Haemorrhoids Health Dictionary

See HAEMORRHOIDS.... piles

Saraca asoca

Caesalpiniaceae

San:Asoka, Gatasokah;

Hin:Asok, Asoka; Ben:Ashok; Mal:Asokam;

Tam: Asogam;

Kan:Asokada, Aksunkara;

Tel: Asokamu, Vanjalamu

Importance: Ashoka, the sacred tree of Hindus and Buddhists, possesses varied medicinal uses. The bark is useful in dyspepsia, fever, dipsia, burning sensation, visceromegaly, colic, ulcers, menorrhagia, metropathy, leucorrhoea and pimples. The leaf juice mixed with cumin seeds is used for treating stomachalagia. The floweres are considered to be uterine tonic and are used in vitiated conditions of pitta, syphilis, cervical adinitis, hyperdipsia, burning sensation, haemorrhoids, dysentery, scabies in children and inflammation. The well-known Ayurvedic preparations are ”Ashokarishta” and “Ashokaghrita”. Ashokarishta is prescribed in leucorrhoea, haematuria, menorrhagia and other diseases of genitourinary system of females.

Distribution: Ashoka is found almost throughout India, except North-Western India, upto 750m. It is also found in the Andaman Islands.

Botany: Saraca asoca (Roxb.) de Wilde. syn. S. indica auct. non Linn. is a medium sized evergreen tree growing upto 9m height with numerous spreading and drooping glabrous branches. Leaves are pinnate, 30-60cm long having 2-3 pairs of lanceolate leaflets. Flowers are orange or orange yellow, arranged in dense corymbs and very fragrant. Fruits are flat black pods, leathery and compressed with 4-8 seeds/pod. Seeds are ellipsoid oblong and compressed. The bark is dark brown to grey or black with a warty surface. The thickness varies from 5mm to 10mm. The entire cut surface turns reddish on exposure to air. Polyalthia longifolia (Annonaceae) is equated with the name Asoka by some (Kapoor & Mitra, 1979; Chunekar, 1982) and is often used as an adulterant of the genuine Asoka bark or as a substitute (Warrier et al,1996).

Agrotechnology: Asoka grows well in areas with well distributed rainfall and in slightly shady areas. Asoka requires soil rich in organic mater and moisture. The best season of planting is June-July. It is also grown in summer, if irrigation facilities are available. The plant is seed propagated. Seeds are formed usually during February-April. Seeds are collected when they are ripen and fall down and are sown after soaking in water for 12 hours on the prepared beds. Seeds germinate within 20 days. The seeds are then planted in polybags. 2-month-old seedlings from the polybags are used for transplanting. Square shaped pits of 60cm depth are taken at 3m spacing and filled with topsoil, sand and dried cowdung. On this the seedlings are planted. Application of FYM at 10kg/tree/year is highly beneficial. Chemical fertilisers are not usually applied. Irrigation during summer months is essential. No serious pests or diseases are generally noted in this crop. If properly cultivated, Asoka can be cut after 20 years and the bark collected. It is cut at a height of 15cm from the soil level. If given irrigation and fertilisers, the cut wood will sprout again and harvested again after 5 years. This can be continued. When it is difficult to cut the tree, the bark can be peeled off from one side first. When the bark grows and cover that part, the other side can be peeled off. This is also continued (Prasad et al, 1997; Karshakasree, 1998).

Properties and activity: Flowers give -sitosterol, flavonoids and flavone glycosides-quercetin, kaempferol-3-O- -D- glucoside, quercetin-3-O- -D-glucoside. The anthocyanins present are pelargonidin-3, 5-diglucoside and cyanadin-3, 5-diglucoside. Bark yields catechol and sterols-(24)-24-methyl cholest-5-en-3 -ol, (22E, 24)-24-ethylcholesta-5, 22-dien-3 -ol and (24)-24-ethyl cholest-5-en-3 -ol, a wax containing n-alkanes, esters and free primary alcohols. Alcoholic extract and glycoside P2 from stem bark is oxytoxic. Aerial part is CNS active, hypothermic, CNS depressant and diuretic. Stem bark is anticancerous, has spasmodic action on rabbit intestine and cardiotonic action in frog and dog. Seed is antifungal. Stem bark is astringent, antileucorrhoeic, antibilious and uterine sedative. Flower is uterine tonic, antidiabetic and antisyphilitic. Stem bark and flower is antibilious (Husain et al, 1992).... ashoka

The use of cold in surgery. Its advantages include little associated pain, little or no bleeding, and excellent healing with little or no scar formation. Hence its relatively wide use in eye surgery, some abdominal surgery, skin cancers and treatment of HAEMORRHOIDS. The coolants used include liquid nitrogen with which temperatures as low as ?196 °C can be obtained, carbon dioxide (?78 °C) and nitrous oxide (?88 °C).... cryosurgery

Ficus spp.

Moraceae

The genus Ficus constitutes an important group of trees with immense medicinal value. It is a sacred tree of Hindus and Buddhists. Among the varied number of species, the most important ones are the four trees that constitute the group “Nalpamaram”, namely, F. racemosa, F. microcarpa, F. benghalensis and F. religiosa (Athi, Ithi, Peral and Arayal respectively).

1. Ficus racemosa Linn. syn. F. glomerata Roxb.

Eng: Cluster fig, Country fig

San: Udumbarah, Sadaphalah

Hin: Gular, Umar

Ben: Jagya dumur

Mal, Tam,

Kan: Athi

Tel: Udambaramu, Paidi

Gular fig, Cluster fig or Country fig, which is considered sacred, has golden coloured exudate and black bark. It is distributed all over India. Its roots are useful in treating dysentery. The bark is useful as a wash for wounds, highly efficacious in threatened abortions and recommended in uropathy. Powdered leaves mixed with honey are given in vitiated condition of pitta. A decoction of the leaves is a good wash for wounds and ulcers. Tender fruits (figs) are used in vitiated conditions of pitta, diarrhoea, dyspepsia and haemorrhages. The latex is administered in haemorrhoids and diarrhoea (Warrier et al, 1995). The ripe fruits are sweet, cooling and are used in haemoptysis, thirst and vomiting (Nadkarni, 1954; Aiyer et al, 1957; Moos, 1976). Nalpamaradi coconut oil, Candanasava, Valiya Arimedastaila, Dinesavalyadi Kuzhambu, Abhrabhasma, Valiya candanaditaila, etc. are some important preparations using the drug (Sivarajan et al, 1994).

It is a moderate to large-sized spreading laticiferous, deciduous tree without many prominent aerial roots. Leaves are dark green and ovate or elliptic. Fruit receptacles are 2-5cm in diameter, sub- globose or pyriform arranged in large clusters on short leafless branches arising from main trunk or large branches. Figs are smooth or rarely covered with minute soft hairs. When ripe, they are orange, dull reddish or dark crimson. They have a pleasant smell resembling that of cedar apples. The bark is rusty brown with a fairly smooth and soft surface, the thickness varying from 0.5-2cm according to the age of the trunk or bark. Surface is with minute separating flakes of white tissue. Texture is homogeneously leathery (Warrier et al, 1995).

Stem-bark gives gluanol acetate, -sitosterol, leucocyanidin-3-O- -D-glucopyrancoside, leucopelargonidin-3-O- -D-glucopyranoside, leucopelargonidin -3-O- -L-rhamnopyranoside, lupeol, ceryl behenate, lupeol acetate and -amyrin acetate. Stem- bark is hypoglycaemic and anti-protozoal. Gall is CVS active. Bark is tonic and used in rinder pest diseases of cattle. Root is antidysenteric and antidiabetic. Leaf is antibilious. Latex is antidiarrhoeal and used in piles. Bark and syconium is astringent and used in menorrhagia (Husain et al, 1992).

2. Ficus microcarpa Linn. f. syn. F. retusa auct. Non. Linn.

San: Plaksah; Hin,

Ben: Kamarup;

Mal: Ithi, Ithiyal;

Tam: Kallicci, Icci;

Kan: Itti;

Tel: Plaksa

Plaksah is the Ficus species with few branches and many adventitious roots growing downward. It is widely distributed throughout India and in Sri Lanka, S. China, Ryuku Isles and Britain. Plakasah is one of the five ingredients of the group panchvalkala i.e, five barks, the decoction of which is extensively used to clear ulcers and a douche in leucorrhoea in children. This decoction is administered externally and internally with satisfactory results. Plaksah is acclaimed as cooling, astringent, and curative of raktapitta doshas, ulcers, skin diseases, burning sensation, inflammation and oedema. It is found to have good healing property and is used in preparation of oils and ointments for external application in the treatment of ulcers (Aiyer and Kolammal, 1957). The stem-bark is used to prepare Usirasava, Gandhataila, Nalpamaradi taila, Valiya marmagulika, etc. (Sivarajan et al, 1994). The bark and leaves are used in wounds, ulcers, bruises, flatulent colic, hepatopathy, diarrhoea, dysentery, diabetes, hyperdipsia, burning sensation, haemaorrhages, erysipelas, dropsy, ulcerative stomatitis, haemoptysis, psychopathy, leucorrhoea and coporrhagia (Warrier et al,1995) F. microcarpa is a large glabrous evergreen tree with few aerial roots. Leaves are short- petioled, 5-10cm long, 2-6cm wide and apex shortly and bluntly apiculate or slightly emarginate. Main lateral nerves are not very prominent and stipules are lanceolate. Fruit receptacles are sessile and globose occurring in axillary pairs. It is yellowish when ripe without any characteristic smell. Bark is dark grey or brown with a smooth surface except for the lenticels. Outer bark is corky and crustaceous thin and firmly adherent to inner tissue. Inner bark is light and flesh coloured with firbrous texture (Warrier et al, 1995). It is also equated with many other species of the genus. viz. F. Singh and Chunekar, 1972; Kapoor and Mitra, 1979; Sharma, 1983).

The bark contains tannin, wax and saponin. Bark is antibilious. Powdered leaves and bark is found very good in rheumatic headache. The bark and leaves are astringent, refrigerant, acrid and stomachic.

3. Ficus benghalensis Linn.

Eng: Banyan tree; San: Nyagrodhah, Vatah;

Hin: Bat, Bargad;

Ben: Bar, Bot; Mar: Vada; Mal: Peral, Vatavriksham;

Tam: Alamaram, Peral;

Kan: Ala;

Tel: Peddamarri;

Guj: Vad

Banyan tree is a laticiferous tree with reddish fruits, which is wound round by aerial adventitious roots that look like many legs. It is found in the Sub-Himalayan tract and Peninsular India. It is also grawn throughout India. It is widely used in treatment of skin diseases with pitta and rakta predominance. Stem-bark, root -bark, aerial roots, leaves, vegetative buds and milky exudate are used in medicine. It improves complexion, cures erysepelas, burning sensation and vaginal disorders, while an infusion of the bark cures dysentery, diarrhoea, leucorrhoea, menorrhagia, nervous disorders and reduces blood sugar in diabetes. A decoction of the vegetative buds in milk is beneficial in haemorrhages. A paste of the leaves is applied externally to abcesses and wounds to promote suppuration, while that of young aerial roots cure pimples. Young twigs when used as a tooth brush strengthen gum and teeth (Nadkarni, 1954; Aiyer and Kolammal, 1957; Mooss,1976). The drug forms an important constituent of formulations like Nalpamaradi Coconut oil, Saribadyasava, Kumkumadi taila, Khadi ra gulika, Valiyacandanadi taila, Candanasava, etc. (Sivarajan et al, 1994). The aerial roots are useful in obstinate vomiting and leucorrhoea and are used in osteomalacia of the limbs. The buds are useful in diarrhoea and dysentery. The latex is useful in neuralgia, rheumatism, lumbago, bruises, nasitis, ulorrhagia, ulitis, odontopathy, haemorrhoids, gonorrhoea, inflammations, cracks of the sole and skin diseases (Warrier et al, 1995).

It is a very large tree up to 30m in height with widely spreading branches bearing many aerial roots functioning as prop roots. Bark is greenish white. Leaves are simple, alternate, arranged often in clusters at the ends of branches. They are stipulate, 10-20cm long and 5-12.5cm broad, broadly elliptic to ovate, entire, coriaceous, strongly 3-7 ribbed from the base. The fruit receptacles are axillary, sessile, seen in pairs globose, brick red when ripe and enclosing male, female and gall flowers. Fruits are small, crustaceous, achenes, enclosed in the common fleshy receptacles. The young bark is somewhat smooth with longitudinal and transverse row of lenticels. In older bark, the lenticels are numerous and closely spaced; outer bark easily flakes off. The fresh cut surface is pink or flesh coloured and exudes plenty of latex. The inner most part of the bark adjoining the wood is nearly white and fibrous (Warrier et al, 1995).

The bark yields flavanoid compounds A, B and C; A and C are identified as different forms of a leucoanthocyanidin and compound B a leucoanthocyanin. All the 3 were effective as hypoglycaemic agents. Leaves give friedelin, -sitosterol, flavonoids- quercetin-3-galactoside and rutin. Heart wood give tiglic acid ester of taraxasterol. Bark is hypoglycemic, tonic, astringent, antidiarrhoeal and antidiabetic. Latex is antirheumatic. Seed is tonic. Leaf is diaphoretic. Root fibre is antigonorrhoeic. Aerial root is used in debility and anaemic dysentery (Husain et al, 1992).

.4. Ficus religiosa Linn.

Eng:Peepal tree, Sacred fig; San:Pippalah, Asvatthah; Hin:Pippal, Pipli, Pipar; Mal:Arayal

Ben: Asvatha;

Tam: Arasu, Asvattam;

Kan: Aswatha;

Tel: Ravi; Mar: Ashvata, Pimpala

Peepal tree or Sacred fig is a large deciduous tree with few or no aerial roots. It is common throughout India, often planted in the vicinity of the temples. An aqueous extract of the bark has an antibacterial activity against Staphylococcus aureus and Escherichia coli. It is used in the treatment of gonorrhoea, diarrhoea, dysentery, haemorrhoids and gastrohelcosis. A paste of the powdered bark is a good absorbent for inflammatory swellings. It is also good for burns. Leaves and tender shoots have purgative properties and are also recommended for wounds and skin diseases. Fruits are laxative and digestive. The dried fruit pulverized and taken in water cures asthma. Seeds are refrigerant and laxative. The latex is good for neuralgia, inflammations and haemorrhages (Warrier et al, 1995). Decoction of the bark if taken in honey subdues vatarakta (Nadkarni, 1954; Aiyer and Kolammal, 1957; Mooss, 1976; Kurup et al, 1979). The important preparations using the drug are Nalpamaradi taila, Saribadyasava, Candanasava, Karnasulantaka, Valiyamarma gulika etc (Sivarajan et al, 1994). branches bearing long petioled, ovate, cordate shiny leaves. Leaves are bright green, the apex produced into a linear-lanceolate tail about half as long as the main portion of the blade. The receptacles occurring in pairs and are axillary, depressed globose, smooth and purplish when ripe. The bark is grey or ash coloured with thin or membranous flakes and is often covered with crustose lichen patches. The outer bark is not of uniform thickness, the middle bark in sections appear as brownish or light reddish brown. The inner part consists of layers of light yellowish or orange brown granular tissue (Warrier et al, 1995).

Bark gives -sitosterol and its glucoside. Bark is hypoglycaemic. Stem bark is antiprotozoal, anthelmintic and antiviral. Bark is astringent, antigonorrheic, febrifuge, aphrodisiac and antidysenteric. Syconium, leaf and young shoot is purgative (Husain et al, 1992).

Agrotechnology: Ficus species can be cultivated in rocky areas, unused lands, or other wastelands of the farmyard. The plant is vegetatively propagated by stem cuttings. A few species are also seed propagated. Stem cuttings of pencil thickness taken from the branches are to be kept for rooting. Rooted cuttings are to be transplanted to prepared pits. No regular manuring is required. Irrigation is not a must as a plant is hardy. The plant is not attacked by any serious pests or diseases. Bark can be collected after 15 years. Ficus species generally has an economic life span of more than hundred years. Hence bark can be regularly collected from the tree. Root, bark, leaves, fruits and latex form the economic parts (Prasad et al,1995).... ficus

An ABSCESS arising in the space between the RECTUM and ischial bone (see ISCHIUM) and often resulting in a FISTULA. It may occur spontaneously or be secondary to an anal ?ssure, thrombosed HAEMORRHOIDS or other anal disease. The disorder is painful and usually accompanied by fever. Treatment is by a combination of antibiotics and surgery.... ischiorectal abscess

A condition in which a person infrequently passes hard FAECES (stools). Patients sometimes complain of straining, a feeling of incomplete evacuation of faeces, and abdominal or perianal discomfort. A healthy individual usually opens his or her bowels once daily but the frequency may vary, perhaps twice daily or once only every two or three days. Constipation is generally de?ned as fewer than three bowel openings a week. Healthy people may have occasional bouts of constipation, usually re?ecting a temporary change in diet or the result of taking drugs – for example, CODEINE – or any serious condition resulting in immobility, especially in elderly people.

Constipation is a chronic condition and must be distinguished from the potentially serious disorder, acute obstruction, which may have several causes (see under INTESTINE, DISEASES OF). There are several possible causes of constipation; those due to gastrointestinal disorders include:

Dietary: lack of ?bre; low ?uid consumption.

Structural: benign strictures (narrowing of gut); carcinoma of the COLON; DIVERTICULAR DISEASE.

Motility: poor bowel training when young; slow transit due to reduced muscle activity in the colon, occurring usually in women; IRRITABLE BOWEL SYNDROME (IBS); HIRSCHSPRUNG’S DISEASE.

•Defaecation: anorectal disease such as ?ssures, HAEMORRHOIDS and CROHN’S DISEASE; impaction of faeces. Non-gastrointestinal disorders causing constipation include:

Drugs: opiates (preparations of OPIUM), iron supplements, ANTACIDS containing aluminium, ANTICHOLINERGIC drugs.

Metabolic and endocrine: DIABETES MELLITUS, pregnancy (see PREGNANCY AND LABOUR), hypothyroidism (see under THYROID GLAND, DISEASES OF).

Neurological: cerebrovascular accidents (STROKE), MULTIPLE SCLEROSIS (MS), PARKINSONISM, lesions in the SPINAL CORD. Persistent constipation for which there is no

obvious cause merits thorough investigation, and people who experience a change in bowel habits – for example, alternating constipation and diarrhoea – should also seek expert advice.

Treatment Most people with constipation will respond to a dietary supplement of ?bre, coupled, when appropriate, with an increase in ?uid intake. If this fails to work, judicious use of LAXATIVES for, say, a month is justi?ed. Should constipation persist, investigations on the advice of a general practitioner will probably be needed; any further treatment will depend on the outcome of the investigations in which a specialist will usually be involved. Successful treatment of the cause should then return the patient’s bowel habits to normal.... constipation

A treatment that involves injecting varicose veins (see VEINS, DISEASES OF) with a sclerosing ?uid. This causes ?brosis of the lining of the vein and its eventual obliteration. Sclerotherapy is also used to treat varicose veins in the legs, anus (HAEMORRHOIDS) and at the junction of the OESOPHAGUS with the stomach.... sclerotherapy

The surgical removal of haemorrhoids. The procedure is used to treat large, prolapsing, or bleeding haemorrhoids.... haemorrhoidectomy

Andrographis paniculata

Acanthaceae

San: Bhunimbah, Kiratatiktah

Hin: Kakamegh, Kalpanath

Ben: Kalmegh

Mal: Nilaveppu, Kiriyattu Tam: Nilavempu Kan: Kreata

Importance: Kalmegh, the Great or Green Chiretta is a branched annual herb. It is useful in hyperdipsia, burning sensation, wounds, ulcers, chronic fever, malarial and intermittent fevers, inflammations, cough, bronchitis, skin diseases, leprosy, pruritis, intestinal worms, dyspepsia, flatulence, colic, diarrhoea, dysentery, haemorrhoids and vitiated conditions of pitta (Warrier et al, 1993). It is used to overcome sannipata type of fever, difficulty in breathing, hemopathy due to the morbidity of kapha and pitta, burning sensation, cough, oedema, thirst, skin diseases, fever, ulcer and worms. It is also useful in acidity and liver complaints (Aiyer and Kolammal, 1962). The important preparations using the drug are Tiktakagheta, Gorocandi gulika, Candanasava, Panchatiktam kasaya, etc. (Sivarajan et al, 1994). A preparation called “Alui” is prepared by mixing powdered cumin (Cuminium cyminum) and large cardamom (Amomum subulatum) in the juice of this plant and administered for the treatment of malaria (Thakur et al, 1989). It is also a rich source of minerals.

Distribution: The plant is distributed throughout the tropics. It is found in the plains of India from U.P to Assam, M.P., A.P, Tamil Nadu and Kerala, also cultivated in gardens.

Botany: Andrographis paniculata (Burm.f.) Wall ex.

Nees belongs to the family Acanthaceae. It is an erect branched annual herb, 0.3-0.9m in height with quadrangular branches. Leaves are simple, lanceolate, acute at both ends, glabrous, with 4-6 pairs of main nerves. Flowers are small, pale but blotched and spotted with brown and purple distant in lax spreading axillary and terminal racemes or panicles. Calyx-lobes are glandular pubescent with anthers bearded at the base. Fruits are linear capsules and acute at both ends. Seeds are numerous, yellowish brown and sub-quadrate (Warrier et al,1993).

Another species of Andrographis is A. echioides (Linn.) Nees. It is found in the warmer parts of India. The plant is a febrifuge and diuretic. It contains flavone-echiodinin and its glucoside-echioidin (Husain et al, 1992).

Agrotechnology: The best season of planting Andrographis is May-June. The field is to be ploughed well, mixed with compost or dried cowdung and seedbeds of length 3m, breadth 1/2m and 15cm height are to be taken at a distance of 3m. The plant is seed propagated. Seeds are to be soaked in water for 6 hours before sowing. Sowing is to be done at a spacing of 20cm. Seeds may germinate within 15-20 days. Two weedings, first at one month after planting and the second at 2 month after planting are to be carried out. Irrigation during summer months is beneficial. The plant is not attacked by any serious pests or diseases. Flowering commences from third month onwards. At this stage, plant are to be collected, tied into small bundles and sun-dried for 4-5 days. Whole plant is the economic part and the yield is about 1.25t dried plants/ha (Prasad et al, 1997).

Properties and activity: Leaves contain two bitter substances lactone “andrographolid” and “kalmeghin”. The ash contains sodium chloride and potassium salts. Plant is very rich in chlorophyte. Kalmeghin is the active principle that contains 0.6% alkaloid of the crude plant. The plant contains diterpenoids, andrographolide, 14-deoxy-11-oxo-andrographolide, 14-deoxy-11,12-dihydroandrographolide, 14-deoxy andrographolide and neoandrographolide (Allison et al, 1968). The roots give flavones-apigenin-7,4-dio-O-methyl ether, 5-hydroxy-7,8,2’,3’- tetramethoxyflavone, andrographin and panicolin and -sitosterol (Ali et al, 1972; Govindachari et al, 1969). Leaves contain homoandrographolide, andrographosterol and andrographone.

The plant is vulnerary, antipyretic, antiperiodic, anti-inflammatory, expectorant, depurative, sudorific, anthelmintic, digestive, stomachic, tonic, febrifuge and cholagogue. The plant is antifungal, antityphoid, hepatoprotective, antidiabetic and cholinergic. Shoot is antibacterial and leaf is hypotensive(Garcia et al, 1980). This is used for the inflammation of the respiratory tract. In China, researchers have isolated the andrographolide from which soluble derivative such as 14-deoxy-11, 12-dehydro-andrographolide which forms the subject of current pharmacological and clinical studies. Apigenin 7,4’-O-dimethyl ether isolated from A. paniculata exhibits dose dependent, antiulcer activity in shay rat, histamine induced ulcer in guinea pigs and aspirin induced ulcers in rats. A crude substance isolated from methanolic extract of leaves has shown hypotensive activity. Pre-treatment of rats with leaf (500mg/kg) or andrographolide (5mg/kg) orally prevented the carbon tetrachloride induced increase of blood serum levels of glutamate-oxaloacetate transaminase in liver and prevented hepatocellular membrane.... green chiretta

Linn.

Family: Hippocastanaceae; Sapinda- ceae.

Habitat: Endemic to the mountains of Balkan Peninsula and western Asia. Introduced into India; occasionally grown as an ornamental tree.

English: Horse Chestnut tree.

Unani: Baloot. (Quercus incana and Q. infectoria have also been equated with Baloot in National Formulary in Unani Medicine.)

Folk: Pu.

Action: Anti-inflammatory, vasodilator, astringent (used for rheumatism, venous congestion, haemorrhoids), febrifuge. Leaf— used in whooping cough.

Key application: In chronic venous insufficiency, varicosis, nocturnal systremma (cramps in the calves) and swelling of the legs. (Non- invasive treatment measures should also be followed.) (German Commission E, ESCOP, The British Herbal Pharmacopoeia.)

Horse Chestnut contains triterpe- noid saponins (especially aescin, a complex mixture composed of acylat- ed glycosides of protoaesigenin and barringtogenol-C, including hippo- caesculin), coumarins and flavonoids. Aescin has been shown to eliminate oedema and reduce exudation. It antagonizes the effect of bradykinin, although it is not a direct bradykinin antagonist. It causes an increase in plasma levels of ACTH, corticosterone and glucose in rats. Hippocaescu- lin and barringtogenol-C-21-angelate show antitumour activity in vitro.

The hydroxycoumarin aesculin leads to increased bleeding time. (Roasting seems to destroy the toxins.) A few fruits can cause severe toxic symptoms. (Francis Brinker.) In some countries, an intravenous mixture containing aescin is used after surgery. (Natural Medicines Comprehensive Database, 2007.)... aesculus hippocastanum

Cucurbitaceae

The family Cucurbitaceae includes a large group of plants which are medicinally valuable. The important genera belonging to the family are Trichosanthes, Lagenaria, Luffa, Benincasa, Momordica, Cucumis, Citrullus, Cucurbita, Bryonopsis and Corallocarpus. The medicinally valuable species of these genera are discussed below.

1. Trichosanthes dioica Roxb.

Eng: Wild Snake-gourd; San: Meki,Pargavi, Parvara, Patola;

Hin: Palval, Parvar

Ben: Potol;

Mal: Kattupatavalam, Patolam;

Tam: Kombuppudalai;

Tel: Kommupotta

Wild snake-gourd is a slender-stemmed, extensively climbing, more or less scabrous and woolly herb found throughout the plains of N. India, extending to Assam and W. Bengal. Tendrils are 2-4 fid. Leaves are 7.5x5cm in size, ovate-oblong, cordate, acute, sinuate- dentate, not lobed, rigid, rough on both surface and with a petiole of 2cm. Flowers are unisexual. Male flowers are not racemed but woolly outside. Calyx tube is 4.5cm long, narrow, teeth linear and erect. Anthers are free. Fruit is 5.9cm long, oblong or nearly spherical, acute, smooth and orange-red when ripe. Seeds are half-ellipsoid, compressed and corrugated on the margin (Kirtikar and Basu, 1988). The unripe fruit of this is generally used as a culinary vegetable and is considered very wholesome and specially suited for the convalescent. The tender shoots are given in decoction with sugar to assist digestion. The seeds are useful for disorders of the stomach. The leaf juice is rubbed over the chest in liver congestion and over the whole body in intermittent fevers (Nadkarni, 1998). The fruit is used as a remedy for spermatorrhoea. The fresh juice of the unripe fruit is often used as a cooling and laxative adjunct to some alterative medicines. In bilious fever, a decoction of patola leaves and coriander in equal parts is given. The fruit in combination with other drugs is prescribed in snakebite and scorpion sting (Kirtikar and Basu, 1988).

Fruits contain free amino acids and 5-hydroxy tryptamine. Fatty acids from seeds comprise elaeostearic, linoelic, oleic and saturated acids. The aerial part is hypoglycaemic. Leaf and root is febrifuge. Root is hydragogue, cathartic and tonic. Unripe leaf and fruit is laxative (Husain et al, 1992). The plant is alterative and tonic. Leaves are anthelmintic. Flower is tonic and aphrodisiac. The ripe fruit is sour to sweet, tonic, aphrodisiac, expectorant and removes blood impurities.

The other important species belonging to the genus Trichosanthes are as follows.

T. palmata Roxb. T. cordata Roxb. T. nervifolia Linn.

T. cucumerina Linn.

T. anguina Linn.

T. wallichiana Wight. syn. T. multiloba Clarke

2. Lagenaria vulgaris Ser. syn. Cucurbita Lagenaria Linn. ; Roxb.

Eng: Bottle gourd San: Alabu Hin: Lauki, Jangli-khaddu

Ben: Lau, Kodu

Mal: Katuchuram, Churakka

Tam: Soriai-kay

Tel: Surakkaya

Bottle gourd is a large softly pubescent climbing or trailing herb which is said to be indigenous in India, the Molucas and in Abyssinia. It has stout 5-angled stems with bifid tendrils. Leaves are ovate or orbiculate, cordate, dentate, 5-angular or 5-lobed, hairy on both surfaces. Flowers are large, white, solitary, unisexual or bisexual, the males long and females short peduncled. Ovary is oblong, softly pubescent with short style and many ovules. Fruits are large, usually bottle or dumb-bell-shaped, indehiscent and polymorphous. Seeds are many, white, horizontal, compressed, with a marginal groove and smooth. There are sweet fruited and bitter-fruited varieties (Kirtikar and Basu, 1988). The fruit contains a thick white pulp which, in the cultivated variety (kodu) is sweet and edible, while in the smaller wild variety (tamri) it is bitter and a powerful purgative. The seeds yield clear limpid oil which is cooling and is applied to relieve headache. The pulp of the cultivated forms is employed as and adjunct to purgatives and considered cool, diuretic and antibilious, useful in cough, and as an antidote to certain poisons. Externally it is applied as a poultice. The leaves are purgative and recommended to be taken in the form of decoction for jaundice (Nadkarni, 1998). In the case of sweet-fruited variety, the stem is laxative and sweet. The fruit is sweet oleagenous, cardiotonic, general tonic, aphrodisiac, laxative and cooling. In the case of bitter-fruited variety, the leaves are diuretic, antibilious; useful in leucorrhoea, vaginal and uterine complaints and earache. The fruit is bitter, hot, pungent, emetic, cooling, cardiotonic, antibilious; cures asthma, vata, bronchitis, inflammations ulcers and pains.

3. Luffa acutangula (Linn.) Roxb.

Eng: Ridged gourd; San: Dharmargavah, Svadukosataki;

Hin: Tori, Katitori;

Ben: Ghosha

Mal: Peechil, Peechinga;

Tam: Pikangai, Prikkangai;

Tel: Birakaya;

Kan: Kadupadagila

Ridged gourd or ribbed gourd is a large monoecious climber cultivated throughout India. It is with 5-angled glabrous stems and trifid tendrils. Leaves are orbicular-cordate, palmately 5-7 lobed, scabrous on both sides with prominent veins and veinlets. Flowers are yellow, males arranged in 12-20 flowered axillary racemes. Female flowers are solitary, arranged in the axils of the males. Ovary is strongly ribbed. Fruits are oblong-clavate with 10-sharp angles 15-30cm long, tapering towards the base. Seeds are black, ovoid-oblong, much compressed and not winged (Warrier et al, 1995). The leaves are used in haemorrhoids, leprosy, granular-conjunctivitis and ringworm. The seeds are useful in dermatopathy. The juice of the fresh leaves is dropped into the eyes of children in granular conjunctivitis, also to prevent the lids from adhering at night on account of excessive meihomian secretion (Nadkarni, 1998). Fruits are demulcent, diuretic, tonic, expectorant, laxative and nutritive. The seeds are bitter, emetic, cathartic, expectorant and purgative.

The other important species of the genus Luffa are:

L. aegyptiaca Mill.

L. acutangula var. amara Clarke

L. echinata Roxb.

4. Benincasa hispida (Thumb.) Cogn. syn. B. cerifera Savi.

Eng: Ash gourd, White gourd melon; San: Kusmandah;

Hin: Petha, Raksa;

Ben: Kumra

Mal: Kumpalam;

Tam: Pusanikkai;

Kan: Bile Kumbala;

Tel: Bodigummadi

Ash gourd or White gourd melon is a large trailing gourd climbing by means of tendrils which is widely cultivated in tropical Asia. Leaves are large and hispid beneath. Flowers are yellow, unisexual with male peduncle 7.5-10cm long and female peduncle shorter. Fruits are broadly cylindric, 30-45cm long, hairy throughout and ultimately covered with a waxy bloom. The fruits are useful in asthma, cough, diabetes, haemoptysis, hemorrhages from internal organs, epilepsy, fever and vitiated conditions of pitta. The seeds are useful in dry cough, fever, urethrorrhea, syphilis, hyperdipsia and vitiated conditions of pitta (Warrier et al,1993). It is a rejuvenative drug capable of improving intellect and physical strength. In Ayurveda, the fresh juice of the fruit is administered as a specific in haemoptysis and other haemorrhages from internal organs. The fruit is useful in insanity, epilepsy and other nervous diseases, burning sensation, diabetes, piles and dyspepsia. It is a good antidote for many kinds of vegetable, mercurial and alcoholic poisoning. It is also administered in cough, asthma or respiratory diseases, heart diseases and catarrah. Seeds are useful in expelling tapeworms and curing difficult urination and bladder stones. The important formulations using the drug are Kusmandarasayana, Himasagarataila, Dhatryadighrita, Vastyamantakaghrita, Mahaukusmandakaghrita, etc. (Sivarajan et al, 1994).

Fruits contain lupeol, -sitosterol, n-triacontanol, vitamin B, mannitol and amino acids. The fruit is alterative, laxative, diuretic, tonic, aphrodisiac and antiperiodic. Seed and oil from seed is anthelmintic (Husain et al, 1992).

5. Momordica charantia Linn.

Eng: Bitter gourd, Carilla fruit San: Karavellam

Hin: Karela, Kareli

Mal: Kaypa, Paval

Tam: Pavakkai, Paval, Pakar

Tel: Kakara

Bitter gourd or Carilla fruit is a branched climbing annual which is cultivated throughout India. It is a monoecious plant with angled and grooved stems and hairy or villous young parts. Tendrils are simple, slender and elongate. Leaves are simple, orbicular, cordate and deeply divided into 5-7 lobes. Flowers are unisexual, yellow and arranged on 5-10cm long peduncles. Fruits are 5-15cm long with 3-valved capsules, pendulous, fusiform, ribbed and beaked bearing numerous triangular tubercles. Seeds are many or few with shining sculptured surface. The roots are useful in coloptosis and ophthalmopathy. The leaves are useful in vitiated conditions of pita, helminthiasis, constipation, intermittent fever, burning sensation of the sole and nyctalopia. The fruits are useful in skin diseases, leprosy, ulcers, wounds, burning sensation, constipation, anorexia, flatulence, colic, helminthiasis, rheumatalgia, gout, diabetes, asthma, cough, dysmenorrhoea, impurity of breast milk, fever and debility. Seeds are useful in the treatment of ulcers, pharyngodynia, and obstructions of the liver and spleen. The leaves and fruits are used for external application in lumbago, ulceration and bone fractures and internally in leprosy, haemorrhoids and jaundice (Warrier et al, 1995). The drug improves digestion, calms down sexual urge, quells diseases due to pitta and kapha and cures anaemia, anorexia, leprosy, ulcers, jaundice, flatulence and piles. Fruit is useful in gout, rheumatism and complaints of liver and spleen (Nadkarni, 1954; Aiyer and Kolammal, 1966; Mooss, 1976; Kurup et al, 1979). Kaccoradi taila is an important preparation using the drug (Sivarajan et al, 1994).

The seeds give triterpene glycosides, named momordicosides A, B, C, D and E, which are glycosides of cucurbit-5-en-triol, tetraol or pentaol. Leaves and vines give tetracyclic triterpenes-momordicines I, II and III (bitter principles). Immature fruits give several non-bitter and 2 bitter cucurbitacin glycosides. Four of the non-bitter glycosides, momordicosides F1, F2, G and I and the bitter momordicosides; K and L have also been characterized. Fruits, seeds and tissue culture give a polypeptide which contained 17 types of amino acids and showed hypoglycaemic activity. Fruits also give 5-hydroxy tryptamine and a neutral compound charantin (a steroidal glucoside), diosgenin, cholesterol, lanosterol and -sitosterol. Leaf is emetic, purgative and antibilious. Fruit is stomachic, tonic, carminative, febrifuge, antirheumatic and hypoglycaemic. Root is astringent. Fruit and leaf is anti-leprotic. Fruit, leaf and root are abortifacient and anti-diabetic. Leaf and seed is anthelmintic. Seed oil possesses antifeeding and insecticidal properties. Unsaponifiable matter from seed oil exhibited pronounced inhibitory activity against gram negative bacteria. Seed and fruit are hypoglycaemic, cytotoxic and anti-feedant (Husain et al, 1992).

Other important species belonging to the genus Momordica are as follows.

M. dioica Roxb.

M. cochinchinensis Spreng.

M. tuberosa Cogn.

M. balsamina Linn.

6. Cucumis melo Linn. syn. C. melo Linn. var. cultis Kurz., C. pubescens

Willd., C. callosus (Rottl.) Cogn.

Eng: Sweet melon San,

Hin: Kharbuja

Ben: Kharmul

Mal: Mulam

Tam: Chukkari-kai, Thumatti-kai, Mulampazham

Tel: Kharbuja-doshavSweet melon is a creeping annual extensively cultivated throughout India, found wild in India, Baluchistan and tropical Africa. The stem is creeping, angular and scabrous. Leaves are orbicular-reniform in outline, 5-angled or lobed, scabrous on both surfaces and often with soft hairs. Lobes of leaves are not very deep nor acute and with 5cm long petiole. Female peduncle is 5cm. Fruit is spherical, ovoid, elongate or contorted, glabrous or somewhat hairy, not spinous nor tuberculate.

Cucumis melo includes two varieties, namely,

C. melo var. momordica syn. C. momordica Roxb.

C. melo var. utilissimus Duthie & Fuller. syn. C. utilissimus Roxb.

The fruit is eaten raw and cooked. Its pulp forms a nutritive, demulcent, diuretic and cooling drink. It is beneficial as a lotion in chronic and acute eczema as well as tan and freckles and internally in cases of dyspepsia. Pulp mixed with cumin seeds and sugar candy is a cool diet in hot season. Seeds yield sweet edible oil which is nutritive and diuretic, useful in painful discharge and suppression of urine. The whole fruit is useful in chronic eczema (Kirtikar & Basu, 1988).

Seeds contain fatty acids-myristic, palmitic, oleic, linoleic; asparagine, glutamine, citrulline, lysine, histidine, arginine, phenylalanine, valine, tyrosine, leucine, iso-leucine, methionine, proline, threonine, tryptophan and crystine. Seed is tonic, lachrymatory, diuretic and urease inhibitor. Fruit pulp is eczemic. Fruit is tonic, laxative, galactagogue, diuretic and diaphoretic. The rind is vulnerary (Husain et al, 1992).

7. Cucumic sativus Linn.

Eng: Cucumber, Common cucumber; San: Trapusah;

Hin,

Ben: Khira;

Mal: Vellari

Tam: Vellarikkai, Pippinkai;

Kan: Mullusavte;

Tel: Dosekaya

Cucumber is a climbing annual which is cultivated throughout India, found wild in the Himalayas from Kumaon to Sikkim. It is a hispidly hairy trailing or climbing annual. Leaves are simple, alternate, deeply cordate, 3-5 lobed with both surfaces hairy and denticulate margins. Flowers are yellow, males clustered, bearing cohering anthers, connective crusted or elevated above the cells. Females are solitary and thickly covered with very bulbous based hairs. Fruits are cylindrical pepo of varying sizes and forms. Seeds are cream or white with hard and smooth testa. The fruits are useful in vitiated conditions of pitta, hyperdipsia, burning sensation, thermoplegia, fever, insomnia, cephalgia, bronchitis, jaundice, haemorrhages, strangury and general debility. The seeds are useful in burning sensation, pitta, constipation, intermittent fevers, strangury, renal calculus, urodynia and general debility (Warrier et al, 1994). The leaves boiled and mixed with cumin seeds, roasted, powdered and administered in throat affections. Powdered and mixed with sugar, they are powerful diuretic (Nadkarni, 1998). The fruits and seeds are sweet, refrigerant, haemostatic, diuretic and tonic. Other important species belonging to the genus are:

C. trigonus Roxb. syn. C. pseudo-colocynthis

C. prophetarum Linn.

8. Citrullus colocynthis (Linn.) Schrader. syn. Cucumis colocynthis Linn.

Eng: Colocynth, Bitter apple; San: Visala, Mahendravaruni;

Hin: Badi indrayan, Makkal

Ben: Makhal;

Mal: Kattuvellari (Valutu), Valiya pekkummatti;

Tel: Etti-puchcha

Tam: Paitummatti, Petummatti;

Colocynth or Bitter apple is found, cultivated and wild, throughout India in warmer areas. It is an extensively trailing annual herb with bifid tendrils angular branching stems and wooly tender shoots. Leaves are deeply divided, lobes narrow thick, glabrous or somewhat hairy. Flowers are unisexual, yellow, both males and females solitary and with pale-yellow corolla. Fruit is a globose or oblong fleshy indehiscent berry, 5-7.5cm in diameter and variegated with green and white. Seeds are pale brown. The fruits are useful in tumours, ascites, leucoderma, ulcers, asthma, bronchitis, urethrorrhea, jaundice, dyspepsia, constipations, elephantiasis, tubercular glands of the neck and splenomegaly (Warrier et al, 1994). It is useful in abnormal presentations of the foetus and in atrophy of the foetus. In addition to the above properties, the root has a beneficial action in inflammation of the breasts, pain in the joints; externally it is used in ophthalmia and in uterine pains. The fruit and root, with or without is rubbed into a paste with water and applied to boils and pimples. In rheumatism, equal parts of the root and long pepper are given in pill. A paste of the root is applied to the enlarged abdomen of children (Kirtikar and Basu, 1988). The fruit is useful in ascites, biliousness, jaundice, cerebral congestion, colic, constipation dropsy, fever, worms and sciatica. Root is given in cases of abdominal enlargement, cough, asthma, inflammation of the breast, ulcers, urinary diseases and rheumatism. Oil from seeds is used for poisonous bites, bowel complaints, epilepsy and also for blackening the hair (Nadkarni, 1954; Dey, 1980). The important formulations using the root and fruit are Abhayarista, Mahatiktakam kasaya, Manasamitravatakam, Cavikasava, Madhuyastyadi taila, etc. (Sivarajan et al, 1994). The powder is often used as an insecticide. The extract should never be given without some aromatic to correct its griping tendency (Nadkarni, 1998).

Fruit contains a glycoside- colocynthin, its aglycone- -elaterin, citrulluin, citrullene and citrullic acid. Unripe fruit contains p-hydroxy benzyl methyl ester. Roots contain - elaterin and hentriacontane (Husain et al, 1992). Colocynth is, in moderate doses, drastic, hydrogogue, cathartic and diuretic. In large doses, it is emetic and gastro-intestinal irritant and in small doses, it is expectorant and alterative. Colocynthin is a cathartic and intensely bitter principle. It has a purgative action. All parts of the plant are very bitter. The fruit has been described as cathartic (Nadkarni, 1982).

9. Citrullus vulgaris Schrad. syn. C. lanatus (Thunb.) Mats. & Nakai.

Eng: Water melon; San: Tarambuja;

Hin: Tarbuj;

Ben: Tarbuz

Mal: Thannimathan;

Tam: Pitcha, Dharbusini

Watermelon is an extensively climbing annual which is largely cultivated throughout India and in all warm countries. It has thick angular branching stems. Tendrils are bifid, stout and pubescent. Leaves are long, deeply divided or moderately lobed, glabrous or somewhat hairy and hardly scabrous. Petiole is a little shorter than the limb and villous. Calyx-lobes are narrowly lanceolate, equalling the tube. Corolla is yellow within, greenish outside and villous. Lobes are ovate-oblong, obtuse and prominently 5-nerved. Fruit is sub-globose or ellipsoid, smooth, greenish or clouded, often with a glaucous waxy coating. Flesh is juicy, red or yellowish white. Seeds are usually margined. C. vulgaris var. fistulosus Duthie & Fuller. syn. C. fistulosus has its fruit about the size of small turnip, the seeds of which are used medicinally. The fruit is tasteless when unripe and sweet when ripe. The unripe fruit is used to cure jaundice. Ripe fruit cures kapha and vata and causes biliousness. It is good for sore eyes, scabies and itching. The seeds are tonic to the brain and used as a cooling medicine. An emulsion of the seeds is made into a poultice with the pounded leaves and applied hot in cases of intestinal inflammations (Kirtikar and Basu, 1988). Fruit juice is good in quenching thirst and it is used as an antiseptic in typhus fever with cumin and sugar. It is used as a cooling drink in strangury and affections of urinary organs such as gonorrhoea; in hepatic congestion and intestinal catarrh. The bitter watermelon of Sind is known as “Kirbut” and is used as a purgative.

Seeds yield a fixed oil and proteids; citrullin. Seeds are cooling, demulcent, diuretic, vermifuge and nutritive. Pulp is cooling and diuretic. Fruit-juice is cooling and refreshing (Nadkarni, 1982).

10. Curcurbita pepo Linn. syn. Pepo vulgaris et P. verrucosus Moench

Meth.

Eng: Pompion, Pumpkin, Vegetable Marrow; San: Karkaru, Kurkaru, Kushmandi

Hin,

Ben: Kadimah, Konda, Kumra, Safedkkadu;

Mal: Mathan, Matha

Tel: Budadegummadi, Pottigummadi

Pompion or Pumpkin is a climbing herb which is considered to be a native of America and cultivated in many parts of India. The stem and leaves are with a harsh prickly armature. Foliage is stiff, more or less rigid and erect. Leaves are with a broad triangular pointed outline and often with deep lobes. Corolla is mostly with erect or spreading (not drooping) pointed lobes, the tube narrowing towards the base. Peduncle is strongly 5-angled and little or much expanding near the fruit. The fruit is cooling and astringent to the bowels, increases appetite, cures leprosy, ‘kapha and vata’, thirst, fatigue and purifies the blood. The leaves are used to remove biliousness. Fruit is good for teeth, throat and eyes and allays thirst. Seeds cure sore chests, haemoptysis, bronchitis and fever. It is good for the kidney and brain. The leaves are used as an external application for burns. The seeds are considered anthelmintic. The seeds are largely used for flavouring certain preparations of Indian hemp, and the root for a nefarious purpose, viz., to make the preparation more potent. The seeds are taeniacide, diuretic and demulcent. The fruit is cooling, laxative and astringent. The leaves are digestible, haematinic and analgesic.

The other important species belonging to the genus Cucurbita is C. maxima Duchena, the seeds of which are a popular remedy for tape-worm and oil as a nervine tonic (Kirtikar & Basu, 1988).

11. Corallocarpus epigaeus Benth. ex Hook. f. syn. Bryonia epigaea Wight.

San: Katunahi;

Hin: Akasgaddah;

Mal: Kadamba, Kollankova

Tam: Akashagarudan, Gollankovai;

Tel: Murudonda, Nagadonda

Corallocarpus is a prostrate or climbing herb distributed in Punjab, Sind, Gujarat, Deccan, Karnataka and Sri Lanka. It is monoecious with large root which is turnip-shaped and slender stem which is grooved, zigzag and glabrous. Tendrils are simple, slender and glabrous. Leaves are sub-orbicular in outline, light green above and pale beneath, deeply cordate at the base, angled or more or less deeply 3-5 lobed. Petiole is long and glabrous. Male flowers are small and arranged at the tip of a straight stiff glabrous peduncle. Calyx is slightly hairy, long and rounded at the base. Corolla is long and greenish yellow. Female flowers are usually solitary with short, stout and glabrous peduncles. Fruit is stalked, long, ellipsoid or ovoid. Seeds are pyriform, turgid, brown and with a whitish corded margin. It is prescribed in later stages of dysentery and old veneral complaints. For external use in chronic rheumatism, it is made into a liniment with cumin seed, onion and castor oil. It is used in case of snakebite where it is administered internally and applied to the bitten part. The root is given in syphilitic rheumatism and later stages of dysentery. The plant is bitter, sweet, alexipharmic and emetic. The root is said to possess alterative and laxative properties (Kirtikar and Basu, 1988). Root contains a bitter principle like Breyonin (Chopra et al, 1980).

Agrotechnology: Cucurbits can be successfully grown during January-March and September- December. For the rainfed crop, sowing can also be started after the receipt of the first few showers.

Pits of 60cm diameter and 30-45cm depth are to be taken at the desired spacing. Well rotten FYM or vegetable mixture is to be mixed with topsoil in the pit and seeds are to be sown at 4-5/pit. Unhealthy plants are to be removed after 2 weeks and retained 2-3 plants/pit. FYM is to be applied at 20-25t/ha as basal dose along with half dose of N (35kg/ha) and full dose of P (25kg) and K (25kg). The remaining dose of N (35kg) can be applied in 2 equal split doses at fortnightly intervals. During the initial stages of growth, irrigation is to be given at an interval of 3-4 days and at alternate days during flowering and fruiting periods. For trailing cucumber, pumpkin and melon, dried twigs are to be spread on the ground. Bitter gourd, bottle gourd, snake gourd and ash gourd are to be trailed on Pandals. Weeding and raking of the soil are to be conducted at the time of fertilizer application. Earthing up may be done during rainy season. The most dreaded pest of cucurbits is fruit flies which can be controlled by using fruit traps, covering the fruits with polythene, cloth or paper bags, removal and destruction of affected fruits and lastly spraying with Carbaryl or Malathion 0. 2% suspension containing sugar or jaggery at 10g/l at fortnightly intervals after fruit set initiation. During rainy season, downy mildew and mosaic diseases are severe in cucurbits. The former can be checked by spraying Mancozeb 0.2%. The spread of mosaic can be checked by controlling the vectors using Dimethoate or Phosphamidon 0.05% and destruction of affected plants and collateral hosts. Harvesting to be done at least 10 days after insecticide or fungicide application (KAU,1996).... cucurbits

Bieb.

Family: Umbelliferae; Apiaceae.

Habitat: Kashmir and Western Himalayas.

Folk: Pahaari Gaajar, Dudhali (Punjab), Saleli-misri.

Action: Root—nervine, stimulant, haematinic, diuretic, diaphoretic, expectorant. Ash of the plant— antiseptic, anti-inflammatory (used in haemorrhoids).

Leaves and flowers contain d-man- nitol. Underground parts yield saponins.... eryngium caeruleum

Asparagus racemosus

Liliaceae

San, Mar, Hin, Mal: Satavari;

Ben: Shatamuli,

Guj: Ekalkanto,

Tel: Pilligadalu, Philithaga

Tam: Ammaikodi, Kilwari,

Kan: Aheruballi, Ori: Manajolo

Importance: Asparagus is a climbing undershrub with widespread applications as diuretic, cooling agent and an excellent safe herbal medicine for ante-natal care. It is useful in nervous disorders, dyspepsia, diarrhoea, tumours, inflammations, vitiated conditions of vata and pitta, burning sensation, hyperdipsia, ophthalmopathy, nephropathy, hepatopathy, strangury, scalding of urine, throat infections, tuberculosis, cough, bronchitis, gleet, gonorrhoea, leucorrhoea, leprosy, epilepsy, fatigue, hyperacidity, colic haemorrhoids, hypertension, abortion, agalactia, cardiac and general debility (Warrier et al, 1993).

Shatavari is described in Rigveda and Atharvaveda. In Ayurvedic classics it is prescribed as a cooling agent and uterine tonic. It is the main ingredient in ayurvedic medicines like shatavari gulam and shatavari ghrtam. Besides quenching thirst, its root juice helps in cooling down the body from summer heat, curing hyper-acidity and peptic ulcer. It contains good amount of mucilage which soothes the inner cavity of stomach. It relieves burning sensation while passing urine and is used in urinary tract infections. It contains an anticancer agent asparagin which is useful against leukaemia. It also contains active antioxytocic saponins which have got antispasmodic effect and specific action on uterine musculature. It is very good relaxant to uterine muscles, especially during pregnancy and is used to prevent abortion and pre-term labour on the place of progesterone preparations. Its powder boiled with milk is generally used to prevent abortion. It increases milk production in cows and buffaloes. Its preparations in milk helps in increasing breast milk in lactating women. Its proper use helps in avoiding excessive blood loss during periods. It clears out infections and abnormalities of uterine cavity and hence it is used to rectify infertility in women. The leaves are used to prepare toilet soaps. The plant has also ornamental value both for indoor and out door decorations (Syamala, 1997).

Distribution: The plant is found wild in tropical and subtropical India including Andaman and Nicobar Islands. It is distributed from mean sea level upto 1500m in the Himalayas from Kashmi r eastwards. The crop is cultivated in Kerala, Tamil Nadu, Andhra Predesh and northern states in India. However, most of the requirement of the industry is met through wild collections from forests. It is also grown in gardens.

Botany: Satavari, Asparagus racemosus Willd. belongs to the lily family, Liliaceae. Asparagus adscendens Roxb., A. filicinus Lam., A. gonoclados Baker, A. officinalis Linn. and A. sarmentosus Willd. are the other important medicinal plant species of the genus. A. racemosus Willd. is an armed climbing undershrub with woody terete stems and recurved or rarely straight spines. The tuberous succulent roots are 30cm to 100cm or more in length, fascicled at the stem base, smooth tapering at both ends. Young stems are very delicate, brittle and smooth. Leaves are reduced to minute chaffy scales and spines; cladodes triquetrous, curved in tufts of 2-6. Flowers are white fragrant in simple or branched recemes on the naked nodes of the main shoots or in the axils of the thorns. Fruits are globular or obscurely 3-lobed, pulpy berries, purplish black when ripe; seeds with hard and brittle testa.

Agrotechnology: The plant comes up well under a wide range of tropical and subtropical climate. Fertile moist sandy loam soils are ideal for its cultivation though it grows in a wide range of soils. Better root development is observed in soils in increased proportion of sand. However, a decline in the yield of the crop is noticed in soils containing previous year’s residue of the roots. Asparagus plant is best grown from its tuberous roots even though it can be successfully propagated through seeds. Since root tubers are of commercial value seed propagation provides economic advantage to the farmers. Seeds usually start germinating after 40 days and average germination is 70% (Tewari and Misra, 1996).

For the cultivation of the crop, the land is ploughed well with pre-monsoon showers and seed nurseries are raised on seed beds of approximately 1m width, 15cm height and suitable length. Seed nursery should be irrigated regularly and kept weed free. With the onset of monsoon in June-July the main field is ploughed thoroughly and pits of size 30cm cube are dug at a spacing of 60-100cm. Tiwari and Misra (1996) have reported that irrespective of more number of roots and higher fresh weight per plant under wider spacings, the per hectare yields were highest in the closer spacing of 30cm x 30cm. The pit is filled with a mixture of top soil and well decomposed FYM or compost applied at 10 - 15 t/ha and the seedlings are transplanted. Application of N, P2O5 and K2O at 60:30:30 kg/ha increases the root yield. Regular irrigation and weeding are required to realize higher yields. Standards are to be provided for training the plant (Sharma et al, 1992). Few pests and diseases are observed on this crop. Harvesting the crop after two years provided higher root yield than annual harvests in pots as well as in field experiments. Irrigating the field prior to harvest enables easy harvesting of the root tubers. The average yield is 10 - 15 t/ha of fresh root tubers though yields over 60t/ha have been reported.

Properties and activity: Asparagus roots contain protein 22%, fat 6.2%, Carbohydrate 3.2%, Vitamin B 0.36%, Vitamin C 0.04% and traces of Vitamin A. It contains several alkaloids. Alcoholic extract yields asparagin- an anticancer agent. It also contains a number of antioxytocic saponins, viz. Shatavarisn - I to IV (Syamala, 1997). Leaves contain rutin, diosgenin and a flavonoid glycoside identified as quercetin - 3 - glucuronide. Flowers contain quercetin hyperoside and rutin. Fruits contain glycosides of quercetin, rutin and hyperoside while fully ripe fruits contain cyanidin - 3 - galactoside and cyanidin - 3 - glucorhamnoside.

Root is demulcent, diuretic, aphrodisiac, tonic, alterative, antiseptic, antidiarrhoeal, glalctogogue and antispasmodic. Aerial part is spasmolytic, antiarrhythmic and anticancer. Bark is antibacterial and antifungal.... asparagus

Linn.

Family: Portulacaceae.

Habitat: Warmer parts of India, cultivated as a vegetable.

Ayurvedic: Laghu-lonikaa.

Siddha/Tamil: Siru Pasalai-keerai.

Action: Similar to P. oleracea. Used in asthma, cough, urinary discharges, inflammations and ulcers. A poultice of the herb is applied to haemorrhoids and erysipelas.... portulaca quadrifida

Linn.

Family: Oxalidaceae; Averrhoaceae.

Habitat: Native to Malaysia; cultivated throughout the country.

English: Bilimbi, Tree Sorrel.

Ayurvedic: Karmaranga (var.).

Unani: Belambu (a variety of Kamrakh).

Siddha/Tamil: Pilimbi, Pulichakkai.

Action: A syrup made from the fruits is used in febrile excitement, haemorrhages and internal haemorrhoids; also in diarrhoea, bilious colic and hepatitis. The fruit is used for scurvy. An infusion of flowers is given for cough.... averrhoa bilimbi

Bauhinia variegata

Caesalpiniaceae

San: Kancanarah, Kovidarah;

Hin: Kancanar;

Ben: Rakta Kanchan;

Tam: Sigappu-mandarai

Mal: Mandaram, Chuvannamandaram, Malayakatti, Kongu, Kongumandaram;

Tel: Daeva Kanchanamu, Mandara;

Kan: Ullipe, Kanchavala, Kempu Mandara

Importance: In traditional medicine, Bauhinia is extensively used in glandular diseases and as an antidote to poison. The drug is also reported to be useful in dysentery, diarrhoea, piles and worms (Kurup et al, 1979; Sharma et al, 1983). They are useful in vitiated conditions of kapha and pitta, diarrhoea, dysentery, skin diseases, leprosy, intestinal worms, tumours, wounds, ulcers, inflammations, scrofula, protoptosis, haemorrhoids, haemoptysis, cough, menorrhagia and diabetics. Usirasavam and Candanasavam are some of the preparations using the drug. An important Ayurvedic preparation, “Kanchnar Guggal” contains bark of this plant. In Unani system, the flowers are used in “Hab Mussafi Khun”, for skin diseases, the bark is used in “Sufuf Kalan”-an aphrodisiac.

Distribution: The plant is distributed in the Sub-Himalayan tracts from the Indus eastwards and throughout the dry forests of India, ascending to 1300m. It is also cultivated throughout the plains.

Botany: Bauhinia variegata Linn. syn. B.

candida Roxb. belonging to the family Caesalpiniaceae is a moderate sized deciduous tree with vertically cracked grey bark, wood moderately hard, greyish brown with irregular darker patches. Leaves are of 2 leaflets, connate for about two-thirds up. Leaflets are ovate with rounded apex, 10-15cm long, pubescent beneath when young and coriaceous. Flowers are white or pink, the uppermost petal darker and variegated usually appearing before the leaves in short axillary or terminal racemes. Stamens are 5 and stamenodes absent. Fruits are flat dehiscent pods with 10-15 seeds (Warrier et al, 1993).

Other important species of the genus Bauhinia are as follows.

1. B. tomentosa Linn.

It is the yellow or golden flowered one, commonly known as Manja Mandaram. It is found in Africa and Asia. In India it is found wild in dry deciduous forests and often cultivated. The plant is antidysenteric, antidote for snakebite and scorpion sting and also used in liver complaints. The bark is astringent. Root bark is vermifuge. Fruit is diuretic. Seed is tonic, wound healing and aphrodisiac.

2. B. purpurea Linn.

Pink Bauhinia or Camel’s Foot tree is found in South and S. E. Asia. In India, it is found in deciduous forests. Root is carminative and tonic. Bark is astringent and antidiarrhoeal and is used in ulcer and goitre. Flowers are laxative. The experimental studies conducted by Sijoria and Prasad (1979) on animals indicate that B. purpurea is very effective in normalising the thyroid gland.

3. B. racemosa Lam.

The plant is found in Sub-Himalayan tracts, in U.P, West Bengal, Central and South India. The leaf is anticephalalgic and antimalarial. Bark is astringent, antidiarrhoeal. The seeds are antibacterial. Stem-bark is CVS and CNS active, hypothermic and anticancerous.

4. B. malabarica Roxb.

Malabar Mountain Ebony is found in Sub-Himalayan tracts, from Kumaon to West Bengal, ascending to 1350m, Assam, Bihar and South India. The flowers of this plant are antidysenteric.

5. B. retusa Roxb.

The plant is distributed in north-western Himalayas from the Beas eastwards, Himachal Pradesh, U.P., Orissa, M.P. and A.P. The gum of the plant is emmenagogue, diuretic and can be used externally in sores. The seed is hypoglycaemic and hypocholesterolaemic. The aerial part is CVS active and has effect on respiration.

6. B. vahlii W.&A.

Camel’s Foot climber is found in Punjab, Bihar, Assam, Madhy Pradesh, Andra Pradesh and Tamil Nadu. Leaf is demulcent. Seed is tonic and aphrodisiac. Stem is CVS active, antiarrhythmic and spasmolytic.

Agrotechnology: Well drained hilly areas are ideal for the cultivation of Bauhinia. The plant is seed propagated. Seeds are formed in February-March. Seeds are to be collected from the dried pods, soaked in water for 12 hours before sowing in seedbeds. At four-leaved stage they are to be transferred to polybags. Two month old seedlings from polybags are used for field planting. Pits of size 60cm cube are to be taken and filled with 10kg dried cowdung mixed with topsoil and formed into a mound. On these seedlings are to be planted at a distance of 6-7.5m. Irrigation is to be given in the first year. Two weedings and application of organic manure once is required in a year. The plant is not attacked by any serious pests and diseases. The plant flowers on the third year. At the end of tenth year the tree can be cut and wood used for medicinal purposes (Prasad et al, 1997).

Properties and activity: Flowers contain flavanoids-kaempferol-3-galactoside and kaempferol-3- rhamnoglucoside. Stem bark yields hentriacontane, octacosanol and stigmasterol. Stem yields -sitisterol, lupiol and a flavanone glycoside-5, 7-dimethoxy flavanone 4-O- -L- rhamnopyranoside- -D-glucopyranoside. Seeds possess human blood agglutinating activity. Stem bark is hypothermic, CNS active and depressant. Bud, flower, leaf and stembark are antibacterial. Stem possesses juvenoid activity. Bark is alterative, tonic, antileprotic and antirheumatic. Bud is antidysenteric. Root is carminative and antidote for snakebite. Bark, flower and root promote suppuration. Bark and bud are astringent and vermifuge (Husain et al, 1992).... bauhinia

Wall. ex Benth.

Family: Labiatae; Lamiaceae.

Habitat: Northwestern Himalayas from Kashmir to Kumaon at 2,0003,000 m.

Folk: Kaali-jarri (Punjab).

Action: Root—bechic. Leaves— antitussive; applied as poultice to boils and chronic skin affections. Seeds—antispasmodic, emetic. Used for colic, dysentery, also for haemorrhoids; applied to boils.

The root gave a diterpene quinone.... salvia moorcroftiana

(Linn. f.) F. N. Williams.

Synonym: B. hispada (L.) K. Sch. Spermacoce hispida Linn.

Family: Rubiaceae.

Habitat: Throughout India, as a weed in cultivated and sallow lands and pastures.

English: Shaggy Button Weed.

Ayurvedic: Madana-ghanti.

Siddha/Tamil: Nathaichoori.

Folk: Ghanti-chi-bhaaji (Maharashtra), Gatbhanjan, Satgathiyaa.

Action: Herb—used in the treatment of headache. Root—prescribed as a mouthwash in toothache. Leaf— juice is given as an astringent in haemorrhoids. Seeds—used as demulcent in diarrhoea and dysentery.

The weed contains beta-sitosterol, ursolic acid and D-mannitol. It is rich in calcium and phosphorus. Isorham- netin, a flavonoid, is reported in the seeds.... borreria articularis

Linn.

Family: Sapindaceae.

Habitat: Throughout the plains of India, as a wild climber.

English: Ballon Vine, Winter Cherry, Heartseed.

Ayurvedic: Kaakatiktaa, Kaakaadani, Karnsphotaa, Shatakratulataa.

Unani: Habb-e-Qilqil.

Siddha/Tamil: Mudukottan, Kottavan.

Folk: Kanphotaa, Kanphuti, Lataaphatakari. Used as Jyotishmati in Bengal.

Action: Used in rheumatism, lumbago, skeletal fractures, nervous diseases, amenorrhoea, haemorrhoids, erysipelas. The herb is used in hairoils for treating dandruff, alopecia and for darkening hair.

The plant extract showed significant analgesic and anti-inflammatory activity and sedative effect on CNS. The drug also showed (transient) vasode- pressant activity.

The leaves contain beta-sitosterol and its D-glucoside, an alkaloid, oxalic acid and amino acids. The presence of a saponin and quebrachitol is reported in the plant.

The leaves and stem are used in preparations used against common cold. Alcoholic extract of the plant exhibits antisickling and antiarthritic activity. Seeds have positive anabolic activity and increase body weight by inducing a positive nitrogen balance.

The alkaloid fraction from the seeds showed hypotensive activities and cardiac inhibition in anaesthetized dogs; blocked spasmogenic effects of acetyl- choline, histamine and 5-HT on guinea pig ileum, biphasic effort on frog rec- tus abdominis muscle. The seeds also showed antibacterial activity.

Dosage: Whole plant—50-100 ml decoction. (CCRAS.)... cardiospermum halicacabum

Solanum spp.

Solanaceae

Solanums comprise a very important group of medicinal plants having multifarious uses.

These plants belong to the family Solanaceae and genus Solanum. A number of species are reported to be medicinal which are briefly described below.

1. S. anguivi Lam. syn. S. indicum auct. non Linn.

Eng: Poison berry; San: Brhati, Simhi;

Hin: Barhauta, Birhatta;

Mal: Puthirichunda, Cheruchunda;

Tam: Karimulli, Puthirichundai;

Kan: Ramagulla;

Tel: Cittimulaga, Tellamulaka It is found throughout the tropics, in plains and at low elevations. It is much branched, very prickly undershrub, 0.3-1.5m in height. Leaves are simple, large, ovate, subentire, sinuate or lobed. Flowers are blue in extra-axillary cymes having stellately hairy and prickly peduncles. Fruits are globose berries, reddish or dark yellow with smooth or minutely pitted seeds. Its roots are useful in vitiated conditions of vata and kapha, odontalgia, dyspepsia, flatulence, colic, verminosis, diarrhoea, pruritus, leprosy, skin diseases, strangury, cough, asthma, bronchitis, amenorrhoea, dysmenorrhoea, fever, cardiac disorders and vomiting. Roots bitter, acrid, astringent, thermogenic, anodyne, digestive, carminative, anthelmintic, stomachic, constipating, resolvent, demulcent, depurative, diuretic, expectorant, aphrodisiac, emmenagogue, febrifuge and cardiotonic.

2. S. dulcamara Linn.

Eng: Bittersweet, Bitter night shade; San: Kakmachi; Pun: Rubabarik It is found in tropical situations in India and Sikkim. The plant is rich in alkaloidal glycosides like solamarine, tomatidenol, solasodine and soladulcine. The berry and twig are alterative, antisyphilitic, diaphoretic, resolvent, narcotic, diuretic, antirheumatic and used in liver disorders and psoriasis.

3. S. erianthum D. Don, syn. S. verbascifolium auct. non Linn.

San: Vidari;

Hin: Asheta;

Mal: Malachunda;

Tam: Malaichundai, Anaisundaikkai

Pun: Kalamena;

Tel: Rasagadi

The plant is distributed over the tropical and subtropical zones of India. The plant contains alkaloids and steroidal sapogenins. Leaves and fruits contain solasodine, solasodiene, solafloridine, diosgenin, vespertilin and pregnenolone. The plant is CNS depressant, antiinflammatory and useful in burns.

4. S. melongena Linn.

Eng: Brinjal, Egg plant; San: Varttaki;

Hin: Bengan, Badanjan;

Mal: Vazhuthina

Tam: Kattirikkai;

Kan: Badanekaya, Doddabadane;

Tel: Vankaya, Niruvanga

It is mainly cultivated as a vegetable throughout the tropics and subtropics. It is an erect or suffrutescent, herbaceous, armed or unarmed perennial shrub. Leaves are simple, large, entire and lobed. Flowers are blue, in clusters of 2-5. Fruits are large, white, yellow or dark purple berries of different shapes capped with thick persistent calyx. Seeds are many, yellow or cream and discoid. The roots, leaves and unripe fruits are useful in cholera, bronchitis, asthma, odontalgia and fever. The roots are laxative, analgesic and cardiotonic. Leaves are sialagogue, narcotic and antiherpetic. The unripe fruits are bitter, acrid, sweet, aphrodisiac, cardiotonic and haematinic.

5. S. melongena var. incanum (Linn.) Prain syn. S. incanum Linn., S. coagulens Forsk.

San: Brihati;

Hin: Baigan;

Mal: Cheruvazhuthina

It is a herbaceous prickly plant found in warm humid tropics. It is grown almost throughout the year in the plains and during summer on the hills. It grows 0.6-2m in height. Leaves are simple, alternate lobed. Flowers are blue or white, 5 lobed, calyx with spines. Fruits are ellipsoid berries. The plant is a constituent of the dasamoola which helps to overcome vitiated tridoshas and cures dyspepsia, fever, respiratory and cardiac disorders, skin ailments, vomiting, ulcers and poisonous affections. In Ayurveda the formulations like Brihatyadi Kashaya, dashamoolarishta, Indukantaghritam, Dasamoolaharithaki, etc are the important preparations with the roots. It is also used in the treatment of toothache and sore throat. The fruit is reported to stimulate the intrahepatic metabolism of cholesterol. Roots are antiasthmatic and stimulant. Leaves are used in cholera, bronchitis and asthma. Fruits are useful in liver complaints.

6. S. nigrum Linn. syn. S. rubrum Mill.

Eng: Black night shade; San: Kakamachi;

Hin: Makoy, Gurkkamai;

Mal: Karimthakkali;

Tam: Manathakkali, Milagutakkali;

Kan: Kakarndi;

Tel: Kamachi, Kachi

It is seen wild throughout India. It is an erect, divaricately branched, unarmed, suffrutescent annual herb. Leaves are ovate or oblong, sinuate-toothed or lobed and glabrous. Flowers are 3-8 in extra-axillary drooping subumbellate cymes. Fruits are purplish black or reddish berries. Seeds are many, discoid, yellow, minutely pitted. The whole plant is useful in vitiated conditions of tridosha, rheumatalgia, swellings, cough, asthma, bronchitis, wounds, ulcers, flatulence, dyspepsia, strangury, hepatomegaly, otalgia, hiccough, opthalmopathy, vomiting, cardiopathy, leprosy, skin diseases, fever, splenomegaly, haemarrhoids, nephropathy, dropsy and general debility. The plant is bitter, acrid, emollient, antiseptic, antiinflammatory, expectorant, anodyne, vulnerary, digestive, laxative, diuretic, cardiotonic, depurative, diaphoretic, febrifuge, rejuvenating, sedative, alterant and tonic.

7. S. spirale Roxb.

Hin: Munguskajur

It is seen wild in Assam and Khasi hills in India. Its root is diuretic and narcotic.

8. S. stramoniifolium Jacq., syn. S. ferox auct. non Linn.

San: Garbhada;

Hin: Rambaigan;

Mal: Anachunda;

Tam: Anaichundai;

Tel: Mulaka

It is observed in India in the states of Assam, Maharashtra, Karnataka and Tamil Nadu. Its berries contain glycoalkaloids such as solasonine and solasodine. Its roots and berries are bechic, antiasthmatic, antirheumatic, antiviral, anticancerous and spermicidal.

9. S. surattense Burm. F. syn. S. xanthocarpum schrad. & Wendl., S. jacquinii Willd.

Eng: Yellow-berried nightshade; San: Kantakari, Nidigdhika;

Hin: Remgani,Kateli;

Mal: Kantakarichunda;

Tam: Kantankattiri;

Kan: Nelagulli;

Tel: Callamulaga

It is found throughout India and Pakistan in dry situations as weed on roadsides and wastelands. It is prickly, diffuse, bright green, suffrutescent, perennial undershrub, with zigzag branches. Leaves are ovate-oblong, hairy on both sides and armed on the midrib and the nerves. Flowers are bluish purple, in extra-axillary cymes. Fruits are glabrous, globular drooping berry, yellow or white with green veins, surrounded by the calyx. Seeds are many, small, reniform, smooth and yellowish brown.

The whole plant is useful in vitiated conditions of vata and kapha, helminthiasis, dental caries, inflammations, flatulence, constipation, dyspepsia, anorexia, leprosy, skin diseases, hypertension, fever, cough, asthma, bronchitis, hiccough, lumbago, haemorrhoids and epilepsy. The plant is bitter, acrid, thermogenic, anthelmintic, antiinflammatory, anodyne, digestive, carminative, appetiser, stomachic, depurative, sudorific, febrifuge, expectorant, laxative, stimulant, diuretic, rejuvenating, emmenagogue and aphrodisac. Fruits contain solasonine, solamargine and solasodine.

10. S. torvum Sw.

Eng: West Indian Turkey Berry;

Hin,

Ben: Titbaigan;

Mal: Kattuchunda;

Kan: Kadu Sunde;

Tam: Sundaikai, Amarakai;

Tel: Kundavustic, Kotuvestu; Ass: Hathibhekuri

It is seen throughout tropical India, particularly in Orissa, Bihar and Manipur. The plant is CVS active and used in splenomegaly. Fruits and leaves contain solasonine, solasodine, jurubine, jurubidine, torvonin, torvogenin, chlorogenin, paniculogenin, sisalogenone, neosolaspigenin and solaspigenin.

11. S. trilobatum Linn.

Eng: Climbing Brinjal; San: Alarka;

Mal: Tutavalam;

Tam: Tuduvalai;

Kan: Mullumusta;

Tel: Telavuste

It is mostly seen in South and Western India. The plant contains alkamine and solamarine. The berry and flowers are bechic and used in bronchitis. The alkaloid solamarine is antibiotic and possesses antitumour activity.

12. S. viarum Dunal, syn. S. Khasianum C. B. Clarke

Hin: Kantakari

It is widely distributed in Khasi, Jaintia and Naga hills of Assam and Manipur upto 2000m and in Sikkim, West Bengal, Orissa and in the Niligiris. The plant and berries contain solasonine (which on hydrolysis yields solasodine), solamargine, khasianine, nantigenin, solasodine, diosgenin and saponin-solakhasianin. The plant is spasmolytic and CNS active. The berry is a source of solasodine used in the synthesis of corticosteroidal hormones.

Agrotechnology: The agrotechnology for the solanaceous group of plants are almost similar. They come up very well in tropical and subtropical climate upto 2000m altitude. They can be raised on a variety of soils good in organic matter. Propagation is by seeds. The seedlings are first raised in the nursery and transplanted to the main field 30-45 days after sowing when the plants attain 8-10cm height. During rainy season, planting is done on ridges while during summer in furrows, at a spacing ranging from 30-90cm depending upon the stature and spreading habit of the plant. The transplanted seedlings should be given temporary shade for 2-4 days during summer. FYM or compost at 20-25t/ha is applied at the time of land preparation. A moderate fertiliser dose of 75:40:40 N, P2O5, K2O/ha may be given. P is given as basal dose, N and K are applied in 2-3 split doses. One or two intercultural operations are needed to control weeds. The plants need earthing up after weeding and topdressing. Irrigation is needed at 3-4 days interval during summer and on alternate days during fruiting period. Plants need staking to avoid lodging due to heavy bearing. Shoot borers, mealy bugs, leaf webbers and miners are noted on the crop, which can be controlled by spraying mild insecticides. Root knot nematode, wilting and mosaic diseases are also noted on the crop. Field sanitation, crop rotation and burning of crop residues are recommended.... solanums

A symptom of disease affecting the lower part of the large INTESTINE, such as DYSENTERY, piles (HAEMORRHOIDS) or tumour. It consists of a constant sense of heavy discomfort about the lower bowel and desire to defaecate, coupled with straining when doing so, with the passage of mucus and often blood.... tenesmus

A preparation of the bark, twigs, and dried leaves from Hamamelis virginiana, a plant found in the United States. It has strong astringent properties and is used to check haemorrhages and excessive mucous discharges, and also for piles (see HAEMORRHOIDS).... witch-hazel

Indigofera tinctoria

Papilionaceae

San:Nilini, Ranjani, Nilika, Neelam, Aklika, Asita, Bhadra; Ben, Guj:Nil;

Hin:Gouli;

Mal: Neelamari;

Tam: Averi;

Tel: Aviri, Nili;

Kan: Nili; Mar: Nali; Ori: Neli

Importance: Common indigo or Indian indigo is a branching shrub which grows upto 2m high. Nili is a reputed drug produced from this plant which is used in ayurveda for the promotion of hair growth and it forms a major ingredient of preparations like nilibhringadi oil. This is the original source of natural indigo. Due to antitoxic property it is also a good remedy for poisons. According to Bhavaprakasa, nili is purgative in action, bitter, hot, cures giddiness, abdominal enlargement, vatarakta, gout and intestinal obstruction. The decoction or powder of the plant is used in whooping cough, bronchitis, palpitation of the heart, enlargement of the liver and spleen, dropsy, diseases of lungs and kidney, epilepsy and nervous disorders. A poultice of the leaves is recommended in skin diseases, piles, ulcer and haemorrhoids. A wine glass full juice of the leaves is administered in the morning with or without milk for three days to those who have been bitten by mad dogs. Root decoction is given in calculous diseases and used as an antidote to arsenic poisoning. The seed of the plant is powered and steeped in arrack or rum, yield a tincture, which is used to distroy lice. Indigo, the dye extracted from the leaves, is a soothing balm for burns and scalds, insect stings and animal bites. The synonyms visaghni and sodhani indicate the antitoxic and laxative properties of the drug nili, respectively (Aiyer and Kolammal, 1960).

Distribution: This plant is distributed in South and South East Asia, tropical Africa and is introduced in tropical America. In India, it is found almost throughout and cultivated in many parts.

Botany: Indigofera tinctoria Linn. syn. I. summatrana Gaertn, Pigmentum indicum belongs to Papilionaceae family. This is a branching shrub which grows upto 2m high. Stems and branches are green; branchlets silvery pubescent. Leaves are alternate, stipulate, imparipinnate and got 7-13 leaflets which are elliptic-oblong, membraneous,1.7x0.9cm, shortly mucronate, pale green or bluish. Flowers are small, rose-coloured in axillary racemes. Calyx 5-cleft, gamosepalous; corolla papilionaceous; stamens diadelphous; ovary sessile with a short incurved style ending in a capitate stigma. Pods are linear, cylindrical, 2-5cm long, deflexed having 8-12 seeds.

Agrotechnology: The Indian indigo requires good sunlight and grows well in hilly areas. This is usually propagated by seeds. Seeds are very small and the seed rate is 3kg/ha. Seeds require pretreatment for good germination as the seed coat is hard. Seeds are mixed with sand and ground gently to break the seed coat. An alternate method for enhancing germination is dipping the seeds in boiling water for a second. After pretreatment seeds are broadcasted. Broadcast the seeds preferably mixed with sand 2 or 3 times its volume to ensure uniform coverage. The seedbeds should be covered with straw and irrigated. Seeds germinate within 15 days. Seedlings are ready for transplanting after one month. For the land preparation, the soil is brought to fine tilth by ploughing 2 or 3 time s. Cattle manure should be applied at the rate of 10t/ha as basal dressing and incorporated into soil along with last ploughing. The best time for sowing is September-October. Weeding has to be done two times; 3 weeks after sowing and 6 weeks after sowing. Plants start flowering 2-3 months after sowing. Harvesting is done by cutting the plants at this time, at a height of about 10cm from ground level. Irrigate plants after harvest. Subsequent harvests can be made at 1.5-2 months interval. Four to five cuttings can be taken in an year depending on the growth. A few plants per plot are left without cutting to set seeds. Ripe pods are to be harvested in the early morning to prevent loss of seeds by shattering during harvest.

Properties and activity: A blue dyestuff is obtained from the indigofera which does not exist ready formed, but is produced during fermentation from another agent existing in the plant, known as indocan. Indocan is yellow amorphous of a nauseous bitter taste with an acid reaction, readily soluble in water, alcohol and ether. An artificial product indigotine is manufactured chemically and used as a substitute. Indirubin is another component of the plant.

The plant is deobstruent, alterative, antitoxic, antiasthmatic and antiepileptic. Aerial part is hypoglycaemic, CNS depressant and antitoxic. The leaves, flowers and tender shoots are considered to be cooling, demulcent and alterative. Leaf is antiinflammatory. Root and stem is laxative, expectorant, antitumourous, febrifuge, anticephalalgic, antidote for snake bite, anthelmintic and promotes growth of hair. Root is divertic. Indirubin is antineoplastic and has toxicity. Nili is antitoxic, purgative and laxative. Indigo is said to produce nausea and vomiting.... common indigo

A procedure for enlarging the anus. Anal dilatation is used to treat conditions in which the anus becomes too tight, such as anal stenosis and anal fissure. It is also used to treat haemorrhoids. Anal dilatation is usually performed under general anaesthesia.

Reflex anal dilatation, in which the anus dilates in response to local contact, may occur in certain anal disorders or after repeated anal penetration.... anal dilatation

The loss of mucus, pus, or blood from the anus. Haemorrhoids, anal fissures, and proctitis (inflammation of the rectum) can all cause anal discharge.... anal discharge

A tightness of the anus, sometimes referred to as anal stricture.

Anal stenosis prevents the normal passage of faeces, causing constipation and pain during defaecation.

The condition may be present from birth, or may be caused by a number of conditions in which scarring has occurred, such as anal fissure, colitis, or cancer of the anus.

Anal stenosis sometimes occurs after surgery on the anus (for example, to treat haemorrhoids).

The condition is treated by anal dilatation.... anal stenosis

A metal, salts of which are used in tablets to treat peptic ulcer and in suppositories and creams to treat haemorrhoids.

Bismuth preparations taken by mouth may colour the faeces black.

The tongue may darken and occasional nausea and vomiting may occur.... bismuth

The application of a heated instrument to destroy tissues, to stop bleeding, or to promote healing, used in conditions such as haemorrhoids and cervical erosion. Cauterization has been largely replaced by electrocoagulation.... cauterization

Gmelina arborea

Verbenaceae

San: Gumbhari;

Hin:Gamari, Jugani-chukar;

Mal: Kumizhu, Kumpil;

Guj: Shewan; Pun:Gumbar; Mar: Shivanasal;

Kan: Kummuda;

Tam: Uni, Gumadi;

Tel: Gummadi;

Importance: Coomb teak, Candahar tree or Kashmeeri tree is a moderate sized, unarmed, deciduous tree which is a vital ingredient of the ”dasamula” (group of ten roots). The whole plant is medicinally very important. It promotes digestive power, improves memory, overcomes giddiness and is also used as an antidote for snake bite and scorpion sting. Roots are useful in hallucination, fever, dyspepsia, hyperdipsia, haemorrhoids, stomachalgia, heart diseases, nervous disorders, piles and burning sensation. Bark is used in fever and dyspepsia. Leaf paste is good for cephalagia and leaf juice is a good wash for foul ulcers and is also used in the treatment of gonorrhoea and cough. Flowers are recommended for leprosy, skin and blood diseases. The fruits are used for promoting the growth of hair and in anaemia, leprosy, ulcers, constipation, strangury, leucorrhoea, colpitis and lung disease.

Wood is one of the best and most reliable timber of India. It is used for making furniture, planks, carriages, printing boxes, musical instruments, shafts, axles, picture frames, jute bobbins, calipers, ship buildings, artificial limbs and stethoscopes.

In south India the bark of the tree is used by arrack manufacturers to regulate the fermentation of toddy. The plant is also grown in garden or avenues (Dey, 1988; Sivarajan and Indira, 1994).

Distribution: The plant is found wild throughout India from the foot of Himalayas to Kerala and Anadamans, in moist, semideciduous and open forests upto an altitude of 1500 m. It is also distributed in Sri Lanka and Philippines.

Botany: Gmelina arborea Roxb. Syn. Premna arborea Roth. belongs to Family Verbenaceae. It is an unarmed deciduous tree growing up to 20m height with whitish grey corky lenticellate bark, exfloliating in thin flakes. Branchlets and young parts are clothed with fine white mealy pubescence. Leaves are simple, opposite, broadly ovate, cordate, glandular, glabrous above when mature and fulvous-tomentose beneath. Flowers brownish yellow in terminal panicle. Calyx campanulate, pubescent outside and with 5 lobes. Corolla showy brownish yellow with short tube and oblique limbs. Stamens 4, didynamous and included. Ovary is 4 chambered with one ovule each; style slender ending in a bifid stigma. Fruits are fleshy ovoid drupes, orange yellow when ripe. Seeds 1 or 2, hard and oblong.

Agrotechnology: Coomb teak is a sun loving plant. It does not tolerate drought. But it grows in light frost. Rainfall higher than 2000mm and loose soil are ideal. The best method of propagation is by seeds but rarely propagated vegitatevely by stem cuttings also. Seed formation occurs in May-June. Seeds are dried well before use. They are soaked in water for 12 hours before sowing. Seed rate is 3kg/ha. Seeds are sown in nursery beds shortly before rains. Seeds germinate within one month. Seedlings are transplanted in the first rainy season when they are 7-10cm tall. Pits of size 50cm cube are made at a spacing of 3-4m and filled with sand, dried cowdung and surface soil, over which the seedlings are transplanted. 20kg organic manure is given once a year. Irrigation and weeding should be done on a regular basis. The common disease reported is sooty mould caused by Corticium salmonicolor which can be controlled by applying a suitable fungicide. The tree grows fast and may be ready for harvesting after 4 or 5 years. This plant is coppiced and traded. The roots are also used for medicinal purposes. The tree may stand up to 25 years.

Properties and activity: Roots and heart wood of Coomb teak are reported to contain gmelinol, hentriacontanol, n-octacosanol and -sitosterol. The roots contain sesquiterpenoid and apiosylskimmin, a coumarin characterised as umbelliferone-7-apiosyl glucoside and gmelofuran. The heart wood gives ceryl alcohol, cluytyl ferulate, lignans, arboreol, gmelonone, 6”-bromo isoarboreol, lignan hemiacetal and gummidiol. Leaves yield luteolin, apigenin, quercetin, hentriacontanol, -sitosterol, quercetogenin and other flavons. Fruits contain butyric acid, tartaric acid, and saccharine substances (Asolkar et al, 1992; Dey, 1988).

The roots are acrid, bitter, tonic, stomachic, laxative, galactogogue, demulcent, antibilious, febrifuge and anthelmintic. Bark is bitter, hypoglycaemic, antiviral, anticephalalgic and tonic. The leaves are demulcent, antigonorrhoeic and bechic. Flowers are sweet, refrigerant, astringent and acrid. Fruits are acrid, refrigerant, diuretic, astringent, aphrodisiac, trichogenous, alterant and tonic (Warrier et al; 1995).... coomb teak

Itching of the anus. Causes may include an anal fissure, haemorrhoids, or threadworm infestation.... pruritus ani

A solid medical preparation, of cone or bullet shape, designed to be placed in the rectum to dissolve.

Suppositories are used to treat rectal disorders such as haemorrhoids or proctitis.

They may also be used to soften faeces and stimulate defaecation.

In addition, suppositories may be used to administer drugs into the general circulation, via blood vessels in the rectum, if vomiting is likely to prevent absorption after oral administration or if the drug would cause irritation of the stomach.... suppository

An ingredient of many skin preparations that has a mild astringent action and a soothing effect. Zinc oxide is used to treat painful, itchy, or moist skin conditions and to ease the pain caused by haemorrhoids and insect bites or stings. It also blocks the ultraviolet rays of the sun (see sunscreens).... zinc oxide

an apparatus for treating haemorrhoids in which a tight elastic band is applied across their base to cause ischaemic necrosis leading to sloughing off within a few days.... barron’s banding apparatus

n. a local anaesthetic used in combination with corticosteroids in ointments and suppositories to relieve the pain of haemorrhoids.... cinchocaine

n. the passage of fresh red blood through the rectum. Haematochesia occurs in patients with haemorrhoids, colorectal carcinoma, colitis, diverticulitis, angiodysplasia, and volvulus. Haematochesia also occurs as a result of severe haemorrhage in the upper gastrointestinal tract.... haematochesia

Linn.

Synonym: D. tatula Linn.

Family: Solanaceae.

Habitat: The Himalaya from Kashmir to Sikkim up to 2,700 m, hilly districts of Central and South India.English: Thornapple, Jimsonweed, Stramonium.Ayurvedic: Krishnadhattuura, Dhuurta (black seed var.), Unmatta, Kitav, Tuuri, Maatul, Madan.

Unani: Dhaturaa.

Action: Spasmolytic, antiasthmatic, anticholinergic, cerebral depressant, nerve-sedative. Controls spasms of bronchioles in asthma. Anticholinergic. Effects of overdose are similar to those of atropine. Temporary relief from Parkinsonian tremor recorded. (Contraindicated with depressant drugs.) Applied locally, stramonium palliates the pain of muscular rheumatism, neuralgia, also pain due to haemorrhoids, fistula, abscesses and similar inflammations. Prevents motion sickness.

Key application: In diseases of the autonomic nervous system. (Included among unapproved herbs by German Commission E.) The British Herbal Pharmacopoeia reported antispasmodic action of the leaf; Indian Herbal Pharmacopoeia accepted it as expectorant and antispasmodic. Whole plant contains 0.26% alkaloids (seeds 0.98% and stem 0.08%); also flavonoids, withanolides, cou- marins and tannins; the major alkaloid is hyoscyamine (44-67%), hyoscine (13.2-25.3%) and atropine (0.01-0.1%). The tropane alkaloids are similar to those found in Atropa belladonna. Hyoscine is five times as active as atropine in producing mydriasis, but its main use is as antimotion sickness drug; and in combination as a sedative.Toxic constituents include anti- cholinergic alkaloids.

Dosage: Leaf—60-185 mg powder; seed—60-120 mg powder (CCRAS.)

... datura stramonium

Linn.

Family: Liliaceae.

Habitat: Native to East Africa and Saudi Arabia.

English: Dragon's Blood.

Ayurvedic: Khoonkharaabaa, Heeraadokhi.

Unani: Dammul-Akhwain.

Family: Araceae.

Habitat: Maharashtra and Karnata- ka; cultivated in the South.

Siddha/Tamil: Kattu Karunayikki- langu.

Folk: Jangali Suuran.

Action: Root—antidiarrhoeal, anti-inflammatory (prescribed for haemorrhoids), antispasmodic (used in asthma), emmenagogue, abortifacient.... dracontium polyphyllum

Buch.-Ham.

Family: Euphorbiaceae.

Habitat: Northern and central India, often planted in dry areas.Ayurvedic: Snuhi (substitute), Patra-Snuhi.Siddha/Tamil: Kalli, Naga-kalli.

Action: Latex—used for treating jaundice, dropsy, enlargement of liver and spleen; colic; syphilis, leprosy; applied to haemorrhoids. Coagulated latex is used for bronchitis. Leaf—juice is used as a purgative. Warmed in mustard oil, applied in cold and headache.The latex gave cycloart-25-en-3 beta-ol, and cyclolaudenol; stem contained cyclolaudenol and sitosterol; leaves gave sitosterol. (None of these triterpenes have been reported from E. neriifolia.) These triterpenes exhibited antimicrobial activity against Staphylococcus aureus and E. coli.

... euphorbia nivulia

Faeces, or stools, consist of the remainder of the food after it has passed through the alimentary canal and been subjected to the action of the digestive juices, and after the nutritious parts have been absorbed by the intestinal mucous membrane. The stools also contain various other matters, such as pigment derived from the BILE, and large quantities of bacteria which are the main component of human stools. The stools are passed once daily by most people, but infants have several evacuations of the bowels in 24 hours and some adults may defaecate only two or three times weekly. Sudden changes in bowel habit, persistent diarrhoea or a change from the normal dark brown (caused by the bile pigment, stercobilin) to very pale or very dark stools are reasons for seeking medical advice. Blood in the stools may be due to HAEMORRHOIDS or something more serious, and anyone with such symptoms should see a doctor.

Incontinence of the bowels, or inability to retain the stools, is found in certain diseases in which the sphincter muscles – those muscles that naturally keep the bowel closed – relax. It is also a symptom of disease in, or injury to, the SPINAL CORD.

Pain on defaecation is a characteristic symptom of a FISSURE at the ANUS or of in?amed haemorrhoids, and is usually sharp. Pain of a duller character associated with the movements of the bowels may be caused by in?ammation in the other pelvic organs.

CONSTIPATION and DIARRHOEA are considered under separate headings.... faeces

(external haemorrhoid) a painful swelling composed of blood that lies next to the anus. Typically it develops following an episode of straining during defecation or protracted coughing. Perianal haematomas are caused by the rupture of a small vein in the anus. They often heal spontaneously but occasionally rupture. Rarely this is followed by abscess formation. If severe pain continues, surgical removal may be undertaken. See also haemorrhoids.... perianal haematoma

n. an illuminated instrument that allows inspection of the distal rectum and the anus for the presence of haemorrhoids, rectal polyps or masses, anal fissures, and inflammation. Minor procedures (such as banding of haemorrhoids) may be performed during proctoscopy.... proctoscope

Desmodium gangeticum

Fabaceae

San: Anshumati, Salaparni;

Hin,

Ben: Salpani;

Mal: Orila;

Tam:Pulladi;

Tel: Gitanaram

Kan: Murelehonne; Mar: Darh;

Guj: Salwan; Ori: Salaparni Pun: Shalpurhi

Importance: Desmodium is a small shrub which is the chief of the ten ingredients in the Dasamula kwatha of Hindu medicine. Roots are useful in vitiated conditions of vata, anorexia, dyspepsia, haemorrhoids, dysentery, strangury, fever, gout, inflammations, cough, asthma, bronchitis, cardiopathy and debility. The unani preparation “Arq dashmul” contains these roots. It is considered a curative for leucorrhoea and for pains due to cold (Warrier et al, 1995).

Distribution: The plant is widely distributed in the tropics and subtropics. It grows wild in the forests of India up to 1500m. It is also cultivated in the plains and in the lower Himalayas.

Botany: Desmodium gangeticum (Linn.) DC. syn. Hedysarum gangeticum Linn., Desmodium gangeticum var. maculatum (Linn.) Baker., belongs to the family Fabaceae (Papilionaceae). It is an erect diffusely branched undershrub, 90-120cm in height with a short woody stem and numerous prostrate branches provided with soft grey hairs. Leaves are unifoliate, ovate- lanceolate, membranceous and mottled with grey patches. Flowers are white, purple or lilac in elongate lax, terminal or axillary racemes. Fruits are moniliform, 6-8 jointed, glabrescent pods, joints of pods separately pubescent with hooked hairs, joint separating when ripe into indehiscent one seeded segments. Seeds are compressed and reniform.

Agrotechnology: Desmodium can grow in a variety of climate and soils. However, it prefers tropical and subtropical climatic conditions. Although it can grow on all types of soils, waterlogged and highly alkaline soils are not suitable. Light sandy loam is preferred for commercial cultivation.

It is propagated through seeds. Seeds can be planted directly in the field or seedlings raised on the nursery beds and transplanted. Transplanting always gives better results in commercial cultivation, as it gives assured crop stand. Planting is done at a spacing of 40x20cm on flat beds or ridges. Organic manures are applied at the time of land preparation and thoroughly mixed with the soil. A little quantity of phosphatic and nitrogenous fertilizers are also applied for better crop growth. The inter-row spaces between plants, both in the field and nursery should be kept free from weeds by frequent weeding and hoeing as the plant suffers from weed competition, especially during early stages of growth. Manual hand weeding is usually done. Irrigation of seedlings just after planting is good for crop establishment. Although it can be cultivated as a rainfed crop under humid tropical conditions, irrigation every month is beneficial during summer. The root is the economic part and harvesting can be commenced after 8-9 months. About 500- 700kg roots can be harvested from a hectare of land per year.

Properties and activity: The root contains gangetin, gangetinin, desmodin, N,N-dimethyl tryptamine, hypaphorine, hordenine, candicine, N-methyl tyramine and -phenyl ethyl amine. The total alkaloid fraction showed hypotensive activity. The root is bitter, antiinflammatory, analgesic, aphrodisiac, constipating, diuretic, cardiotonic, expectorant, astringent, antidiarrhoeal, carminative, antiemetic, febrifuge and anti-catarrhal (Thakur et al, 1989).... desmodium

(Linn.) Swingle.

Synonym: F. elephantum Corr.

Family: Rutaceae.

Habitat: Indigenous to South India; cultivated throughout the plains of India up to 500 m in the western Himalaya.

English: Wood Apple.

Ayurvedic: Kapittha, Dadhittha, Dadhiphala, Surabhichhada, Dantshatha, Kapipriya.

Unani: Kuvet.

Siddha/Tamil: Vilamaram, Vilangai, Narivila.

Folk: Kaith.

Action: Fruit—antiscorbutic, carminative, stimulates the digestive system bark. Pulp is included in a paste to tone the breast. Leaves— astringent; used for indigestion, flatulence, diarrhoea, dysentery and haemorrhoids.

Unripe fruit—prescribed in sprue, malabsorption syndrome. (The Ayurvedic Pharmacopoeia of India.)

The leaves and stem bark contain the coumarins, luvangetin, xanthotoxin and limonin and the steroids, sitosterol and sitosterol-O-beta-D-glucoside.

Antifungal compounds, psoralene from stem bark; xanthotoxin and os- thenol from root bark and 2,6-dimeth- oxybenzo-quinone from the fruit shell are reported. Roots contain xanthotoxin and bergapten, used for the treatment of leucoderma, characterized by vitiligo.

Dosage: Dried pulp of mature fruit—1-3 g powder. (API Vol. II.)... feronia limonia

a hip bath in which the person is seated so that water or saline solution soaks only the hips and buttocks. Sitz baths are used to treat haemorrhoids and anal fissures (among other conditions).... sitz bath

Clarke.

Family: Oleaceae.

Habitat: Arunachal Pradesh (Mishmi Hills).

Action: Toxic to CNS.

The extract of the bark and leaves are used as an adulterant of illegal opium and are sold in the black market in certain areas in Indonesia.

The bark contains an iridoid glu- coside, ligstroside, and the phenolic glucosides, syringin and sinapaldehyde glucoside.

Family: Oleaceae.

Habitat: F. excelsior Linn.—Great Britain, Europe and North America. F. hookery—Western Himalaya at 2,700-3,350 m.

English: European Ash, Weeping Ash.

Folk: Kum, Sum, Hum, Sinnun (Punjab, Kashmir).

Action: F. excelsior—laxative, antiinflammatory, febrifuge. The bark and leaves are used for arthritis and rheumatism.

The herb gave coumarin derivatives, including fraxin, fraxetin and fraxinol; flavonoids based on aesculetin, including aescin, also rutin and quercetin. A coumarin derivative is actively diuretic.

A saccharine exudate, manna, consisting principally of mannitol, is obtained by incising the stem barks of some Fraxinus sp. found in India. The manna of commerce is derived from F. ornus. F. hookery (bark)—astringent, febrifuge, bitter tonic. Leaves—cathartic.

Ash Bark is used, in decoction, in the treatment of intermittent fever and ague, as a substitute for Peruvian bark. Also used for treating obstructions of the liver and spleen and in rheumatism and arthritic affections.

Preparations of European Ash Bark showed an analgesic, anti-exudative and antiphlogistic action. (German Commission E.)

Habitat: Indigenous to the coasts of the Mediterranean from Spain to Smyrna.

English: Flake Manna.

Unani: Turanjeen.

Action: A children's laxative. Usually prescribed with other purgatives. (Not to be used in the presence of ileus.)

Key application: In constipation where an easier elimination and a soft stool are desirable; in animents such as anal fissures, haemorrhoids and post-rectal and surgery. (German Commission E.)

The exudation contains 40-90% mannitol, 10-15% stachyose and man- notriose, glucose, fructose.... fraxinus griffithii

Sweet.

Synonym: G. affine W. & A.

Family: Geraniaceae.

Habitat: Temperate Himalayas, Kashmir, Khasi Hills and the Nilgiris.

English: Nepal Geranium, Nepalese Crane's Bill.

Ayurvedic: Bhanda, Bhandaa.

Folk: Ratanjot (var.), Roel (Kashmir).

Action: Astringent, styptic, used in renal diseases, diarrhoea, internal and external bleeding. Also used topically for ulcers and haemorrhoids.

The plant gave geraniin, kaempferol- 7-rhamnoside and kaempferitrin. The leaves gave tannins.

EtOH (50%) extract of the plant exhibited hypotensive activity.

A gastrointestinal-contracting cho- line-like substance has been isolated from var. thumbergii and is found useful for the treatment of gastrointestinal disorders such as gastroptosis.... geranium nepalense

(Jacq.) DC.

Synonym: K. africana (Lam.) Benth.

Family: Bignoniaceae.

Habitat: Native to West Africa, cultivated as a roadside tree.

English: Common Sausage tree.

Folk: Jhaar Phaanuus.

Action: Bark—antidysenteric, antirheumatic, diuretic. Used in venereal diseases. Fruits— purgative.

The root bark contains monoter- penoids, pinnatal, isopinnatal and iso- kigelinol napthoquinones.

The fruit gave a cytostatic compound.

In Africa, the root bark is used in the treatment of venereal diseases, haemorrhoids and rheumatism; also as a vermifuge.... kigelia pinnata

Allium sativum

Liliaceae

San: Lasunah, Rasonah;

Hin:Lasun, Lahasun;

Ben: Lashan;

Mal: Vellulli;

Kan: Belluli;

Tam: Vellaipuntu; Mar: Lasunas; Ass: Naharu; Tel:Vellulli, Tella-gadda;

Guj: Lasan

Importance: Garlic is one of the important bulb crops used as a spice or condiment with medicinal value throughout the world. It possesses high nutritive value. Its preparations are useful in vitiated conditions of kapha and vata, cough, whooping cough, bronchitis, asthma, fever, facial paralysis, flatulence, colic, constipation, atonic dyspepsia, helminthiasis, duodenal ulcers, pulmonary and laryngeal tuberculosis, opthalmopathy, cardiopathy, fatigue, leucoderma, leprosy, hysteria, haemorrhoids, sciatica, otalgia, lumbago, swellings, splenopathy, hepatopathy, pneumonopathy, anthralgia, sore eyes, ear ache and dental caries (Kumar et al, 1997).

Distribution: Garlic is a native of Southern Europe and it is cultivated all over the world.. It is grown throughout India; Gujarat and Orissa being the leading states.

Botany: The genus Allium of Liliaceae family comprises a number of species. The important ones are the following:

A. sativum Linn. syn. A. porrum Linn.

A. cepa Linn.

A. ampeloprasum Linn.

A. ascalonicum Linn. A. leptophyllum Wall. A. macleanii Baker.

A. schoenoprasum Linn.

A. tuberosum Roxb.

Allium sativum is a scapigerous foetid perennial medicinal herb with underground compound bulbs covered over by outer white thin scales and with simple smooth, round stem, surrounded at the bottom by tubular leaf sheath. The leaves are simple, long, flat and linear. The flowers are small and white arranged in rounded umbels mixed with small bulbils. The entire umbel is enclosed in a tear-drop-shaped membranous spathe. Flowers are usually sterile (Warrier et al, 1993).

Agrotechnology: Garlic can be grown under a wide range of climatic conditions. It prefers moderate temperature in summer as well as in winter. Short days are very favourable for the formation of bulbs. Garlic requires well drained loamy soils rich in humus, with fairly good content of potash. Garlic is propagated by cloves or bulblets. In the hills, sowing is done in April and May. Types with bold and compact cloves and thick white covering sheath are preferred for planting. Ootty-1 garlic is an improved variety by clonal selection released from TNAU, Coimbatore. Garlic may be broadcast, planted in furrows or dibbled at the rate of 150-200kg cloves/ha. In furrow planting, cloves are dropped 7.5-10cm apart in furrows 15cm deep and covered lightly with loose soil. Cloves may be dibbled 5 to 7.5cm deep and 7.5cm apart in rows which are 15cm apart with their growing end upwards and then covered with loose soil. A basal dose of 60kg N and 50kg each of P2O5 and K2O are applied along with 25t/ha of FYM. 60kg N is given as topdressing 45 days after planting. First irrigation is given immediately after sowing and subsequent irrigations are given at 10-15 days interval depending upon the soil moisture availability. The last irrigation should be given 2-3 days before harvesting to facilitate easy harvest and minimum damage to bulbs. First weeding and hoeing is to be done at one mo nth after sowing followed by a second weeding one month after first interculture. Hoeing at about two and a half months from sowing loosens the soil and helps in setting of bigger and well-filled bulbs. Garlic is attacked by Thrips tabacii which causes withering of leaves. Application of methyl demeton 25EC or dimethoate 30EC at 1ml/l will check the pest incidence. Leaf spot caused by Alternaria solanii can be controlled by spraying Dithane M.45 at fortnightly intervals at 2.5g/l of water. Garlic is harvested when the tops turn yellowish or brownish and show signs of drying up. The plants are uprooted, tied into small bundles and kept in shade for 2-3 days for curing. Average yield of garlic is 6-8t/ha. (Kumar et al, 1997.)

Properties and activity: Garlic bulb is reported to contain volatile oil, alliin (S-allyl-L-cysteine sulfoxide), S-methyl-L-cysteine sulfoxide and allinase. It is rich in vitamins like thiamine, riboflavine and niacin. Volatile oil contains allicin (diallyl thiosulphinate), an active odour principle of garlic. Other major compounds present are diallyl disulphide, diallyl trisulphide, allyl methyl trisulphide and allyl methyl disulphide (Husain et al., 1992).

Garlic bulb is antirheumatic, stimulant, diaphoretic, expectorant, diuretic, antispasmodic, astringent, antiparalytic, antileprotic, aperient, febrifuge, carminative, stomachic, alterative and emmenagogue. The essential oil is hypocholestrolemic, hypotensive, antitumour and antidiabetic. Diallyl disulphide and diallyl trisulphide from essential oil have larvicidal action. Bulbs also have anti-bacterial, and anti-fungal activity.... garlic

Gymnema sylvestre

Asclepiadaceae

San: Mesasrngi, Madhunasini;

Hin: Gudmar, Merasimgi;

Ben: Merasingi;

Mal: Chakkarakolli, Madhunasini;

Tam: Sirukurumkay, Sakkaraikkolli;

Kan: Kadhasige;

Tel: Podapatra; Mar: Kavali

Importance: Gymnema, Australian Cowplant, Small Indian Ipecacuanha or Periploca of the woods is a woody climber. It is reported to cure cough, dyspnoea, ulcers, pitta, kapha and pain in the eyes. The plant is useful in inflammations, hepatosplenomegaly, dyspepsia, constipation, jaundice, haemorrhoids, strangury, renal and vesical calculi, helminthiasis, cardiopathy, cough, asthma, bronchitis, intermittent fever, amenorrhoea, conjuctivitis and leucoderma. The fresh leaves when chewed have the remarkable property of paralysing the sense of taste for sweet and bitter substance for some time (Warrier et al, 1995). The drug is described as a destroyer of madhumeha (glycosuria) and other urinary disorders. Root has long been reputed as a remedy for snakebite. Leaves triturated and mixed with castor oil are applied to swollen glands and enlargement of internal viscera as the liver and spleen (Nadkarni, 1954). The drug is used to strengthen the function of heart, cure jaundice, piles, urinary calculi, difficult micturition and intermittent fevers (Sharma,1983). The drug enters into the composition of preparations like Ayaskrti, Varunadi kasaya, Varunadighrtam, Mahakalyanakaghrtam, etc. They suppress the activity of taste of tongue for sweet taste and for this reason it was considered that it destroys sugar, hence the name Madhunashini or Gurmar and has been prescribed as an anti-diabetic. The crude drug as well as its dried aqueous extract is mainly used in bronchial troubles.

Distribution: It is a tropical climber. It mainly grows in Western Ghats, Konkan, Tamil Nadu and some parts of Bihar. The plant is cultivated in plains of India but the drug is mainly important from Afghanistan and Iran.

Botany: Gymnema sylvestre (Retz.)R. Br. syn. Asclepias germinata Roxb. belonging to the family Asclepiadaceae is a large, woody much branched climber with pubescent young parts. Leaves are simple, opposite, elliptic or ovate, more or less pubescent on both sides, base rounded or cordate. Flowers are small, yellow and arranged in umbellate cymes. Fruits are slender and follicles are upto 7.5cm long (Warrier et al, 1995).

Two allied species, G. hirsutum found in Bundelkh and Bihar and Western Ghats and G. montanum growing wild in Eastern Ghats and Konkan are also used for the same purpose and are also called “Gurmar” (Thakur et al, 1989).

Agrotechnology: The plant can be propagated both by seeds and stem cuttings. Seedlings are to be raised in polybags. Pits of size 50cm cube are to be taken, filled with 10kg dried cowdung or FYM and covered with topsoil. On these pits about 3-4 months old seedlings are to be transplanted from polybags. Trailing can be facilitated by erecting poles and tying the plants to the poles. The plant will attain good spread within one year. Regular weeding, irrigation and organic manure application are beneficial. The plant is not attacked by any serious pests or diseases. Leaves can be collected from the first year onwards at an internal of one week. This can be continued for 10-12 years. Fresh or dried leaves can be marketed (Prasad et al, 1997).

Properties and activity: Nonacosane and hentriacontane were isolated from the hexane extract of leaves. An attempt to isolate nitrogenous compounds led to the isolation of amino acids such as leucine, iso-leucine, valine, allanine and - amynobutyric acid. Isolation of trimethyl amine oxide was of particular interest. An alkaloid gynamine which is a trace constituent was isolated and identified (Sinsheimer et al, 1967). Antisweet constituent of the leaves has been found to be a mixture of triterpene saponins. These have been designated as gymnemic acids A,B,C and D which have the gymnemagenin and gymnestrogenins as the aglycones of gymnemic acid A and B and gymnemic acid C and D respectively. These are hexahydroxy triterpenes the latter being partially acylated. The sugar residues are glucuronic acid and galacturonic acid while ferulic and angelic acids have been attached as the carboxylic acid.

Chewing of leaves reduces sensitivity to sweet substances. Effects of gymnema extracts had been variable. While verifying the effect of G. sylvestre leaves on detoxification of snake venom, it has been reported that a toxic component of venom ATP and gymnemate bind at the same site inhibiting venom ATP-ase. The active principles which have been identified as glycosides (7 gymnemic acids) suggest that the topical and selective anaesthetic effect of the plant might result from the competition of the receptor sites between glycosides and the sweet substances (Warren et al, 1969). The leaves are antidiabetic and insulinotropic. Gymnemic acid is antiviral. The plant is bitter, astringent, acrid, thermogenic, antiinflammatory, anodyne, digestive, liver tonic, emetic, diuretic, stomachic, stimulant, anthelmintic, alexipharmic, laxative, cardiotonic, expectorant, antipyretic and uterine tonic.... gymnema

Pongamia pinnata

Papilionaceae

San: Karanj;

Hin: Karanja, Dittouri;

Ben: Dehar karanja;

Mal: Ungu, Pongu; Guj, Mar, Pun: Karanj;

Kan: Hongae;

Tel: Kangu;

Tam: Puggam; Ass: Karchaw; Ori: Koranjo

Importance: Indian beech, Pongam oil tree or Hongay oil tree is a handsome flowering tree with drooping branches, having shining green leaves laden with lilac or pinkish white flowers. The whole plant and the seed oil are used in ayurvedic formulations as effective remedy for all skin diseases like scabies, eczema, leprosy and ulcers. The roots are good for cleaning teeth, strengthening gums and in gonorrhoea and scrofulous enlargement. The bark is useful in haemorhoids, beriberi, ophthalmopathy and vaginopathy. Leaves are good for flatulence, dyspepsia, diarrhoea, leprosy, gonorrhoea, cough, rheumatalgia, piles and oedema. Flowers are given in diabetes. Fruits overcomes urinary disease and piles. The seeds are used in inflammations, otalgia, lumbago, pectoral diseases, chronic fevers, hydrocele, haemorrhoids and anaemia. The seed oil is recommended for ophthalmia, haemorrhoids, herpes and lumbagoThe seed oil is also valued for its industrial uses. The seed cake is suggested as a cheap cattle feed. The plant enters into the composition of ayurvedic preparations like nagaradi tailam, varanadi kasayam, varanadi ghrtam and karanjadi churna.

It is a host plant for the lac insect. It is grown as a shade tree. The wood is moderately hard and used as fuel and also for making agricultural implements and cart- wheels.

Distribution: The plant is distributed throughout India from the central or eastern Himalaya to Kanyakumari, especially along the banks of streams and rivers or beach forests and is often grown as an avenue tree. It is distributed in Sri Lanka, Burma, Malaya, Australia and Polynesia.

Botany: Pongamia pinnata (Linn.) Pierre syn. P. glabra Vent., Derris indica (Lam.) Bennet, Cystisus pinnatus Lam. comes under family Papilionaceae. P. pinnata is a moderate sized, semi -evergreen tree growing upto 18m or more high, with a short bole, spreading crown and greyish green or brown bark. Leaves imparipinnate, alternate, leaflets 5-7, ovate and opposite. Flowers lilac or pinkish white and fragrant in axillary recemes. Calyx cup-shaped, shortly 4-5 toothed, corolla papilionaceous. Stamens 10 and monadelphous, ovary subsessile, 2-ovuled with incurved, glabrous style ending in a capitate stigma. Pod compressed, woody, indehiscent, yellowish grey when ripe varying in size and shape, elliptic to obliquely oblong, 4.0-7.5cm long and 1.7-3.2cm broad with a short curved beak. Seeds usually 1, elliptic or reniform, wrinkled with reddish brown, leathery testa.

Agrotechnology: The plant comes up well in tropical areas with warm humid climate and well distributed rainfall. Though it grows in almost all types of soils, silty soils on river banks are most ideal. It is tolerant to drought and salinity. The tree is used for afforestation, especially in watersheds in the drier parts of the country. It is propagated by seeds and vegetatively by rootsuckers. Seed setting is usually in November. Seeds are soaked in water for few hours before sowing. Raised seed beds of convenient size are prepared, well rotten cattle manure is applied at 1kg/m2 and seeds are uniformly broadcasted. The seeds are covered with a thin layer of sand and irrigated. One month old seedlings can be transplanted into polybags, which after one month can be planted in the field. Pits of size 50cm cube are dug at a spacing of 4-5m, filled with top soil and manure and planted. Organic manure are applied annually. Regular weeding and irrigation are required for initial establishment. The trees flower and set fruits in 5 years. The harvest season extends from November- June. Pods are collected and seeds are removed by hand. Seed, leaves, bark and root are used for medicinal purposes. Bark can be collected after 10 years. No serious pests and diseases are reported in this crop.

Properties and activity: The plant is rich in flavonoids and related compounds. Seeds and seed oil, flowers and stem bark yield karanjin, pongapin, pongaglabrone, kanugin, desmethoxykanugin and pinnatin. Seed and its oil also contain kanjone, isolonchocarpin, karanjachromene, isopongachromene, glabrin, glabrachalcone, glabrachromene, isopongaflavone, pongol, 2’- methoxy-furano 2”,3”:7,8 -flavone and phospholipids. Stem-bark gives pongachromene, pongaflavone, tetra-O-methylfisetin, glabra I and II, lanceolatin B, gamatin, 5-methoxy- furano 2”,3”:7,8 -flavone, 5-methoxy-3’,4’-methelenedioxyfurano 2”,3”:7,8 -flavone and - sitosterol. Heartwood yields chromenochalcones and flavones. Flowers are reported to contain kanjone, gamatin, glabra saponin, kaempferol, -sitosterol, quercetin glycocides, pongaglabol, isopongaglabol, 6-methoxy isopongaglabol, lanceolatin B, 5-methoxy-3’,4’- methelenedioxyfurano 8,7:4”,5” -flavone, fisetin tetramethyl ether, isolonchocarpin, ovalichromene B, pongamol, ovalitenon, two triterpenes- cycloart-23-ene,3 ,25 diol and friedelin and a dipeptide aurantinamide acetate.

Roots and leaves give kanugin, desmethoxykanugin and pinnatin. Roots also yield a flavonol methyl ether-tetra-O-methyl fisetin. The leaves contain triterpenoids, glabrachromenes I and II, 3’-methoxypongapin and 4’-methoxyfurano 2”,3”:7,8 -flavone also. The gum reported to yield polysaccharides (Thakur et al, 1989; Husain et al, 1992).

Seeds, seed oil and leaves are carminative, antiseptic, anthelmintic and antirheumatic. Leaves are digestive, laxative, antidiarrhoeal, bechic, antigonorrheic and antileprotic. Seeds are haematinic, bitter and acrid. Seed oil is styptic and depurative. Karanjin is the principle responsible for the curative properties of the oil. Bark is sweet, anthelmintic and elexteric.... indian beech

Hemidesmus indicus

Asclepiadaceae

San: Anantamulah, Sariba;

Hin: Anantamul, Magrabu;

Ben: Anantamul;

Mal: Nannari, Naruninti, Narunanti;

Tam: Nannari, Saribam;

Tel: Sugandipala;

Kan: Namadaballi

Importance: Indian Sarasaparilla or Country Sarasaparilla is a climbing slender plant with twining woody stems and a rust-coloured bark. The roots are useful in vitiated conditions of pitta, burning sensation, leucoderma, leprosy, skin diseases, pruritus, asthma, bronchitis, hyperdipsia, opthalmopathy, hemicrania, epileptic fits, dyspepsia, helminthiasis, diarrhoea, dysentery, haemorrhoids, strangury, leucorrhoea, syphilis, abcess, arthralgia, fever and general debility. The leaves are useful in vomiting, wounds and leucoderma. The stems are bitter, diaphoretic and laxative and are useful in inflammations, cerebropathy, hepatopathy, nephropathy, syphilis, metropathy, leucoderma, odontalgia, cough and asthma. The latex is good for conjunctivitis (Warrier et al, 1995). The important formulations using the drug are Saribadyasava, Pindataila, Vidaryadi lehya, Draksadi kasaya, Jatyadi ghrita, etc. (Sivarajan et al, 1994). The Hemidesmus root powdered and mixed with cow’s milk is given with much benefit in the case of strangury. In the form of syrup, it has demulcent and diuretic proportions. The root, roasted in plantain leaves, then beaten into a mass with cumin and sugar and mixed with ghee is a household remedy in genito-urinary diseases. The hot infusion of the root-bark with milk and sugar is a good alterative tonic especially for children in cases of chronic cough and diarrhoea (Nadkarni, 1998). It has been successfully used in the cure of venereal diseases where American Sarasaparilla (Aralia nudicaulis Linn.) has failed. Native doctors utilize it in nephritic complaints and for sore mouths of children (Grieve and Leyel, 1992).

Distribution: Hemidesmus is distributed throughout India, the Moluccas and Sri Lanka.

Botany: Hemidesmus indicus (Linn.) R. Br. syn. Periploca indica Linn. belongs to the family Asclepiadaceae. It is a perennial, slender, laticiferous, twining or prostrate, wiry shrub with woody rootstock and numerous slender, terete stems having thickened nodes. Leaves are simple, opposite, very variable from elliptic-oblong to linear-lanceolate, variegated with white above and silvery white and pubescent beneath. Flowers are greenish purple crowded in sub-sessile cymes in the opposite leaf-axils. Fruits are slender follicles, cylindrical, 10cm long, tapering to a point at the apex. Seeds are flattened, black, ovate-oblong and coma silvery white. The tuberous root is dark-brown, coma silvery white, tortuous with transversely cracked and longitudinally fissured bark. It has a strong central vasculature and a pleasant smell and taste (Warrier et al, 1995).

The Ayurvedic texts mention two varieties, viz. a krsna or black variety and a sveta or white variety (Aiyer, 1951) which together constitute the pair, Saribadvayam. The drug is known as Sariba. Svetasariba is H. indicus. Two plants, namely, Ichnocarpus fructescens (Apocynaceae) known as pal-valli in vernacular and Cryptolepis buchanani (Asclepidaceae) known as Katupalvalli (Rheeds, 1689) are equated with black variety or Krsnasariba (Chunekar, 1982; Sharma, 1983).

Agrotechnology: Hemidesmus is propagated through root cuttings. The root cuttings of length 3-5cm can be planted in polybags or in the field. They can be planted in flat beds or on ridges. Planting is done usually at a spacing of 50x20cm. Heavy application of organic manure is essential for good growth and root yield. Inorganic fertilizers are not usually applied. Frequent weeding and earthing up are required, as the plant is only slow growing. Provision of standards for twining will further improve the growth and yield of the plant.

Properties and activity: The twigs of the plant give a pregnane ester diglycoside named desinine. Roots give -sitosterol, 2-hydroxy-4-methoxy benzaldehyde, -amyrin, -amyrin and its acetate, hexatriacontane, lupeol octacosonate, lupeol and its acetate. Leaves, stem and root cultures give cholesterol, campesterol, -sitosterol and 16-dehydro-pregnenolone. Leaves and flowers also give flavonoid glycosides rutin, hyperoside and iso-quercitin (Husain et al,1992). “Hemidesmine”- a crystallizible principle is found in the volatile oil extracted from roots. Some suggest that it is only a stearoptene. It also contains some starch, saponin and in the suberous layer, tannic acid (Grieve and Leyel, 1992). The root is alterative, febrifuge, antileucorrhoeic, antisyphilitic, demulcent, diaphoretic, diuretic, tonic, galactogenic, antidote for scorpion-sting and snake-bite, antidiarrhoeal, blood purifier, antirheumatic and aperitive. Essential oil from root is anti-bacterial and the plant is antiviral (Husain et al, 1992).... indian sarasaparilla

The principal signs of trouble which has its origin in the intestine consist of pain somewhere about the abdomen, sometimes vomiting, and irregular bowel movements: constipation, diarrhoea or alternating bouts of these.

Several diseases and conditions are treated under separate headings. (See APPENDICITIS; CHOLERA; COLITIS; CONSTIPATION; CROHN’S DISEASE; DIARRHOEA; DYSENTERY; ENTERIC FEVER; HAEMORRHOIDS; HERNIA; INFLAMMATORY BOWEL DISEASE (IBD); ILEITIS; INTUSSUSCEPTION; IRRITABLE BOWEL SYNDROME (IBS); PERITONITIS; RECTUM, DISEASES OF; ULCERATIVE COLITIS.)

In?ammation of the outer surface is called peritonitis, a serious disease. That of the inner surface is known generally as enteritis, in?ammation of special parts receiving the names of colitis, appendicitis, irritable bowel syndrome (IBS) and in?ammatory bowel disease (IBD). Enteritis may form the chief symptom of certain infective diseases: for example in typhoid fever (see ENTERIC FEVER), cholera and dysentery. It may be acute, although not connected with any de?nite organism, when, if severe, it is a very serious condition, particularly in young children. Or it may be chronic, especially as the result of dysentery, and then constitutes a less serious if very troublesome complaint.

Perforation of the bowel may take place as the result either of injury or of disease. Stabs and other wounds which penetrate the abdomen may damage the bowel, and severe blows or crushes may tear it without any external wound. Ulceration, as in typhoid fever, or, more rarely, in TUBERCULOSIS, may cause an opening in the bowel-wall also. Again, when the bowel is greatly distended above an obstruction, faecal material may accumulate and produce ulcers, which rupture with the ordinary movements of the bowels. Whatever the cause, the symptoms are much the same.

Symptoms The contents of the bowel pass out through the perforation into the peritoneal cavity, and set up a general peritonitis. In consequence, the abdomen is painful, and after a few hours becomes extremely tender to the touch. The abdomen swells, particularly in its upper part, owing to gas having passed also into the cavity. Fever and vomiting develop and the person passes into a state of circulatory collapse or SHOCK. Such a condition may be fatal if not properly treated.

Treatment All food should be withheld and the patient given intravenous ?uids to resuscitate them and then to maintain their hydration and electrolyte balance. An operation is urgently necessary, the abdomen being opened in the middle line, the perforated portion of bowel found, the perforation stitched up, and appropriate antibiotics given.

Obstruction means a stoppage to the passage down the intestine of partially digested food. Obstruction may be acute, when it comes on suddenly with intense symptoms; or it may be chronic, when the obstructing cause gradually increases and the bowel becomes slowly more narrow until it closes altogether; or subacute, when obstruction comes and goes until it ends in an acute attack. In chronic cases the symptoms are milder in degree and more prolonged.

Causes Obstruction may be due to causes outside the bowel altogether, for example, the pressure of tumours in neighbouring organs, the twisting around the bowel of bands produced by former peritonitis, or even the twisting of a coil of intestine around itself so as to cause a kink in its wall. Chronic causes of the obstruction may exist in the wall of the bowel itself: for example, a tumour, or the contracting scar of an old ulcer. The condition of INTUSSUSCEPTION, where part of the bowel passes inside of the part beneath it, in the same way as one turns the ?nger of a glove outside in, causes obstruction and other symptoms. Bowel within a hernia may become obstructed when the hernia strangulates. Finally some body, such as a concretion, or the stone of some large fruit, or even a mass of hardened faeces, may become jammed within the bowel and stop up its passage.

Symptoms There are four chief symptoms: pain, vomiting, constipation and swelling of the abdomen.

Treatment As a rule the surgeon opens the abdomen, ?nds the obstruction and relieves it or if possible removes it altogether. It may be necessary to form a COLOSTOMY or ILEOSTOMY as a temporary or permanent measure in severe cases.

Tumours are rare in the small intestine and usually benign. They are relatively common in the large intestine and are usually cancerous. The most common site is the rectum. Cancer of the intestine is a disease of older people; it is the second most common cancer (after breast cancer) in women in the United Kingdom, and the third most common (after lung and prostate) in men. Around 25,000 cases of cancer of the large intestine occur in the UK annually, about 65 per cent of which are in the colon. A history of altered bowel habit, in the form of increasing constipation or diarrhoea, or an alternation of these, or of bleeding from the anus, in a middle-aged person is an indication for taking medical advice. If the condition is cancer, then the sooner it is investigated and treated, the better the result.... intestine, diseases of

Ruiz & Pav.

Family: Krameriaceae.

Habitat: Peru, Bolivia. Reported to be imported into India.

English: Peruvian Rhatany, Krameria.

Action: Astringent, styptic, antidiarrhoeal, vulnerary. Used for menorrhagia; topically for wounds, haemorrhoids and chilblains; as a lozenge, gargle or mouthwash for gingivitis and pharyngitis.

Key application: For topical treatment of mild inflammations of oral and pharyngeal mucosa. (German Commission E.)

The astringency of the drug is due to condensed tannins composed of pro- cyanidins and propelargondins.

In India, the roots of Hemidesmus indicus are sometimes used as a substitute for Rhatany.... krameria triandra

As a result of trauma. This is perhaps the simplest example of all, when, as a result of an accident involving a large artery, there is severe haemorrhage.

Menstruation. The regular monthly loss of blood which women sustain as a result of menstruation always puts a strain on the blood-forming organs. If this loss is excessive, then over a period of time it may lead to quite severe anaemia.

Childbirth. A considerable amount of blood is always lost at childbirth; if this is severe, or if the woman was anaemic during pregnancy, a severe degree of anaemia may develop.

Bleeding from the gastrointestinal tract. The best example here is anaemia due to ‘bleeding piles’ (see HAEMORRHOIDS). Such bleeding, even though slight, is a common cause of anaemia in both men and women if maintained over a long period of time. The haemorrhage may be more acute and occur from a DUODENAL ULCER or gastric ulcer (see STOMACH, DISEASES OF), when it is known as haematemesis.

Certain blood diseases, such as PURPURA and HAEMOPHILIA, which are characterised by bleeding.... loss of blood

(Linn.) M. J. Roem.

Synonym: L. aegyptiaca Mill. L. pentandra Roxb.

Family: Cucurbitaceae.

Habitat: Cultivated throughout greater parts of India.

English: Smooth Luffa, Sponge- gourd, sponge Cucumber.

Ayurvedic: Dhaamaargava, Ma- haakoshtaki, Mahaajaalini, Raa- jakoshataki.

Siddha/Tamil: Mozhukupeerankai, Pikku.

Action: Plant—used against pharyngitis, rhinitis, mastitis, oedema, swellings and burns. Leaves— used for chronic bronchitis. Leaf juice is given for amenorrhoea. Flowers—used for treating migraine. Seeds—alcoholic extract exhibited 9.80% fungitoxic activity.

German Commission E included Luffa aegyptiaca among unapproved herbs. Preparations of Luffa sponge, used as a preventive for infections or cold, as a remedy for colds, nasal catarrh as well as sinusitis and suppuration of the sinus, have been negatively evaluated.

The saponins isolated from aerial parts are effective in controlling obesity, also the side-effects of steroids.

The oleanane saponins, lucyoside AH (at least one component) is effective in preventing loss of hair.

Spongegourd extracts or saponins (ginsenosides and lucyosides) find application in topical medication for skin disorders and haemorrhoids. Lucyo- sides are also used as antitussive.

The roots of the mature plants contain an acidic pentacyclic triterpene, bryonolic acid. Bryonolic acid showed antiallergic and anti-inflammatory activity in experimental animals. An aqueous extract of seeds showed strong fibrinolytic activity. It also showed anticancer activity in transplanted tumours.

Dosage: Leaf, flower, fruit—10- 20 ml juice. (CCRAS.)... luffa cylindrica

Linn.

Synonym: M. neglecta Wall.

Family: Malvaceae.

Habitat: Simla, Kumaon and plains of North India.

English: Round-leaved Mallow, Drawf Mallow, Cheese Cake Flower.

Ayurvedic: Suvarchalaa.

Unani: Khubhaazi, Gul-Khair.

Action: Leaves—demulcent, emollient; used in glycosuria, stomach disorders and as emmenagogue; used as poultice for maturing abscesses. Seeds—demulcent; prescribed in bronchitis, cough, inflammation of the bladder and haemorrhoids.

Marshmallow (Althaea officinalis) is a different herb.... malva rotundifolia

Plumbago spp.

Plumbaginaceae

The genus Plumbago belonging to the family Plumbaginaceae is a popular and medicinally very important group of medicinal plants. Three species, namely P. rosea, P. zeylanica and P. auriculata have been identified. Among these P. rosea and P. zeylanica are important ones.

Plumbago, in general is an esteemed remedy for leucoderma and other skin diseases. The synonyms of fire like agnih, vahnih, etc. are attributed to this drug to indicate the very burning action of the root, causing blisters on the skin (daranah). The drug is used only after adequate curing and purification. Root is the officinal part and it enters into the composition of preparations like Citrakasavam, Dasamularista, Gulgulutiktaka kasaya, Yogarajachurna, etc.

1. P. rosea Linn. syn. P. indica Linn.

Eng: Rosy-flowered Leadwort; San: Citrakah, Dhahanah;

Hin: Lalcitra, Raktacitra;

Ben: Lalchita;

Mal: Kotuveli, Chettikkoduveli, Chuvannakotuveli;

Tam: Chenkotuveli, Cittiramulam;

Kan: Kempacitramula;

Tel: Yerracitramulam

Rosy-flowered leadwort or Fire plant is a native of Coromandel Coast. It is found throughout India, in moist situations as well as cultivated. The roots are useful in dyspepsia, colic, inflammations, cough, bronchitis, helmenthiasis, haemorrhoids, elephantiasis, chronic and intermittent fever, leprosy, leucoderma, ringworm, scabies, hepatosplenomegaly, amenorrhoea, odontalgia, vitiated conditions of vata, kapha and anaemia. It is a pretty subscandent perennial shrub with semi -woody striate stems and flexible branches. Leaves are simple, alternate oblong, short cuneate at the base passing into a very short amplexicaul, exauriculate, and reddish petiole. Flowers are bright red, arranged in long terminal spikes. The calyx ribs are covered with stipitate, bifarious and subsessile gland. Corolla tube is slender and four times as long as the calyx. The stout roots are cylindrical, irregularly bent, light yellowish brown with smooth surface having short transverse shallow fissures at the regions of the bents. A light yellowish juice excudes from the cut surface. A healthy plant may produce 18-20 stout roots (Warrier et al, 1995).

The chemical constituents include plumbagin and sitosterol glucoside. Clinical trials have demonstrated that plumbagin oil from P. indica is useful in common wart (Satyavati et al, 1987). The roots are acrid, astringent, thermogenic, anthelmintic, constipating, expectorant, antiinflammmatory, abortifacient, alterant, anti-periodic, carminative, digestive, sudorific, narcotic, gastric, nervous stimulant and rejuvenating. Root is a powerful sialogogue and vesicant.

2. P. zeylanica Linn.

Eng:White flowered Leadwort; San:Chitraka;

Hin, Ben:Chitarak, Chitra; Mal:Vellakotuveli

Tam: Sittragam, Chittiramoolam;

Kan: Vahini; Mar: Chitraka;

Tel: Chitramulam

White flowered Leadwort or Chitarak is found wild in peninsular India and mostly in West Bengal. Root is used externally in leprosy and other skin diseases or obstinate character, aphthae, abscesses, influenza, piles and anasarca. Juice is used externally in scabies and ulcers. One of the important preparations of Chitrak is “Yograjguggal”, prescribed for arthritis, rheumatism, etc. The other well known preparations are “Chitrak Adivati” and “ Chitraka Haritaki”. In Unani system it is an ingredient of “Aqaruva-i- Kabir”, “Hab Ashkhar”, “Ma’jun Baladur”, “Ma’jun Raig Mahi”, etc. It is a branched undershrub. Roots are long and tuberous. Stem is striate. Leaves are simple, alternate, short petioled, ovate or ovate-oblong, acute with entire or wavy margin, 7x3.8cm and glabrous. Flowers are white, arranged in terminal spikes. Calyx is tubular, glandular-hairy. Corolla tube is slender; limb rotate and 5 lobbed. Stamens are 5 on a disc. Style is slender with 5 stigmatic branches. Fruit is membranous capsule enclosed within the persistent calyx.

The roots of P. zeylanica have been exhaustively studied and naphthaquinones have been isolated, namely, plumbagin, 3-chlroplumbagin, droserone (Sidhu et al, 1971; Padhye et al, 1973), 3,3’-biplumbagin(Chitranone), zeylanone and iso-zeylanone and a coumarin, elliptinone (Sankaram et al, 1976, 1979). It also contains 1,2(3)-tetrahydro-3,3’-biplumbagin and plumbazeylanone. The leaf is antirheumatic. Root is appetiser, sudorific, relieves pain, vasicant, diuretic, caustic, antidiarrhoeal and expellent of phlegmatic tumours. Root is uterine stimulant. Root and fruits have antiimplantation activity. Plumbagin induces antiimplantation, has abortifacient and antiovulatory activity and causes selective testicular lesions in dogs. It is also a mitotic inhibitor. In lower concentration it behaves like a spindle, poison but in higher concentration it exhibits radiomimetic, nucleotoxic and cyclotoxic effects. It also has antibacterial, antifungal and anticoagulant activities and shows antagonism to amphetamine hyperactivity in mice.

3. P. auriculata Lam. syn. P. capensis

Eng: Blue flowered Leadwort;

Mal: Neelakotuveli

The blue flowered Leadwort is often grown in gardens throughout India (Moos, 1976; Chunekar, 1982; Sharma, 1983). It is a native of Cape Province in South Africa. It is a constituent of many Ayurvedic drugs (KAU, 1991). The plant is a subshrub growing to a height of 1-1.5m. Leaves are elliptic to obovate, 3-4 x 1.5-2cm. Inflorescence is a raceme of length 3-4cm. Corolla is blue to violet. Stamens are 5 in number. Flowers and fruits may be upto 12 in number (Matthew, 1995).

Agrotechnology: The plant is grown in tropical to subtropical ecosystems. Warm humid tropical climate is most suited. They come up well in almost all types of deep and well drained soils. It is propagated vegetatively by stem cuttings. Three stem cuttings of size 15cm long are planted in polybags of size 14x10cm. IAA and IBA treatments will improve rooting of cuttings. The land is to be ploughed well. About 4 tonnes of FYM are to be applied, mixed thoroughly and seed bed of size 50cm breadth, 1.5cm height and convenient length are to be prepared. On these beds pits are taken at a distance of 25cm and the rooted plants are transplanted from the polybags. Regular irrigation and weeding are to be carried out. In the second year with the onset of monsoon, seedbeds are again refreshed after adding about 4 tonnes of FYM. At the end of second year tubers are collected. Care should be taken to wear gloves, else the chemical plumbagin present in the roots will cause burning sensation. The collected tubers are washed, tied into bundles and marketed. Plumbago yields about 7-10t tubers/ha with good management (Prasad et al, 1997).... leadwort

Linn.

Family: Fabaceae.

Habitat: Ladakh, at 3,000-4,000 m, also cultivated.

English: Yellow Sweet Clover, Melilot.

Unani: Iklil-ul-Malik, Asaab-ul- Malik, Naakhunaa.

Action: Plant—astringent, wound healer, styptic, anti-inflammatory, sedative, mild analgesic, anticoagulant, spasmolytic. Flower and leaf—diuretic, analgesic, anti- inflammatory, smooth muscle relaxant, vasodilator. Seed—used in cold.

Key application: In chronic venous insufficiency. For supportive treatment of thrombophlebitis, haemorrhoids and lymphatic congestion. (German Commission E.) As venotonic, vulnerary. (The British Herbal Pharmacopoeia.)

The herb contains coumarin derivatives; flavonoid glycosides, including kaempferol and quercetin. Di- coumarol (melitoxin) is produced when fermentation takes place in me- lilot. Seeds gave canavanin and trigo- nelline. Reported poisonous to horses. The flowers contain the flavonoids, quercetin and myricetin besides kaem- pferol.

The herb has shown increase in venous reflux and improvement in lymphatic kinetics. Animal experiments show an increase in healing wounds. Flower and leaf extracts have shown analgesic activity, prolongation in pento-barbital-induced hypnosis time and smooth muscle relaxant activity in mice; also exhibited hypotensive and vasodilatory activity in rabbit. Dicoumarol is a potent anticoagulant.

In Europe and China, the plant extract is used for inflammations, arthritis, rheumatism, phlebitis, venous insufficiency, haemorrhoids, brachialgia and bronchitis.

The Red Clove is equated with Tri- folium pratense.... melilotus officinalis

Linn.

Family: Cucurbitaceae.

Habitat: Punjab, Gujarat, Dehra Dun and Andhra Pradesh.

English: Balsam Apple.

Ayurvedic: Jangali Karelaa.

Folk: Mokhaa. Chhochhidan (Gujarat).

Action: Fruit—applied to burns, haemorrhoids and chapped hands. Internally, cathartic, hypoglycaemic.

The plant contains a ribosome inactivating protein, momordin II. Metha- nolic extract of the aerial parts contains phenylpropanoid esters, verbas- coside, calceolarioside and rosmarinic acid. The esters exhibited antihyper- tensive, analgesic and antibacterial activities.... momordica balsamina

Harms.

Synonym: M. Toluiferum H. B. & K.

Family: Leguminosae.

Habitat: Indigenous To Venezuela, Columbia And Peru;. Grown In Lal Bagh Botanic Garden (Bangalore) And Kallar (Nilgiris).

English: Tolu Balsam Tree.

Action: Balsam—Antiseptic, Stimulant And Expectorant. Used As An Ingredient In Cough Mixtures, Also Used As An Inhalant In Cases Of Obstinate Catarrh.

Key Application ? Externally For Poorly Healing Wounds, For Burns, Decubitus Ulcers, Frost Bite, Ulcus Cruris, Bruises Caused By Prostheses, Haemorrhoids; As Antibacterial, Antiseptic And Antiparasitic (Especially For Scabies). (German Commission E.)

Balsam Contains Cinnamic Acid, Benzoic Acid And Their Esters.

Myroxylon Pereirae Kolotzsch (Lal Bagh Botanic Garden, Bangalore), Is The Source Of Peru Balsam. Used Externally In The Form Of An Ointment Or Tincture, As A Parasiticide In Scabies, Ringworm And Pediculosis And For Bed Sores And Chilblains. It Enters Into Suppositories Used In Hemorrhoids.... myroxylon balsamum

Mill.

Synonym: N. odorum Soland.

Family: Apocynaceae.

Habitat: Native of Mediterranean region; grown in Indian gardens.

English: Indian oleander, White oleander.

Ayurvedic: Karavira, Viraka, Ashva- maaraka, Hayamaaraka, Gauripush- pa, Divyapushpa, Shatakumbha, Siddhapushpa (white-flowered var.). Raktapushpa, Raktaprasava, Ravipriya (red-flowered var.)

Unani: Kaner Safed, Diflaa, Samm-ul-maar, Khar-zaharah.

Siddha/Tamil: Arali, Alari, Aatrulari, Karaviram.

Action: Root—resolvent and attenuant. A paste of the root is externally applied to haemorrhoids and ulcerations in leprosy. Paste of the root bark and leaves is used in ringworm and other skin diseases. An oil extracted from the root bark is used in skin diseases of scaly nature. Leaves—cardioactive (digitalis-like effect) and diuretic, anti-inflammatory, antifungal, insecticidal. Toxic.

The leaves contain several glyco- sides including glycosides of 8 beta- hydroxy-digitoxigenin. Cardenolide glycosides and pregnanolone glyco- sides have been isolated from roots.

The ethanolic extract of the flowers inhibits the growth of dermatophytes.

The plant shows antifungal activity against ringworm fungus, Microspo- rum nanum.

Dosage: Detoxified leaves—30— 125 mg powder (API, Vol. I); root— 30 mg—125 mg powder (API, Vol. III).... nerium indicum

Linn.

Family: Cucurbitaceae.

Habitat: Cultivated all over India for its fruits.

English: Bitter Gourd, Blsam Pear, Carilla.

Ayurvedic: Kaaravellaka, Kaaravella, Kaathilla, Sushaavi.

Unani: Karelaa.

Siddha/Tamil: Paakal, Paharkai.

Action: Seed/fruit—improves diabetic condition. Fruit—stomachic, laxative, antibilious, emetic, anthelmintic. Used in cough, respiratory diseases, intestinal worms, skin diseases, also for gout and rheumatism. Powdered fruit—applied to wounds and ulcers. Leaf— emetic, antibilious, purgative. Fruit, leaf and root—abortifacient. Leaf and seed—anthelmintic. Root— astringent; appled to haemorrhoids.

Immature fruits gave several nonbitter and bitter momordicosides. Fruits, seeds and tissue culture gave a polypeptide containing amino acids. Fruits also gave 5-hydroxytryptamine, charantin (a steroidal glucoside), dios- genin, cholesterol, lanosterol and beta- sitosterol. Bitter principles are cucur- bitacin glycosides.

Hypoglycaemic effects of the fruit have been demonstrated by blood tests in both humans and animal studies.

Researchers have warned that the fruit extract leads to a false negative test for sugar in the urine (due to its ability to maintain the indicator dye in the glucose oxidase strips and the alkaline copper salts in a reduced state).

Chronic administration of the fruit extract (1.75 g/day for 60 days) to dogs led to testicular lesions with mass atrophy of the spermatogenic elements. The extract reduced the testicular content of RNA, protein and sialic acid as also the acid-phosphatase activity. (Medicinal Plants of India, Vol. 2,1987, Indian Council of Medical Research, New Delhi.)

The fruits and seeds yielded a poly- peptide, p-insulin, which was considered similar to bovine insulin. (Fitoter- apia, 60,1989; Chem Abstr 112,1990.)

The seed and fruit contain an inhibitor of HIV, MAP-30 (Momordi- ca anti-HIV-protein) which exhibited antiviral and antitumour activity in vitro. (Chem Abstr, 113, 1990; ibid, 117, 1992.) Another protein, MRK-29, found in the seed and fruit of a smaller var. of Bitter Gourd found in Thailand, was found to inhibit HIV reverse transcriptase and to increase tumour necrosis factor (TNF). (Planta Med, 67, 2001; Natural Medicines Comprehensive Database, 2007.)

The seeds yield alpha-and beta- momorcharins (glycoproteins). When these glycoproteins were co-cultured with isolated hepatocytes, morphological changes in hepatocytes were observed, indicating hepatotoxicity. Another principle with antilipolytic and lipogenic activities, found along with the alpha-and beta-momorcharin in the seed extract, did not show toxic effect.

Vicine is the hypoglycaemic constituent in the seed. Pure vicine has been found to possess 32.6% hypogly- caemic activity as against 22.2% shown by fresh juice, when tested on albino rats. The vicine is non-haemolytic.

Dosage: Fresh fruit—10-15 ml juice (API, Vol. II); 10-20 ml juice (CCRAS.)... momordica charantia

Bentb. & Hook. f.

Synonym: Mammea longifolia Planch. & Triana.

Family: Guttiferae; Clusiaceae.

Habitat: Evergreen forests of Western India from Khandala southwards to Malabar and Coim- batore.

Ayurvedic: Surapunnaaga (Naa- gakeshara is equated with Mesua ferrea.)

Siddha/Tamil: Nagappu, Nagesarpu.

Folk: Laal-Naagakeshar. Surangi (Maharashtra).

Action: Flowerbuds—cooling, stomachic, analgesic, antibacterial; used for gastritis, haemorrhoids, blood diseases, leprosy, leucoder- ma.

Flower buds are popularly known as Naagakeshar.

Flowers exhibited potent hypoten- sive, anti-inflammatory and antispas- modic activity attributed to vitexin.

Leaves gave amentoflavone, querce- tin and vitexin as major constituents.... ochrocarpus longifolius

Linn.

Family: Paeoniaceae.

Habitat: Indigenous to Great Britain.

English: Paeony.

Unani: Ood Saleeb, Ood Gharqi.

Action: Root—antispasmodic, sedative, smooth muscle relaxant, vasodilatory, hypotensive, anti-inflammatory, analgesic, em- menagogue, hepatoprotective. Flower—used for diseases of mucous membranes, fissures, anal fissures associated with haemorrhoids, also for ailments of the respiratory tract, nervous conditions and skin diseases. Root— used for arthritis, neuralgia, neurasthenia, migraine, epilepsy, allergic disorders, whooping cough and painful spasms.

The herb gave monoterpene ester glucosides of the pinen-type (including paeoniflorin); anthocyanin including paeonin; tannins (pentagalloyl glucose); flavonoids including kaempferol glycosides.

Paeoniflorin shows a smooth muscle relaxant, vasodilatory, anti-inflammatory, immunostimulating and some CNS depressant activity in animal studies. Pentagalloyl glucose exhibited antiviral activity in animal studies in vitro against herpes simplex.

German Commission E included Paeony (flower and root) among un- approved herbs. The Pharmacopoeia of People's Republic of China indicates the use of the root in dementia, headache and vertigo. (WHO.)... paeonia officinalis

Linn. var. cuneata Engl.

Family: Araceae.

Habitat: Tropical and sub-tropical Asia, Africa and America.

English: Water Lettuce, Tropical Duckweed.

Ayurvedic: Jalakumbhi, Vaariparni, Vaarimuuli.

Siddha/Tamil: Agasatamarai.

Action: Whole plant and root— diuretic, used for dysuria. Leaf—an- titussive, demulcent, antidysenteric, externally applied to haemorrhoids, ulcers, skin diseases. Ash—applied to ringworm of the scalp.

The plant gave 2-di-C-glycosylfla- vones of vicenin and lucenin type, anthocyanin-cyanidin-3-glucoside, lu- teolin-7-glycoside and mono-C-glyco- sylflavones— vitexin and orientin.

Dosage: Plant—10-20 ml juice. (CCRAS.)... pistia stratiotes

Linn.

Family: Plumbaginaceae.

Habitat: Cultivated in gardens throughout India; also found wild in Peninsular India.

English: Ceylon Leadwort, Leadwort.

Ayurvedic: Chitraka, Agni, Vahni, Jvalanaakhya, Krshaanu, Hutaasha, Dahana, Sikhi.

Unani: Sheetraj Hindi. Siddha/Tamil: Chittramoolam.

Action: Root—intestinal flora normalizer, stimulates digestive processes; used for dyspepsia. Root paste is applied in order to open abscesses; a paste prepared with milk, vinegar or salt and water, is used externally in leprosy and other obstinate skin diseases. A cold infusion is used for influenza and black-water fever.

Key application: In sprue, malabsorption syndrome, piles and inflammatory diseases of ano-rectum. (The Ayurvedic Pharmacopoeia of India.)

The root yielded naphthoquinone derivatives, plumbagin being the most important active principle.

The root extract, after processing for plumbagin enhancement, has been used in a number of drug formulations for liver ailments. Experimentally, plumbagin prevented the accumulation of triglycerides in liver and aorta and regressed atheromatous plaques and abdominal aorta. The chloroform extract of the root showed significant activity against pencillin-resistant (also non-pencillin resistant) strains of Neisseria gonorrhoea. (The root is used for treating sexually transmitted diseases in traditional Indian medicine.)

In Siddha medicine, in Tamil Nadu, the plant is an ingredient in a number of drug formulations for treating cancers of the uterus, breast, lungs and oral cavity, in addition to haemorrhoids.

Plumbagin is abortifacient, antiovu- latory; causes selective testicular lesions in dogs; in lower doses it behaves like a spindle poison, in higher concentration exhibits radiomimetic nu- cleotoxic and cytotoxic effects.

Dosage: Detoxified root—1-2 g powder. (API, Vol. I.)... plumbago zeylanica

Linn.

Family: Salicaceae.

Habitat: Northwestern Himalaya at 1,200-3,000 m, also grown in avenues.

English: White Poplar.

Folk: Safedaa, Jangali Fraas.

Action: Bark—antirheumatic, anti-inflammatory, antibacterial, antipyretic, diuretic, febrifuge, stimulant, antiseptic. Used for arthritis, rheumatic affections, cystitis and other urinary diseases, stomach and liver disorders, anorexia and debility.

Key application: Unopened leaf- buds externally for haemorrhoids, frostbite and sunburn. (German Commission E.)

The bark contains glycosides, salicin and populin, erisin and tannin (5-9%). Salicin, a bitter tonic and antiperiod- ic, is used like quinine in intermittent fever, also in rheumatism.... populus alba

Another name for itching, it is a common symptom with many causes. It may accompany obvious skin disease such as URTICARIA, eczema (see DERMATITIS) or SCABIES. Pruritus may be systemic in origin and can be caused by advanced hepatic (liver) or renal (kidney) failure, uncontrolled DIABETES MELLITUS, or HYPERTHYROIDISM. It may be due to drugs and certain forms of malignancy – for example, Hodgkin’s disease (see LYMPHOMA). Anxiety or depression may also cause pruritus. Pruritus ani, itching round the ANUS, is a common troublesome condition: it may be caused by obsessive e?orts to keep this area clean; soft toilet paper and gentle cleansing once daily should be su?cient. A weak anal sphincter, skin tags, and HAEMORRHOIDS may also cause itching, and these conditions should be treated.

Treatment The ?rst aim is to identify and treat the cause, whether local or systemic. Once the cause has been dealt with, symptomatic treatment may be required to break the cycle of itching, scratching and itching; topical steroid ointments and occlusive dressings help to prevent scratching. For dry skin, emollients (see OINTMENTS) are useful. Local anaesthetics (see under ANAESTHESIA) provide relief but may cause allergic reactions, and systemic ANTIHISTAMINE DRUGS at night can help.... pruritus

Oliv.

Family: Fagaceae.

Habitat: Indigenous to Greece, Syria and Iran. Yields oak galls.

English: Oak galls, Aleppo galls, Mecca galls.

Ayurvedic: Maajuphalaka, Maayaaphala, Maayakku.

Unani: Maazu. Maaphal.

Siddha/Tamil: Maasikkaai.

Action: Astringent. Bark and fruits—used for eczema and impetigo. Galls—used for diseases of gums and oral cavity (diluted with toothpowder or paste; also as a gargle in nasal catarrh and sore throat. An ointment (1 in 4 parts of vaseline) is applied externally in haemorrhoids. Also included in breast and vaginal firming creams. A decoction of galls is used as an enema in prolapus of rectum.

Key application: Quercus robur L. bark—externally, in inflammatory skin diseases; internally in nonspecific, acute diarrhoea, and local treatment of mild inflammation of the oral cavity and pharyngeal region, as well as of genital and anal area. (German Commission E.)

The Ayurvedic Pharmacopoeia ofIn- dia recommends the gall in leucor- rhoea, dry and itching vagina; topically for dental inflammations.

The fruits gave amentoflavone hex- amethyl ether, isocryptomerin and beta-sitosterol.

The alcoholic extract of fruits showed 36% liver protection against carbon tetrachloride-induced toxicity at a dose of 800 mg/kg.

The galls contain 50-70% gallo tannic acid, gallic acid 2-4%, ellagic acid, nyctanthic acid, rubric acid, besides sugars, starch, an essential oil and an- thocyanins. Galls were also found to contain beta-sitosterol, amentoflavone, hexamethyl ether and isocryptomerin.

Quercus robur (English or European oak) is reported to be cultivated in Nil- giris. The bark contains 15-20% tannins consisting of phlobatannin, ellagi- tannins and gallic acid.

The bark is contraindicated in cardiac insufficiency and hypertonia; externally on broken skin. (Sharon M. Herr.)

Dosage: Gall—1-3 g powder. (API, Vol. IV.)... quercus infectoria

Mill.

Synonym: R. javanica Linn. R. semialata Murr. Brucea javanica (L.) Merill.

Family: Anacardiaceae.

Habitat: The temperate Himalayas from Kashmir to Bhutan at 1,3002,400 m.

Folk: Tatri, Arkhar (Punjab).

Action: Galls—astringent and expectorant. Used in ointments and suppositories employed in the treatment of haemorrhoids, swellings and wounds. Fruits— spasmolytic. Used for colic, diarrhoea and dysentery.

Dry galls contain 50 to 80% tannin (in the form of Gallo tannic acid); small amounts of fat, resin and gum. The stem-bark contains 10.5% tannin. The fruit contains tannin, gallic acid and potassium acid salts, together with small amounts of aluminium, calcium, magnesium and iron acid salts of malic, tartaric and citric acids.

The heartwood contained the flavo- noids, pongapin, tetramethoxyfisetin and demethoxykanugin, and a diben- zoylmethane, ovalitenone.

Rhus hookeri Sahni & Bahadur, synonym R. insignis Hk. f. is found in Sik- kim Himalaya from Nepal to Bhutan at 1,600-2,000 m and in Khasi Hills at 1,500 m. Juice of the plant is a powerful vesicant. The fruit contain a fat similar to that found in the fruit of R. javanica.... rhus chinensis

Linn.

Synonym: S. pumila Benth.

Family: Labiatae; Lamiaceae.

Habitat: Arid areas from Delhi westwards in Punjab and Rajasthan, and southwards in Gujarat and Maharashtra.

Unani: Tukhm-Malangaa.

Action: Seeds—used for diarrhoea, also in haemorrhoids.

Seeds yield mucilage and a gum which contain aldobiuronic acid and aldotriouronic acid.

The mucilage on hydrolysis yields D-galactose, L-arabinose, L-rhamnose and galacturonic acid.

The seeds of this plant are often confused with those of Lallemantia roye- leana Benth. which are also sold as Tukhm-Malangaa.... salvia aegyptiaca

The following are described under their separate dictionary entries: FAECES; HAEMORRHOIDS; FISTULA; DIARRHOEA; CONSTIPATION.

Imperforate anus, or absence of the anus, may occur in newly born children, and the condition is relieved by operation.

Itching at the anal opening is common and can be troublesome. It may be due to slight abrasions, to piles, to the presence of threadworms (see ENTEROBIASIS), and/or to anal sex. The anal area should be bathed once or twice a day; clothing should be loose and smooth. Local application of soothing preparations containing mild astringents (bismuth subgallate, zinc oxide and hamamelis) and CORTICOSTEROIDS may provide symptomatic relief. Proprietary preparations contain lubricants, VASOCONSTRICTORS and mild ANTISEPTICS.

Pain on defaecation is commonly caused by a small ulcer or ?ssure, or by an engorged haemorrhoid (pile). Haemorrhoids may also cause an aching pain in the rectum. (See also PROCTALGIA.)

Abscess in the cellular tissue at the side of the rectum – known from its position as an ischio-rectal abscess – is fairly common and may produce a ?stula. Treatment is by ANTIBIOTICS and, if necessary, surgery to drain the abscess.

Prolapse or protrusion of the rectum is sometimes found in children, usually between the ages of six months and two years. This is generally a temporary disorder. Straining at defaecation by adults can cause the lining of the rectum to protrude outside the anus, resulting in discomfort, discharge and bleeding. Treatment of the underlying constipation is essential as well as local symptomatic measures (see above). Haemorrhoids sometimes prolapse. If a return to normal bowel habits with the production of soft faeces fails to restore the rectum to normal, surgery to remove the haemorrhoids may be necessary. If prolapse of the rectum recurs, despite a return to normal bowel habits, surgery may be required to rectify it.

Tumours of small size situated on the skin near the opening of the bowel, and consisting of nodules, tags of skin, or cauli?ower-like excrescences, are common, and may give rise to pain, itching and watery discharges. These are easily removed if necessary. Polypi (see POLYPUS) occasionally develop within the rectum, and may give rise to no pain, although they may cause frequent discharges of blood. Like polypi elsewhere, they may often be removed by a minor operation. (See also POLYPOSIS.)

Cancer of the rectum and colon is the commonest malignancy in the gastrointestinal tract: around 17,000 people a year die from these conditions in the United Kingdom. Rectal cancer is more common in men than in women; colonic cancer is more common in women. Rectal cancer is a disease of later life, seldom affecting young people, and its appearance is generally insidious. The tumour begins commonly in the mucous membrane, its structure resembling that of the glands with which the membrane is furnished, and it quickly in?ltrates the other coats of the intestine and then invades neighbouring organs. Secondary growths in most cases occur soon in the lymphatic glands within the abdomen and in the liver. The symptoms appear gradually and consist of diarrhoea, alternating with attacks of constipation, and, later on, discharges of blood or blood-stained ?uid from the bowels, together with weight loss and weakness. A growth can be well advanced before it causes much disturbance. Treatment is surgical and usually this consists of removal of the whole of the rectum and the distal two-thirds of the sigmoid colon, and the establishment of a COLOSTOMY. Depending upon the extent of the tumour, approximately 50 per cent of the patients who have this operation are alive and well after ?ve years. In some cases in which the growth occurs in the upper part of the rectum, it is now possible to remove the growth and preserve the anus so that the patient is saved the discomfort of having a colostomy. RADIOTHERAPY and CHEMOTHERAPY may also be necessary.... rectum, diseases of

R. Br.

Family: Labiatae; Lamiaceae.

Habitat: Throughout the plains of India, up to 1,500 m in the hills.

Ayurvedic: Samudrashosha, Kammarkasa.

Folk: Bhuu-Tulasi.

Action: Plant—diuretic, an- thelmintic, astringent, demulcent. Leaves—used for toothache. Seeds—mucilaginous, used for diarrhoea, leucorrhoea, menorrhagia and haemorrhoids.

The plant contains flavones—nepe- tin and hispidulin and their gluco- sides. Flowers also contain nepetin. Sitosterol and oleanolic acid are also present. The seeds yield secoisolari- ciresinol diester.... salvia plebeia

Benth.

Family: Compositae; Asteraceae.

Habitat: The Western Himalayas and Kashmir at elevation of 3,0003,900 m.

Folk: Poshkar, Hatermuula (Kashmir).

Action: Root—nervine tonic. Used as an adulterant of Saussurea lappa.

Whole plant extract gave senecio- nine.

Habitat: The Nilgiris and Uttar Pradesh. Introduced into Indian gardens

English: Groundsel.

Action: Formerly used as a diuretic, diaphoretic and emmenagogue, in dysmenorrhoea and bilious pains. No more recommended for internal use due to high concentration of hepatotoxic alkaloids. Infusion is used as a lotion in chronic mastitis, gout and haemorrhoids. Extracts of the plant are haemostatic.

From the dried plant material alkaloids (0.053-00.095%) have been isolated, including, seneciphylline, sene- cionine and retrorsine. Senecionine and retrorsine have been demonstrated to induce hepatic necrosis in experimental animals. The plant contains 950 mcg/kg of iodine on fresh basis.

A related species used in Western herbal, Senecio aureus Linn. (Golden Groundsel, Squaw Weed) is a uterine relaxant, stimulant to gravid uterus and a soothing drug for nervous and vascular irritability, menopausal symptoms, hot flushes. Alkaloids include senecifo- line, senescine, senecionine and otose- nine—pyrrolizidine alkaloids, in isolation, are highly toxic to liver. The plant is recommended only for external use as a douche for excessive vaginal discharge.... senecio jacquemontianus

Shepherd’s Purse tea is made from a medicinal plant used traditionally in easing menstrual symptoms, treating water retention, dysentery and eye afflictions. It has the property of enhancing coagulation and constricting blood vessels. The plant has small white flowers, pointed, arrow-shaped leaves and gets its name from the resemblance of its heart-shaped seed-pouches with an old-fashioned leather purse. Shepherd’s Purse Tea Brewing In order to brew Shepherd’s Purse tea, you must bring 300 ml of water to a boil, add 10 grams of the herb and let it steep for 30 minutes, then drain it. Shepherd’s Purse Tea Health Benefits Shepherd’s Purse tea is reputed for its ability to stop internal and external bleeding. In Europe, people have been using the beverage to stop stomach haemorrhage and to treat urinary tract bleeding. Midwives used it to prevent post-partum bleeding. Shepherd’s Purse tea has anti-inflammatory properties which may account for its traditional use in the treatment of haemorrhoids and wounds. Shepherd’s Purse tea is also an effective natural remedy for blood pressure problems or irregular heartbeat. It can be applied externally on wounds and burns. Shepherd’s Purse Tea Side Effects There are no reported side effects ofShepherd’s Purse tea consumption, but it is advisable to ask the opinion of a specialist before drinking it, especially if you are taking any medications. Excessive intake of this beverage may interfere with blood pressure and thyroid drugs. Pregnant women are not advised to consume Shepherd’s Purse tea, because it can cause uterine contractions and miscarriage. People suffering from kidney or liver diseases should also avoid Shepherd’s Purse tea.... shepherd`s purse tea

Burm. f.

Synonym: S. carpinifolia auct. non Linn f.

Family: Malvaceae.

Habitat: Throughout the warmer parts of India.

English: Hornbeam-Leaved Sida.

Ayurvedic: Balaa (white-flowered var.).

Folk: Jangali Methi.

Action: Root—astringent, cooling, stomachic, febrifuge, diuretic; used for nervous and sexual debility, haemorrhoids, biliary disorders. Leaves—demulcent; applied to testicular swellings and elephantiasis.

The root contains alkaloids—phen- ethylamine, ephedrine (major), si- ephedrine, vasicinol, vasicinone, va- sicine, choline, hypaphorine and betaine. (These alkaloids are also present in aerial parts.) The root also contains alpha-amyrin and an hormone, ecdys- terone. Whole plant, as well as the root, contains an alkaloid cryptolepine. Cryptolepine exhibits hypotensive and antimicrobial activity.

The seeds contain 0.26% of the alkaloids and roots 0.066%.

The water-soluble portion of the alcoholic extract of the plant exerts spasmodic action of the smooth muscles of ileum, trachea, uterus and heart of experimental animals. (The activity bears similarity to that of acetylcholine.)... sida acuta

(L.) Gaertn.

Habitat: Western Himalayas at 1,800 and Kashmir at 2,400 m, also grown in gardens.

English: Holy Thistle, Milk Thistle.

Action: Seeds—liver protective, gallbladder protective, antioxidant. Used in jaundice and other biliary affections, intermittent fevers, uterine trouble, also as a galactagogue. Alcoholic extract used for haemorrhoids and as a general substitute for adrenaline. Seeds are used for controlling haemorrhages. Leaves—sudorific and aperient. Young leaves and flowering heads are consumed by diabetics.

Key application: In dyspeptic complaints. As an ingredient of formulations for toxic liver damage; chronic inflammatory liver disease and hepatic cirrhosis induced by alcohol, drugs or toxins. (Expanded Commission E Monographs, WHO.)

The seeds gave silymarin (flavanol lignin mixture), composed mainly of silybin A, silybin B (mixture known as silibinin), with isosilybin A, isosilybin B, silychristin, silydianin. In Germany, Milk Thistle has been used extensively for liver diseases and jaundice. Sily- marin has been shown conclusively to exert an antihepatotoxic effect in animals against a variety of toxins, particularly those of death cap mushroom, Amanita phalloides. Silybin, when given by intravenous injection to human patients up to 48 hours after ingestion of the death cap, was found to be highly effective in preventing fatalities.

Silymarin has been used successfully to treat patients with chronic hepatitis and cirrhosis; it is active against hepatitis B virus, and lowers fat deposits in the liver in animals.

(For hepatic cirrhosis: 420 mg per day; for chronic active hepatitis 240 mg twice daily—extract containing 7080% silimarin.)... silybum marianum

Linn.

Family: Rosaceae.

Habitat: Native to Europe and Asia; distributed in temperate Himalayas from Kashmir to Kumaon.

English: European Mountain Ash, Rowan tree, Mountain Ash Berry.

Folk: Battal (Punjab), Syaar (Garhwal).

Action: Fruits—antiscorbutic, depurative, diuretic, astringent, aperient, emmenagogue. An infusion is given in haemorrhoids, strangury and irritation of bladder; for disorders of the uric acid metabolism, for dissolution of uric acid deposits; and for alkalization of the blood ("blood purification"). (Seeds contain cyanogenic acid; should be removed before the fruit is used.) Leaves—laxative; used as a pectoral in cough and bronchitis. Bark—astringent. Decoction is given in diarrhoea. (It is said to produce irritation of the alimentary mucous membrane.)

Included among unapproved herbs by German Commission E.

The fruit gave ursolic acid, parasor- boside, quercetin, iso-quercetin, rutin and anthocyanins.

Candied fruit may contain 3040 mg/100 g of vitamin C and concentrates up to 240 mg/100 g. Fresh fruit contains vitamin C 39-74 mg, carotene 6.2-9.8 mg/100 g.

Amygdalin (34.27-61.70 mg/100 g) and hydrocyanic acid (2.02-3.72 mg/ 100 g) are reported to be present in frozen fruit.

Leaves, buds, young twigs and bark contain amygdalin; tannin (4.47%); triterpenoids; sorbose, sorbitol and sorbic acid.... sorbus aucuparia

Linn.

Synonym: Borreria articularis (Linn. f.) F.N. Williams. Borreria hispida (L.) K. Schum. Spermacoce articularis L. f.

Family: Rubiaceae.

Habitat: The Himalaya, from Simla westwards to Assam and southwards to Kanyakumari.

Ayurvedic: Madana Ghanti.

Siddha/Tamil: Nellichoori.

Action: Leaves—an extract is given as an astringent in haemorrhoids and gall stones. Seeds—demulcent; given in diarrhoea and dysentery. Root—prescribed as a mouthwash to cure toothache. A decoction of the herb is used in the treatment of headache.

The weed is rich in calcium and phosphorus; contains beta-sitosterol, ursolic acid and D-mannitol.

The plant gave alkaloid borreline, along with beta-sitosterol, ursolic acid and iso-rhamnetin.... spermacoce hispida

Acorus calamus

Araceae

San: Vaca, Ugragandha, Bhadra;

Hin: Bacc, Gorbacc;

Ben: Bach; Mal:Vayampu;

Tam: Vasampu;

Kan: Bajai;

Tel: Vasa Vadaja

Importance: The sweet flag is an important medhya drug, capable of improving memory power and intellect. It is used in vitiated conditions of vata and kapha, stomatopathy, hoarseness, colic, flatulence, dyspepsia, helminthiasis, amenorrhoea, dismenorrhoea, nephropathy, calculi, strangury, cough, bronchitis, odontalgia, pectoralgia, hepatodynia, otalgia, inflammations, gout, epilepsy, delirium, amentia, convulsions, depression and other mental disorders, tumours, dysentery, hyperdipsia, haemorrhoids, intermittent fevers, skin diseases, numbness and general debility. It is reportedly useful in improving digestion, clearing speech and curing diarrhoea, dysentery, abdominal obstruction and colic. It is also useful in infantile fever, cough bronchitis and asthma. The drug is reported to cure hysteria, insanity and chronic rheumatic complaints. The rhizome is an ingredient of preparations like Vacaditaila, Ayaskrti, Kompancadi gulika, Valiya rasnadi kashaya, etc.

Distribution: The plant is a native of Europe. It is distributed throughout the tropics and subtropics, especially in India and Sri Lanka. It is found in marshes, wild or cultivated, ascending the Himalayas upto 1800m in Sikkim. It is plentiful in marshy tracts of Kashmir and Sirmoor, in Manipur and Naga Hills.

Botany: Acorus calamus Linn. belonging to the family Araceae is a semi -aquatic rhizomatous perennial herb. Rhizome is creeping, much branched, cylindrical or slightly compressed, light brown or pinkish brown externally, white and spongy within. Leaves are bright green, distichous, ensiform, base equitant, thickened in the middle and with wavy margins. Flowers are light brown and densely packed in sessile cylindric spadix. Fruits are oblong, turbinate berries with a pyramidal top. Seeds are few and pendant from the apex of the cells (Warrier et al, 1993).

Another species belonging to the genus Acorus is A. gramineus Soland, the roots of which are used in tonic, antiseptics and insecticidal preparations (Chopra et al, 1956).

Agrotechnology: Acorus is a hardy plant found growing from tropical to subtropical climates. It needs a good and well distributed rainfall throughout the year. It needs ample sunlight during the growth period as well as after harvest for drying the rhizomes. It may be cultivated in any good but fairly moist soil. It is usually grown in areas where paddy can be grown. It comes up well in clayey soils and light alluvial soils of river bank. The field is laid out and prepared exactly as for rice, irrigated sufficiently and after ploughing twice, watered heavily and again ploughed in the puddle. Sprouted rhizome pieces are used for planting and pressed into the mud at a depth of about 5cm at a spacing of 30x30cm. The rhizomes are planted in such a way that the plants in the second row comes in between the plants of the first row and not opposite to them. FYM is to be applied at 25t/ha. Fertilisers are applied at 25:50:60 kg N:P2O5:K2O/ha/yr. Whole of FYM and 1/3 of N, P2O5 and K2O are to be added in the field during March - April as a basal dose. The remaining 2/3 of nutrients is to be given in two equal split doses at 4 months and 8 months after planting. The field is to be regularly irrigated. About 5 cm of standing water is to be maintained in the field in the beginning. Later, it is to be increased to 10 cm as the plant grows. The field is to be regularly weeded. About 8 weedings are to be carried out in all. At each weeding the plants are pressed into the soil. The plant is attacked by mealy bugs. Both shoot and root mealy bugs can be controlled by spraying the shoot and drenching the roots of grown up plants with 10 ml Methyl parathion or 15ml Oxydemeton methyl or 20ml Quinalphos in 10 litres of water. The crop is ready for harvest at the end of first year. The field is to be dried partially so that sufficient moisture is left in the soil to facilitate deep digging. The leaves start turning yellow and dry, indicating maturity. The rhizome will be at a depth of 60cm and having about 30-60cm spread. Therefore, harvesting is to be done carefully. The rhizomes are to be cut into 5-7.5cm long pieces and all the fibrous roots are to be removed. Yield of rhizome is about 10t/ha (Farooqi et al, 1991).

Properties and Activity:Rhizomes, roots and leaves yield essential oil. The important constituents of the Indian oil are asarone and its -isomer. Other constituents are and -pinene, myrcene, camphene, p-cymene, camphor and linalool, sesquiterpenic ketones like asarone, calamone, calacone, acolamone, iso-acolamone, acoragermacrone, epishyobunone, shyobunone and iso- shyobunone. Alcohol present is preisocalamendiol. Sesquiterpene hydrocarbons like elemene, elemane and calarene are also present. Tricyclic sesquiterpenes present are caryophyllene, humulene, guaiene, S-guaizulene, arcurcumene, -cadinene, cadinane, calamenene, calacorene, dihydrocalacorene(calamenene), cadalene and selinene. Roots yield acoric acid as a main constituent in addition to choline. Plant also yields a flavone diglycoside- luteolin 6,8-C-diglucoside.

-asarone is the ma jor constituent of essential oil from rhizome (Dandiya et al, 1958,1959; Raquibuddoula, 1967).

Rhizome is insecticidal, pisicidal, spasmolytic, hypothermic, CNS active and analgesic. Essential oil is anticonvulsant. Rhizome is acrid, bitter, thermogenic, aromatic, intellect promoting, emetic, laxative, carminative, stomachic, anthelmintic, emmenagogue, diuretic, alexeteric, expectorant, anodyne, antispasmodic, aphrodisiac, antiinflammatory, sudorific, antipyretic, sialagogue, insecticidal, tranquillizer, sedative, analgesic, antithermic, antiasthmatic, hypotensive, respiratory depressant, aperitive and tonic.... sweet flag

Soland. ex Correa.

Synonym: Hibiscus populneus Linn.

Family: Malvaceae.

Habitat: Coastal regions of India and the Andamans; and also grown as an ornamental.

English: Portia tree, Tulip tree, Umbrella tree, False Rosewood.

Ayurvedic: Paarisha, Kapitana, Paarshvpippala, Gardabhaanda.

Siddha: Poovarsu.

Action: Specific for skin diseases. Root, fruit and leaf—used in psoriasis, scabies and other cutaneous diseases. Lupenone, lupeol and alkanes show activity against both Gram-positive and Gram-negative bacteria. Bark— used for the treatment of haemorrhoids and chronic dysentery. Leaf— anti-inflammatory.

The flowers gave populnetin, herba- cetin, populneol, quercetin and its gly- cosides, kaempferol and its glycosides, rutin, gossypol, beta-sitosterol and its glycosides, nonacosane, lupenone, myricyl alcohol, lupeol and gossypetin.

Presence of thespesin (0.4%) and herbacetin has been reported from fruits. Thespesin has been proved to be optically active gossypol. Gossypol occurring in cotton plant is optically inactive, whereas the gossypol from T. populnea has a high dextro-rotation. It exhibits antifertility, anti-tumour, anti-amoebic and anti-HIV activities.

The ethanolic extract of fruits showed antiviral and anticancer activity in mice.

Dosage: Root—50-125 mg powder. (CCRAS.)... thespesia populnea

(L.) Schott.

Family: Araceae.

Habitat: Peninsular India, and from Yamuna eastwards; also grown in South India.

Siddha/Tamil: Karu Karunai Kizhangu, Karunai Kizhangu.

Action: Tuber—applied as poultice on scirrhous tumours (fresh tuber is very acrid and a powerful stimulant). Eaten with bananas, the tubers relax the bowels and provide relief in haemorrhoids (tubers become innocuous on heating or drying).

The tubers contain carotene, folic acid, niacin, thiamine, sterols and beta- sitosterol.... typhonium trilobatum

This occurs when URINE is produced by the kidneys but not voided by the bladder. It is generally less serious than ANURIA, in which urine is not produced.

Causes Neurological injury, such as trauma to the spinal cord, may cause bladder weakness, leading to retention, although this is rare. Obstruction to out?ow is more common: this may be acute and temporary, for example after childbirth or following surgery for piles (HAEMORRHOIDS); or chronic, for example, with prostatic enlargement (see PROSTATE GLAND). Commonly seen in elderly men, this leads to reduced bladder capacity, with partial emptying every few hours. Total retention is rare, but may result from a stricture, or narrowing, of the URETHRA (see also URETHRA, DISEASES OF AND INJURY TO) – usually the result of infection or injury – or to pressure from a large neighbouring tumour.

Retention is generally treated by regular use of a urethral catether (see CATHETERS), various types of which are available. Tapping of the bladder with a needle passed above the pubis is rarely necessary, but may occasionally be required in cases of severe stricture.... urine retention

Linn.

Family: Vitaceae.

Habitat: A woody, shrubby vine, cultivated in Punjab, Rajasthan, Delhi, Uttar Pradesh Maharashtra, Karnataka, Andhra Pradesh and Tamil Nadu for edible fruits.

English: Wine Grape, European Grape. (Chinese: P'u-t'ao.)

Ayurvedic: Draakshaa, Go-stani, Mrdvikaa. Dehydrated fruit— Daakh, Munnakaa, Kishmish.

Unani: Angoor. Dehydrated fruit—Daakh, Maweez, Zabeeb, Munaqqaa, Kishmish.

Siddha: Draksha.

Action: Dried fruits, seedless— nourishing and invigorating. Used in prescriptions for cough, respiratory tract catarrh, subacute cases of enlarged liver and spleen; and in alcohol-based tonics (Aasavs).

The Ayurvedic Pharmacopoeia ofIn- dia recommends dried mature fruits (5-10 g) in anaemia, jaundice, dyspepsia, constipation, haemorrhagic diseases, gout, cough, dyspnoea, and alcoholism.

Grape vine contains flavonoids, tannins, tartrates, inositol, carotenes, cho- line and sugars. The fruit contains tar- taric and malic acids, sugars, pectin, tannin, flavone glycosides, vitamins A, B1, B2, C and minerals; anthocyanins in red leaves and red grapes. Antho- cyanins reduce capillary permeability. Red leaves are astringent and anti- inflammatory; an infusion is used for diarrhoea, heavy menstrual bleeding and uterine haemorrhage; also in the treatment of varicose veins and haemorrhoids.

Oligomeric proanthocyanidin extract of the seed is used in atherosclerosis due to its free radical scavenging ability, also in venous insufficiency, night vision, oedema due to injury and post surgery oedema.

Proanthocyanidin extract decreased hepatotoxicity of acetaminophen in mice. Grape polyphenols, extracted from skin and seeds decreased hepatic injury from alcohol, but had no effect on ethanol-induced lipid changes in rats. (Sharon M. Herr.)

Dosage: Dried mature fruits—5-10 g. (API, Vol. III.)... vitis vinifera

Veins are the blood vessels that convey blood back from the tissues towards the heart. Two common conditions that affect them are THROMBOSIS and varicosities (see below).

Varicose veins are dilated tortuous veins occurring in about 15 per cent of adults – women more than men. They most commonly occur in the legs but may also occur in the anal canal (HAEMORRHOIDS) and in the oesophagus (due to liver disease).

Normally blood ?ows from the subcutaneous tissues to the super?cial veins which drain via perforating veins into the deep veins of the leg. This ?ow, back towards the heart, is aided by valves within the veins. When these valves fail, increased pressure is exerted on the blood vessels leading to dilatations known as varicose veins.

Treatment is needed to prevent complications such as ulceration and bleeding, or for

cosmetic purposes. Treatment alternatives include injection with sclerosing agents to obliterate the lumen of the veins (sclerotherapy), or surgery; in the elderly or un?t, an elastic stocking may su?ce. One operation is the Trendelenburg operation in which the saphenous vein is disconnected from the femoral vein and individual varicose veins are avulsed. (See also VASCULITIS.)

Thrombosis Thrombosis occurs when blood, which is normally a liquid, clots within the vein to form a semisolid thrombus (clot). This occurs through a combination of reduced blood ?ow and hypercoagulability (a reduced threshold for clotting). The most common site for this to occur is in the deep veins of the leg, where it is known as a deep-vein thrombosis (DVT).

Predisposing factors include immobility (leading to reduced blood ?ow), such as during long journeys (e.g. plane ?ights) where there is little opportunity to stretch one’s legs; surgery (leading to temporary post-operative immobility and hypercoagulability of blood); oestrogen administration (low-dose oestrogen oral contraceptives carry a very low relative risk); and several medical illnesses such as heart failure, stroke and malignancy.

Deep-vein thrombosis presents as a tender, warm, red swelling of the calf. Diagnosis may be con?rmed by venogram (an X-ray taken following injection of contrast medium into the foot veins) or by ultrasound scanning looking for ?ow within the veins.

Prevention is important. This is why patients are mobilised and/or given leg exercises very soon after an operation, even major surgery. People should avoid sitting for long periods, particularly if the edge of the seat is hard, thus impeding venous return from the legs. Car drivers should stop regularly on a long journey and walk around; airline travellers should, where possible, walk round the aisle(s) and also exercise and massage their leg muscles, as well as drinking ample non-alcoholic ?uids.

Diagnosis and treatment are important because there is a risk that the clotted blood within the vein becomes dislodged and travels up the venous system to become lodged in the pulmonary arteries. This is known as PULMONARY EMBOLISM.

Treatment is directed at thinning the blood with ANTICOAGULANTS, initially with heparin and subsequently with WARFARIN for a period of time while the clot resolves.

Blocked super?cial veins are described as super?cial thrombophlebitis, which produces in?ammation over the vein. It responds to antiin?ammatory analgesics. Occasionally heparin and ANTIBIOTICS are required to treat associated thrombosis and infection.... veins, diseases of

The most common form of anaemia caused by a deficiency of iron, an essential constituent of haemoglobin. The main cause of iron-deficiency anaemia is iron loss due to heavy or persistent bleeding; the most common cause in women of childbearing age is menstruation. Other causes include blood loss from the digestive tract due to disorders such as erosive gastritis, peptic ulcer, stomach cancer, inflammatory bowel disease, haemorrhoids, and bowel tumours (see colon, cancer of). Prolonged use of aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) can cause gastrointestinal bleeding. In some countries, hookworm infestation of the digestive tract is an important cause of anaemia. Rarely, bleeding may also occur as a result of disorders of the urinary tract (such as kidney tumours or bladder tumours).

Iron deficiency may also be caused or worsened by lack of iron in, or its poor absorption from, the diet.

The symptoms are those of the underlying cause, along with a sore mouth or tongue, and those common to all forms of anaemia, such as fatigue and breathlessness. The diagnosis is made from blood tests and tests to look for an underlying cause. Treatment is given for the cause, along with a course of iron tablets or, very rarely, injections.... anaemia, iron-deficiency

Most anal disorders affect adults and are minor, but they may cause discomfort.

Rarely, the anus may fail to develop normally and surgical treatment is needed (see anus, imperforate).

In anal stenosis, the anus is too narrow to allow the passage of faeces.

Anal fissures originate from tears in the lining of the anus, usually as a result of straining to pass faeces.

Cancer of the skin around the anus is rare (see anus, cancer of).

Haemorrhoids are enlarged blood vessels under the anal lining.

An anal fistula is an abnormal channel connecting the anal canal with the skin surrounding the anus.

Itching of the anus is common and may be due to haemorrhoids or other disorders such as threadworm infestation.... anus, disorders of

Several diseases are linked with diet. Diseases due to a deficiency are rare in developed countries, but many disorders are due partly to overconsumption of certain foods. A diet high in fats may contribute to atherosclerosis and heart disease. A high-fat diet has also been linked with cancer of the bowel (see colon, cancer of) and breast cancer. Obesity increases the risk of many other disorders, including diabetes mellitus and stroke.

Overconsumption of alcohol can lead to various alcohol-related disorders. A high salt intake predisposes a person towards hypertension. Some components of the diet protect against disease. For example, fibre protects against diverticular disease, chronic constipation, and haemorrhoids.

Many people’s diets contain too few natural vitamins. Pregnant women need high intakes of folic acid to reduce the risk of neural tube defects.

Although many illnesses are commonly ascribed to food allergy, it is only rarely that a definite link is proved. (See also nutritional disorders).... diet and disease

Faeces that differ from normal in colour, odour, consistency, or content. Abnormal faeces may indicate a disorder of the digestive system or related organ, such as the liver, but a change in the character of faeces is most often due to a change in diet.

Diarrhoea may be due simply to anxiety or may be caused by an intestinal infection (see gastroenteritis); by an intestinal disorder such as ulcerative colitis or Crohn’s disease; or by irritable bowel syndrome. Loose stools may indicate malabsorption. Constipation is generally harmless but, if it develops unexpectedly, may be caused by a large-intestine disorder such as colon cancer.

Pale faeces may be caused by diarrhoea, a lack of bile in the intestine as a result of bile duct obstruction, or a disease that causes malabsorption (such as coeliac disease). Such faeces may be oily, foul-smelling, and difficult to flush away. Dark faeces may result from taking iron tablets. However, if faeces are black, there may be bleeding in the upper digestive tract.

Faeces containing excessive mucus are sometimes associated with constipation or irritable bowel syndrome. Enteritis, dysentery, or a tumour of the intestine (see intestine, tumours of) may result in excess mucus, which is often accompanied by blood.

Blood in the faeces differs in appearance depending on the site of bleeding. Bleeding from the stomach or duodenum is usually passed in the form of black, tarry faeces. Blood from the colon is red and is usually passed at the same time as the faeces. Bleeding from the rectum or anus, which may be due to tumours or to haemorrhoids, is usually bright red. (See also rectal bleeding.)... faeces, abnormal

An intense irritation or tickling sensation in the skin. Generalized itching may result from excessive bathing, which removes the skin’s natural oils and may leave the skin excessively dry. Some people experience general itching after taking certain drugs. Many elderly people suffer from dry, itchy skin, especially on their backs. Itching commonly occurs during pregnancy.

Many skin conditions, including chickenpox, urticaria (nettle rash), and eczema, produce an itchy rash. Generalized skin itchiness can be a result of diabetes mellitus, kidney failure, jaundice, and thyroid disorders.

Pruritus ani (itching around the anal region) occurs with haemorrhoids and anal fissure. Threadworm infestation is the most likely cause of anal itching in children. Pruritus vulvae (itching of the external genitalia in women) may be due to candidiasis, hormonal changes, or to use of spermicides or vaginal ointments and deodorants. Insect bites, lice, and scabies infestations cause intense itching.

Specific treatment for itching depends on the underlying cause. Cooling lotions, such as calamine, relieve irritation; emollients reduce dryness.... itching

The period from conception to birth. Pregnancy begins with the fertilization of an ovum (egg) and its implantation. The egg develops into the placenta and the embryo, which grows to form the fetus. Most eggs implant into the uterus. Very occasionally, an egg implants into an abnormal site, such as a fallopian tube, resulting in an ectopic pregnancy.

A normal pregnancy lasts around 40 weeks from the first day of the woman’s last menstrual period. It is divided into 3 stages (trimesters) of 3 months each. For the first 8 weeks of pregnancy, the developing baby is called an embryo; thereafter it is called a fetus.

In the 1st trimester the breasts start to swell and may become tender. Morning sickness is common. The baby’s major organs have developed by the end of this stage. During the 2nd trimester, the mother’s nipples enlarge and darken and weight rises rapidly. The baby is usually felt moving by 22 weeks. During the 3rd trimester, stretch marks and colostrum may appear, and Braxton Hick’s contractions may be felt. The baby’s head engages at about 36 weeks.

Common, minor health problems during pregnancy include constipation, haemorrhoids, heartburn, pica, swollen ankles, and varicose veins. Other common disorders include urinary tract infections, stress incontinence (see incontinence, urinary), and candidiasis.Complications of pregnancy and disorders that affect it include antepartum haemorrhage; diabetic pregnancy; miscarriage; polyhydramnios; pre-eclampsia; prematurity; and Rhesus incompatibility. (See also childbirth; fetal heart monitoring; pregnancy, multiple.)... pregnancy

The passage of blood from the rectum or anus. The blood may be red, dark brown, or black. It may be mixed with, or on the surface of, faeces or passed separately, and there may be pain. Haemorrhoids are the most common cause of rectal bleeding. Small amounts of bright red blood appear on the surface of faeces or on toilet paper. Anal fissure, anal fistula, proctitis, or rectal prolapse may also cause rectal bleeding.Cancer of the colon (see colon, cancer of) or the rectum (see rectum, cancer of), or polyps can also cause bleeding. Disorders of the colon such as diverticular disease may cause dark red faeces. Black faeces (melaena) may be due to bleeding high in the digestive tract. Bloody diarrhoea may be due to ulcerative colitis, amoebiasis, or shigellosis. Diagnosis may be made from a rectal examination, from proctoscopy, sigmoidoscopy, colonoscopy, or a double-contrast barium X-ray examination.

rectal examination Examination of the anus and rectum, performed as part of a general physical examination, to assess symptoms of pain or changes in bowel habits, and to check for the presence of tumours of the rectum or prostate gland. rectal prolapse Protrusion outsid.

nent in elderly people. If the prolapse is large, leakage of faeces may occur.

Treatment is with a fibre-rich diet.

Surgery may also be performed.... rectal bleeding

Enlarged, tortuous veins just beneath the skin. Varicose veins most often occur in the legs but can also occur in the anus (see haemorrhoids), oesophagus (see oesophageal varices), and scrotum (see varicocele).

A defect of the valves in the leg veins causes blood to pool in the veins near the surface of the skin, causing them to become varicose. Contributing factors include obesity, hormonal changes and pressure on the pelvic veins during pregnancy, hormonal changes occurring at the menopause, and standing for long periods of time. Varicose veins are common, tend to run in families, and affect more women than men.Varicose veins may not cause any problems but may ache severely; swollen feet and ankles and persistent itching may occur. These symptoms may worsen during the day and can be relieved only by sitting with the legs raised. In women, symptoms are often worse just before menstruation. In severe cases, leg ulcers may occur. Thrombophlebitis may be associated with varicose veins.

Usually, support stockings, regular walking, and sitting with the feet up as much as possible are the only measures required.

In more severe cases, sclerotherapy may be carried out.

Varicose veins may require surgical removal if they become painful or ulcerated, but they may later develop elsewhere.... varicose veins

n. a reduction in the quantity of the oxygen-carrying pigment *haemoglobin in the blood. The main symptoms are excessive tiredness and fatigability, breathlessness on exertion, pallor, and poor resistance to infection.

There are many causes of anaemia. It may be due to loss of blood (haemorrhagic anaemia), resulting from an accident, operation, etc., or from chronic bleeding, as from an ulcer or haemorrhoids. Iron-deficiency anaemia results from lack of iron, which is necessary for the production of haemoglobin (see sideropenia). Haemolytic anaemias result from the increased destruction of red blood cells (which contain the pigment). This can be caused by toxic chemicals; *autoimmunity; the action of parasites, especially in *malaria; or conditions such as *thalassaemia and *sickle-cell disease, associated with abnormal forms of haemoglobin, or *spherocytosis, which is associated with abnormal red blood cells. (See also haemolytic disease of the newborn.) Anaemia can also be caused by the impaired production of red blood cells, as in *leukaemia (when red-cell production in the bone marrow is suppressed) or *pernicious anaemia. Aplastic anaemia is characterized by a failure of blood cell production resulting in *pancytopenia and reduced bone marrow cellularity.

Anaemias can be classified on the basis of the size of the red cells, which may be large (macrocytic anaemias), small (microcytic anaemias), or normal-sized (normocytic anaemias). (See also macrocytosis; microcytosis.) The treatment of anaemia depends on the cause. —anaemic adj.... anaemia

Abies balsamea

FAMILY: Pinaceae

SYNONYMS: A. balsamifera, Pinus balsamea, balsam fir, balsam tree, American silver fir, balm of Gilead fir, Canada turpentine (oil).

GENERAL DESCRIPTION: A tall, graceful evergreen tree up to 20 metres high, with a tapering trunk and numerous branches giving the tree an overall shape of a perfect cone. It forms blisters of oleoresin (the so-called ‘balsam’) on the trunk and branches, produced from special vesicles beneath the bark. The tree does not produce a ‘true’ balsam, since it does not contain benzoic or cinnamic acid in its esters; it is really an oleoresin, being a mixture of resin and essential oil.

DISTRIBUTION: Native to North America, particularly Quebec, Nova Scotia and Maine.

OTHER SPECIES: The hemlock spruce (Tsuga canadensis) also yields an exudation sold under the name of ‘Canada balsam’. There are also many other species of fir which produce oils from their needles – see entry on silver fir and Botanical Classification section. NB: Not to be confused with the genuine balsam of Gilead (Commiphora opabalsamum), of ancient repute.

HERBAL/FOLK TRADITION: The oleoresin is used extensively by the American Indians for ritual purposes and as an external treatment for burns, sores, cuts and to relieve heart and chest pains. It is also used internally for coughs.

ACTIONS: Antiseptic (genito-urinary, pulmonary), antitussive, astringent, cicatrisant, diuretic, expectorant, purgative, regulatory, sedative (nerve), tonic, vulnerary.

EXTRACTION: 1. The oleoresin is collected by punturing vesicles in the bark. 2. An essential oil is produced by steam distillation from the oleoresin, known as Canada balsam or Canada turpentine. (An essential oil is also produced by steam distillation from the leaf or needles, known as fir needle oil.)

CHARACTERISTICS: 1. The oleoresin is a thick pale yellow or green honeylike mass which dries to crystal clear varnish, with a fresh sweet balsamic, almost fruity odour. 2. A colourless mobile liquid with a sweet, soft-balsamic, pinelike scent. It blends well with pine, cedarwood, cypress, sandalwood, juniper, benzoin and other balsams.

PRINCIPAL CONSTITUENTS: Consists almost entirely of monoterpenes, pinene, phellandrene, esters and alcohols.

SAFETY DATA: Generally non-toxic, non-irritant, non-sensitizing. ‘In large doses it is purgative and may cause nausea.’4

AROMATHERAPY/HOME: USE

Skin Care: Burns, cuts, haemorrhoids, wounds.

Respiratory System: Asthma, bronchitis, catarrh, chronic coughs, sore throat.

Genito-Urinary System: Cystitis, genito-urinary infections.

Nervous System: Depression, nervous tension, stress-related conditions – described as ‘appeasing, sedative, elevating, grounding, opening’.5

OTHER USES: The oil from the oleoresin is used in certain ointments and creams as an antiseptic and treatment for haemorrhoids. Used in dentistry as an ingredient in root canal sealers. Also used as a fixative or fragrance component in soaps, detergents, cosmetics and perfurmes. There is some low-level use in food products, alcoholic and soft drinks. The oleoresin is used as a medium in microscopy and as a cement in glassware.... balsam, canadian

Cupressus sempervirens

FAMILY: Cupressaceae

SYNONYMS: Italian cypress, Mediterranean cypress.

GENERAL DESCRIPTION: A tall evergreen tree with slender branches and a statuesque conical shape. It bears small flowers and round, brownish-grey cones or nuts.

DISTRIBUTION: Native to the eastern Mediterranean; now grows wild in France, Italy, Corsica, Sardinia, Sicily, Spain, Portugal, North Africa, England and, to a lesser degree, the Balkan countries. Cultivation and distillation usually take place in France, also Spain and Morocco.

OTHER SPECIES: There are many other species of cypress found throughout the world which are used to produce an essential oil, such as C. lusitanica found in Kenya. With regard to oil quality, however, C. sempervirens is considered superior.

HERBAL/FOLK TRADITION: It was highly valued as a medicine and as an incense by ancient civilizations and it is still used as a purification incense by the Tibetans. It benefits the urinary system and is considered useful where there is excessive loss of fluid, such as heavy perspiration or menstrual loss and diarrhoea: ‘The cones are … very drying and binding, good to stop fluxes of all kinds.’.

The Chinese consider the nuts very nutritious, beneficial for the liver and respiratory system and to check profuse perspiration.

ACTIONS: Antirheumatic, antiseptic, antispasmodic, astringent, deodorant, diuretic, hepatic, styptic, sudorific, tonic, vasoconstrictive.

EXTRACTION: Essential oil by steam distillation from the needles and twigs. An oil from the cones is available occasionally. (A concrete and absolute are also produced in small quantities.)

CHARACTERISTICS: A pale yellow to greenish-olive mobile liquid with a smoky, sweet-balsamic tenacious odour. It blends well with cedarwood, pine, lavender, mandarin, clary sage, lemon, cardamon, Moroccan chamomile, ambrette seed, labdanum, juniper, benzoin, bergamot, orange, marjoram and sandalwood.

PRINCIPAL CONSTITUENTS: Pinene, camphene, sylvestrene, cymene, sabinol, among others.

SAFETY DATA: Non-toxic, non-irritant and non-sensitizing.

AROMATHERAPY/HOME: USE

Skin Care: Haemorrhoids, oily and overhydrated skin, excessive perspiration, insect repellent, pyorrhoea (bleeding of the gums), varicose veins, wounds.

Circulation Muscles And Joints: Cellulitis, muscular cramp, oedema, poor circulation, rheumatism.

Respiratory System: Asthma, bronchitis, spasmodic coughing.

Genito-urinary system: Dysmenorrhoea, menopausal problems, menorrhagia.

Nervous System: Nervous tension and stress-related conditions.

OTHER USES: Employed in some pharmaceutical products; used as a fragrance component in colognes, after-shaves and perfumes.... cypress

Pelargonium graveolens

FAMILY: Geraniaceae

SYNONYMS: Rose geranium, pelargonium.

GENERAL DESCRIPTION: A perennial hairy shrub up to 1 metre high with pointed leaves, serrated at the edges and small pink flowers. The whole plant is aromatic.

DISTRIBUTION: Native to South Africa; widely cultivated in Russia, Egypt, Congo, Japan, Central America and Europe (Spain, Italy and France). With regard to essential oil production, there are three main regions: Reunion (Bourbon), Egypt and Russia (also China).

OTHER SPECIES: There are over 700 varieties of cultivated geranium and pelargonium, many of which are grown for ornamental purposes. There are several oil-producing species such as P. odorantissimum and P. radens, but P. graveolens is the main one commercially cultivated for its oil. Geranium Bourbon (P. Roseum) has a superior fragrance to other species, having a rich rosy-fruity scent due to the higher levels of linalook and iso-methone content. See also Botanical Classification section.

HERBAL/FOLK TRADITION: The British plant herb robert (Geranium robertianum) and the American cranesbill (G. maculatum) are the most widely used types in herbal medicine today, having been used since antiquity. They have many properties in common with the rose geranium, being used for conditions such as dysentery, haemorrhoids, inflammations, metrorrhagia and menorrhagia (excessive blood loss during menstruation). The root and herb of cranesbill is specifically indicated in the British Herbal Pharmacopoeia for diarrhoea and peptic ulcer.

ACTIONS: Antidepressant, antihaemorrhagic, anti-inflammatory, antiseptic, astringent, cicatrisant, deodorant, diuretic, fungicidal, haemostatic, stimulant (adrenal cortex), styptic, tonic, vermifuge, vulnerary.

EXTRACTION: Essential oil by steam distillation from the leaves, stalks and flowers. An absolute and concrete are also produced in Morocco.

CHARACTERISTICS: The Bourbon oil is a greenish-olive liquid with a green, rosy-sweet, minty scent. The Bourbon oil is generally preferred in perfumery work; it blends well with lavender, patchouli, clove, rose, sandalwood, jasmine, juniper, neroli, bergamot and other citrus oils.

PRINCIPAL CONSTITUENTS: Citronellol, geraniol, linalol, isomenthone, menthane, phellandrene, sabinene, limonene, among others. Constituents vary according to type and source.

SAFETY DATA: Non-toxic, non-irritant, generally non-sensitizing; possible contact dermatitis in hypersensitive individuals, especially with the Bourbon type.

AROMATHERAPY/HOME: USE

Skin Care: Acne, bruises, broken capillaries, burns, congested skin, cuts, dermatitis, eczema, haemorrhoids, lice, oily complexion, mature skin, mosquito repellent, ringworm, ulcers, wounds.

Circulation Muscles And Joints: Cellulitis, engorgement of breasts, oedema, poor circulation.

Respiratory System: Sore throat, tonsillitis.

Genito-Urinary And Endocrine Systems: Adrenocortical glands and menopausal problems, PMT.

Nervous System: Nervous tension, neuralgia and stress-related conditions.

OTHER USES: Used as a fragrance component in all kinds of cosmetic products: soaps, creams, perfumes, etc. Extensively employed as a flavouring agent in most major food categories, alcoholic and soft drinks.... geranium

Calendula officinalis

FAMILY: Asteraceae (Compositae)

SYNONYMS: Calendula, marygold, marybud, gold-bloom, pot marigold, hollygold, common marigold, poet’s marigold.

GENERAL DESCRIPTION: An annual herb up to 60 cms high with soft, oval, pale green leaves and bright orange daisylike flowers.

DISTRIBUTION: Native to southern Europe and Egypt; naturalized throughout temperate regions of the world. Widely cultivated, especially in northern Europe for domestic and medicinal use. The absolute is only produced in France.

OTHER SPECIES: There are several species of marigold, but the common marigold is the one generally used medicinally. It should not be confused with tagetes or taget from the Mexican marigold (Tagetes minuta) or the African marigold (T. erecta), the oil of which is also often called ‘calendula’.

HERBAL/FOLK TRADITION: A herb of ancient medical repute, said to ‘comfort the heart and spirits’.. It was also used for skin complaints, menstrual irregularities, varicose veins, haemorrhoids, conjunctivitis and poor eyesight. The flowers are current in the British Herbal Pharmacopoeia, specific for enlarged or inflamed lymph nodes, sebaceous cysts, duodenal ulcers and inflammatory skin lesions. The infused oil is useful for a wide range of skin problems including cracked and rough skin, nappy rash, grazes, cracked nipples, varicose veins and inflammations.

ACTIONS: Antihaemorrhagic, anti-inflammatory, antiseptic, antispasmodic, astringent, diaphoretic, cholagogue, cicatrisant, emmenagogue, febrifuge, fungicidal, styptic, tonic, vulnerary.

EXTRACTION: An absolute by solvent extraction from the flowers.

CHARACTERISTICS: A dark greenish-brown viscous liquid with an intensely sharp, herbaceous odour. It blends well with oakmoss, hyacinth, floral and citrus oils.

PRINCIPAL CONSTITUENTS: The absolute contains calendulin (a yellow resin), waxes and volatile oil.

SAFETY DATA: Non-toxic, non-irritant, nonsensitizing. The real calendula absolute is only produced in small quantities, and is difficult to get hold of.

AROMATHERAPY/HOME: USE

Skin care: Burns, cuts, eczema, greasy skin, inflammations, insect bites, rashes, wounds. NB: ‘The infused oil is very valuable in Aromatherapy for its powerful skin-healing properties.’ .

OTHER USES: Used in high-class perfumery.... marigold

Juniperus communis

FAMILY: Cupressaceae

SYNONYM: Common juniper.

GENERAL DESCRIPTION: An evergreen shrub or tree up to 6 metres high, with bluish green narrow stiff needles. It has small flowers and little round berries, which are green in the first year, turning black in the second and third.

DISTRIBUTION: Native to the northern hemisphere: Scandinavia, Siberia, Canada, northern Europe and northern Asia. The oil is mainly produced in Italy, France, Yugoslavia, Austria, Czechoslovakia, Spain, Germany and Canada.

OTHER SPECIES: In Yugoslavia an oil is produced from the fruit and twigs of J. smerka, less rich and sweet than that of common juniper. There are various other species of juniper such as J. oxycedrus which produces cade oil, J. virginiana which produces the so-called Virginian cedarwood oil, and J. sabina which produces savin oil. See also Botanical Classification section.

HERBAL/FOLK TRADITION: The needles and berries have a long traditional history of use. It is used medicinally for urinary infections such as cystitis and urethritis; for respiratory problems such as bronchitis, colic and coughs; as well as gastro-intestinal infections and worms. It helps expel the build-up of uric acid in the joints, and is employed in gout, rheumatism and arthritis. Current in the British Herbal Pharmacopoeia for rheumatic pain and cystitis.

ACTIONS: Antirheumatic, antiseptic, antispasmodic, antitoxic, aphrodisiac, astringent, carminative, cicatrisant, depurative, diuretic, emmenagogue, nervine, parasiticide, rubefacient, sedative, stomachic, sudorific, tonic, vulnerary.

EXTRACTION: Essential oil by steam distillation from 1. the berries (sometimes fermented first as a by-product of juniper – brandy manufacture – the oil is considered an inferior product), and 2. the needles and wood. A resinoid, concrete and absolute are also produced on a small scale.

CHARACTERISTICS: 1. A water-white or pale yellow mobile liquid with a sweet, fresh, woody-balsamic odour. It blends well with vetiver, sandalwood, cedarwood, mastic, oakmoss, galbanum, elemi, cypress, clary sage, pine, lavender, lavandin, labdanum, fir needle, rosemary, benzoin, balsam tolu, geranium and citrus oils. 2. A water-white or pale yellow mobile liquid with a sweet-balsamic, fresh, turpentine-like odour.

PRINCIPAL CONSTITUENTS: Mainly monoterpenes: pinene, myrcene, sabinene with limonene, cymene, terpinene, thujene and camphene, among others.

SAFETY DATA: Non-sensitizing, may be slightly irritating, generally non-toxic. However, it stimulates the uterine muscle (an abortifacient) and must not be used during pregnancy. Neither should it be used by those with kidney disease due to its nephrotoxic effect. The wood oil is usually adulterated with turpentine oil. It is best to use only juniper berry oil, in moderation.

AROMATHERAPY/HOME: USE

Skin care: Acne, dermatitis, eczema, hair loss, haemorrhoids, oily complexions, as a skin toner, wounds.

Circulation muscles and joints: Accumulation of toxins, arteriosclerosis, cellulitis, gout, obesity, rheumatism.

Immune system: Colds, ’flu, infections.

Genito-urinary system: Amenorrhoea, cystitis, dysmenorrhoea, leucorrhoea.

Nervous system: Anxiety, nervous tension and stress-related conditions.

OTHER USES: Berries and extracts are used in diuretic and laxative preparations; also veterinary preventatives of ticks and fleas. Employed as a fragrance component in soaps, detergents, cosmetics and perfumes, especially spicy fragrances and aftershaves. Extensively used in many food products but especially alcoholic and soft drinks: the berries are used to flavour gin.... juniper