for actinomorphy or zygomorphy. This is followed by a series of letters in the order K for calyx, C for corolla, A for androecium and G for gynoecium. The number of parts (sepals, petals, stamens and carpels respectively) in each whorl is shown by a number following the appropriate letter. If there are more than twelve of a particular part then the symbol for infinity is used, 8. en.wikipedia.org
  • 16. © Copyright PCNM 2011 Floral formula • If the parts are fused then the number is bracketed, but if the parts are free then they are not enclosed in brackets. If the parts are in distinct whorls or groups this is indicated by splitting the number appropriately; e.g. in the garden pea, Pisum sativum, there are ten stamens. Nine of these are fused and the tenth is separate. This is represented A(9)+1. www.tutorvista.com
  • 17. © Copyright PCNM 2011 Floral formula • If two whorls are united then the representative symbols are joined by a single bracket or arch over the two symbols. For example, in the primrose, Primula vulgaris, the stamens are inserted on the corolla tube. • If the sepals and petals are indistinguishable then K and C are replaced by P representing the perianth. Primrose en.wikipedia.org
  • 18. © Copyright PCNM 2011 Floral formula • The position of the ovary is indicated by a line. In a superior ovary the line is placed underneath the number of carpels, and in an inferior ovary the line is placed above. If there is no line above or below the number of carpels this indicates a half-inferior ovary. • Please refer to the set text. Work through these examples to gain an understanding of the floral formula en.wikipedia.org
  • 19. © Copyright PCNM 2011 Floral diagram • A floral diagram is a stylised, pictorial representation of the structure of a flower. • The whorls of the floral parts are shown as a series of concentric circles. All floral segments arising at the same level are placed in the same circle at their correct relative positions. • The order of arrangement is therefore as in the flower; from the outside inwards the order is calyx, corolla, androecium and gynoecium. Fusion of parts is indicated where necessary. The ovary is represented in cross section in the centre of the whorls. www.countrysideinfo.co.uk
  • 20. © Copyright PCNM 2011 Floral diagram • The bottom of the diagram represents the anterior side of the flower, that is the side furthest from the axis of the inflorescence. This axis is shown as a circle at the top or posterior side of the diagram. Any bracts subtending the flower are inserted at the base of the diagram. commons.wikimedia.org www.excellup.com
  • 21. © Copyright PCNM 2011 Floral diagram • It is usual to present a floral diagram in conjunction with a longitudinal section through the centre of the flower.
  • 22. © Copyright PCNM 2011 Floral diagram • Note the differing use of the symbol representing ‘numerous’ in the floral formula. In the floral diagram this means a 2-lobed anther. • Refer to the text, then attempt the examples. • Note that each of these descriptive methods has its limitations. It is useful then to show the half flower diagram, the floral formula and the floral diagram to give a complete description of a flower. commons.wikimedia.org
  • 23. © Copyright PCNM 2011 Substitution • Deliberate substitution is no less dangerous than misidentification, and it also implies malfeasance. However this is not necessarily the case. When raw materials are being purchased there can be unintentional adulteration. • Adulteration is described as the intentional substitution with another plant species or intentional addition of a foreign substance to increase the weight or potency of the product or to decrease its cost. mdholistichealth.com
  • 24. © Copyright PCNM 2011 Substitution • In 1994 it was reported that young women taking a Belgian slimming preparation developed rapidly progressing interstitial nephritis. It was discovered that the herb Aristolochia fangchi had been substituted for Stephania tetranda. Aristolochia fangchi contains aristolochic acid which is toxic to the kidneys. Eighty cases were identified; more than half of these developed terminal renal failure. bethwelch.buzznet.com
  • 25. © Copyright PCNM 2011 Substitution • There are documented cases of the cheaper Siberian ginseng, Eleutherococcus senticosus or American ginseng, Panax quinquefolium being substituted for the more expensive Korean ginseng, Panax ginseng. Fortunately no adverse effects were recorded, but there may well have been reduced efficacy of the herbal preparation. Eleutherococcus senticosus Panax ginseng www.mdidea.com www.herbs.org
  • 26. © Copyright PCNM 2011 Substitution • Deliberate substitution is no less dangerous than misidentification, and it also implies malfeasance. However, not all substitutions are deliberate malpractice. When raw materials are being purchased there can be unintentional adulteration. Unintentional adulteration may be due to several reasons: preventdisease.com
  • 27. © Copyright PCNM 2011 Substitution • Name confusion. There may be confusion over vernacular names. In Chinese herbal medicine the vernacular for Stephania tetranda is ‘Fang-jig’. This can easily be confused with Aristolochia fangchi, especially if only the species name is used. In indigenous systems of medicine there may be confusion because of local dialects. In Ayurveda, ‘Parpatta’ refers to Fumaria parviflora. In Siddha, ‘Parpadagam’ is taken to mean Mollugo pentaphylla. These two are often substituted one for the other, even though they are distinctly different in appearance. Fumaria has some hepatoprotective applications whereas Mollugo is used as an antifungal. Fumaria parviflora Fumaria parviflora
  • 28. © Copyright PCNM 2011 Substitution • Lack of knowledge about the authentic source. ‘Nagkesar’ is an important drug in Ayurveda. Its authentic source is Mesua ferrea. However, Calophyllum inophyllum is also sold as Nagkesa. True Nagkesar from Mesua is a heart tonic and emmenagogue, and is used as an abortifacient. A preparation from Calophyllum inophyllum is anti-inflammatory and used to treat eczema and psoriasis. Mesua ferrea Calophyllum inophyllumtamilnet.com medplants.blogspot.com
  • 29. © Copyright PCNM 2011 Substitution • Similarity in morphology. Macuna pruriens, the velvet bean, has long been used in Ayurvedic medicine to treat Parkinson’s Disease. It contains L-DOPA, the precursor to dopamine. However the seeds of this plant are often confused with very similar looking bean seeds that do not contain L-Dopa so that the innocent substitution leads to an ineffective product. Macuna pruriens seeds www.indiamart.com
  • 30. © Copyright PCNM 2011 Substitution • Lack of authentic plant. Hypericum perforatum, St John’s wort, is very widely used in European countries. In Asian countries it is not easily available. However the Indo-Nepal species, Hypericum patulum is widely available and is sold as H. perforatum. There are about 450 species in the genus Hypericum but only H. perforatum has been extensively studied. One preliminary study found two constituents in H. patulum that are not in H. perforatum, but little else is known of the phytoconstituents. It is thus not possible to know if the substitution of H. patulum for H. perforatum is an effective substitution. Hypericum perforatum commons.wikimedia.org
  • 31. © Copyright PCNM 2011 Substitution • Careless collection. Herbal collectors and suppliers need to take great care to collect the correct species and not to mix species from a particular genus. Unintentional adulteration may occur when a collector harvests weed species growing alongside the herb. Many suppliers are illiterate and are not aware of differences between species and sub-species. Illiteracy may also be the reason for name confusion and lack of knowledge about the authentic plant. www.gardenersworld.com
  • 32. © Copyright PCNM 2011 Substitution Lack of knowledge may also result in inappropriate parts of the plant being included in the collection. The World Health organisation, in its publication on quality standards for medicinal plant materials recommends rejecting any batch of raw material which contains greater than 5% of any other plant part of the same plant, such as stem in leaf collections, even though they are derived from the authentic plant. olliesyummyinyourtummy.blogspot.com
  • 33. © Copyright PCNM 2011 Contamination • During growth and storage, crude plant material can become contaminated. This contamination may be from pesticide residue, radioactive substances or heavy metals, especially lead, cadmium, mercury arsenic and thallium. In 1996 there was a report of five people in Britain who were poisoned by lead in some Asian traditional remedies. The herbal preparations implicated contained 6- 60% w/w lead. Other heavy metals found in these medicines included mercury, arsenic, aluminium and tin. mynutrametrix.transitionslifestyle.com
  • 34. © Copyright PCNM 2011 Contamination • Some herbs may be contaminated by micro- organisms and toxins from microbes, such as aflatoxin. The Australian Code of Good Manufacturing Practice specifies detection of micro- organisms but leaves the estimation of other contaminants to the discretion of manufacturerswww.sloatgardens.com
  • 35. © Copyright PCNM 2011 Adulteration • There have been reports of the intentional addition of pharmaceutical substances to herbal preparations. Chinese herbal medicine has featured in a number of recent cases. An anti-arthritic preparation, Tung Shueh was reported to have caused renal failure, loss of blood pressure control and peptic ulceration. The product was found to contain mefenamic acid and diazepam but neither of these were listed on the label. Mefenamic acid is a non-steroidal anti-inflammatory drug, and diazepam is a sedative and anxiolytic. In 1995 a Chinese herbalist in Victoria was prosecuted for adding a steroid cream to a herbal preparation, causing severe facial erythema in a patient.
  • 36. © Copyright PCNM 2011 Incorrect preparation or dosage • How crude plant material is processed has a major effect on the pharmacological activity of the finished product. This processing may be carried out by the manufacturer, the practitioner or even the patient. In 1994 a person in Western Australia had a heart attack induced by drinking a liquid preparation of aconite. The herbalist who prescribed the aconite had instructed the patient to boil the herb in one and half litres of water for an hour, and then to drink the decanted liquid. The patient increased the recommended dose and shortened the boiling time. The correct boiling time changes the alkaloid composition of the herb, reducing its toxicity. Aconite www.abchomeopatia.com
  • 37. © Copyright PCNM 2011 Incorrect preparation or dosage • It should be noted however, that aconite is a restricted plant in Australia and ingestion is NOT recommended. According to the British Herbal Pharmacopoeia the therapeutic dose is so close to the toxic level that this remedy is not suitable for internal administration Aconite www.cambridge2000.com
  • 38. © Copyright PCNM 2011 Lack of standardisation • The therapeutic and/or toxic components of plants vary depending: • The part of the plant used • The stage of ripeness • Geographic area where the plant was grown • Storage conditions
  • 39. © Copyright PCNM 2011 Lack of standardisation • This means that batch-to-batch reproducibility of plant material should be assessed in the production of marketed products. In practice, sampling has shown significant variation from one batch to another. A study published in the Lancet in 1994 examined the amount of ginsenoside in Panax ginseng preparations. Ginsenoside is the glycosylated steroid which gives ginseng most of its biological activity. Fifty commercial brands of ginseng were tested. The amount of ginsenoside ranged from 0 to 9% w/w. One of these samples contained no ginsenosides but did contain large amounts of ephedrine. This was only discovered when an athlete was accused of doping himself with ephedrine. The only product he had consumed was a commercial ginseng. Upon investigation the ephedrine content was discovered.
  • 40. © Copyright PCNM 2011 Lack of standardisation • Wild crafted versus farmed. • As species face loss of habitat or overharvesting, there have been new issues to deal with. When a previously wild crafted herb is farmed the herb itself undergoes change.
  • 41. © Copyright PCNM 2011 Checkpoint!
  • 42. © Copyright PCNM 2011 Summary During this session we covered: • Phytotherapy, Part I
  • 43. © Copyright PCNM 2011 Next Session We will cover: • Phytotherapy, Part II
  • 44. © Copyright PCNM 2011 Preparation Brief Notes • Don’t forget to log on to the LMS and download and print off your brief notes and handouts for the next session.