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Wednesday, 16 July 2014

Phyllanthus niruri,-The anti-jaundice drug, Bhoomyamalaki, Phyllanthus niruri,കീഴാര്‍നെല്ലി, கீழகைநெல்லி, నెల్ల ఉసీరిక , भूम्यामलकी ,

Bhoomyamalaki-Phyllanthus niruri
Both Embellica officionalis and this drug belong to the same family. Both are powerful pitta allieviating drug.

Family : Euphorbeaceae
Scientific name : Phyllanthus deblis

Varieties : Phyllanthus fraternus, Phyllanthus niruri, Phyllanthus amarus, Phyllanthus madraspateinsis
The above said four varieties are taken as Bhoomyamalaki. They only have minor differences.Phyllanthus amarus has only five petals. While Phyllanthus fraternus has six petals. The above half of the part of leaf of P.madraspatensis are broader than the below half.

Nomenclature in other languages
Sanskrit : Bhoomyamalaki, Bhoodhatri, Tamalaki, Thali, Bahupatra, Bahuphalika, Bahuveerya
Hindi : Bhooyi amvala
Gujarathi : Bhomya abali
Tamil : keezhakainelli
Telugu : nella useerika

Distribution : Mostly seen in level surfaces and in road sides all over kerala.
Botanical description :
It is a shrub that grows to a height of 15-30cm. The main stem of the leaves are light green to light red with its branches to both sides which are 2.5-10 cm in length.Leaves are very small and almost circular in nature.The flowers are seen in the axilla of the branches.They are very very small and are greenish yellow in colour. Male flowers are seen in a group of 1-3 and female flowers are seen singly. Sepals are 4-6 in number.Fruits are seen stuck to the stalk.They are seen with three demarcations which can be divided into three. In one fruit there can be three seeds seen.

Chemical composition :
The dried leaves of this plant contain a bitter and a toxic chemical which is present 0.4%.From this chemical a tasteless compound called phyllanthin is extracted. This particular compound is the active component which cures jaundice.

Ayurvedic pharmacoepia :
Rasa : tikta, kashaya, madhura
Guna : laghu, rooksha
Veerya : sheeta
Vipaka : madhura

Medicinal uses :
It cures pitta and kapha disorders. It is diuretic. It enhances the action of liver. It is anti-toxic. It cures abdominal colic, indigestion and bleeding. It is vata kara.
Useful parts : whole plant.

Therapeutic uses :
-for jaundice the whole plant of Phyllanthus niruri crushed and the juice extracted out of it given 10ml twice daily for three days cures it.
-for uncontrolled menstrual bleeding the paste of P.niruri 3gm-6gm when taken in rice water twice daily cures it
-the paste of P.niruri along with butter milk taken regularly cures chronic diarrhoea, dysentry
-paste of P.niruri mixed with rock salt and kept in a copper vessel and applied to the eyes reduces swelling and discharge in conjunctivitis

Clinical study :
A clinical study with Phyllanthus niruri, indicated that it may reduce the levels of urinary calcium. A subsequent study of 150 patients over a 6-month period indicated that an extract of this herb reduces the incidence of stone formation, and concluded, "Regular self-administration of P. niruri after extracorporeal shock wave lithotripsy for renal stones results in an increased stone-free rate that appears statistically significant for lower caliceal location. Its efficacy and the absolute lack of side effects make this therapy suitable to improve overall outcomes after extracorporeal shock wave lithotripsy for lower pole stones." A more recent rat study found that Phyllanthus nirurihas been shown to interfere with many stages of stone formation, reducing crystals aggregation, modifying their structure and composition as well as altering the interaction of the crystals with tubular cells leading to reduced subsequent endocytosis."
Ethnopharmacological relevance
Phyllanthus amarus Schum. & Thonn. belongs to the family Euphorbiaceae is a small herb well known for its medicinal properties and widely used worldwide. P. amarus is an important plant of Indian Ayurvedic system of medicine which is used in the problems of stomach, genitourinary system, liver, kidney and spleen. It is bitter, astringent, stomachic, diuretic, febrifuge and antiseptic. The whole plant is used in gonorrhea, menorrhagia and other genital affections. It is useful in gastropathy, diarrhoea, dysentery, intermittent fevers, ophthalmopathy, scabies, ulcers and wounds.
Materials and methods
The present review covers a literature across from 1980 to 2011. Some information collected from traditional Ayurvedic texts and published literature on ethanomedicinal uses of Phyllanthus amarus in different countries worldwide.
Results
Phytochemical studies have shown the presence of many valuable compounds such as lignans, flavonoids, hydrolysable tannins (ellagitannins), polyphenols, triterpenes, sterols and alkaloids. The extracts and the compounds isolated from P. amarus show a wide spectrum of pharmacological activities including antiviral, antibacterial, antiplasmodial, anti-inflammatory, antimalarial, antimicrobial, anticancer, antidiabetic, hypolipidemic, antioxidant, hepatoprotective nephroprotective and diurectic properties.
Conclusion
The present review summarizes information concerning the morphology, ecology, ethnopharmacology, phytochemistry, biological activities, clinical applications and toxicological reports of P. amarus. This review aims at gathering the research work undertaken till date on this plant in order to provide sufficient baseline information for future works and commercial exploitation.

Phyllanthus niruri normalizes elevated urinary calcium levels in calcium stone forming (CSF) patients

Phyllanthus niruri is a plant used for years in Brazil to treat urinary calculi. We prospectively evaluated the effect of P. niruri intake on 24 h urinary biochemical parameters in an attempt to assess its in vivo effect in calcium stone forming (CSF) patients. A total of 69 CSF patients (39 males and 30 females, 38±8 years old) were randomized to take either P. niruri (n=33) (450 mg capsules, td) or placebo (n=36) for 3 months. Blood calcium, uric acid, citrate, magnesium, oxalate, sodium and potassium were determined at baseline and at the end of the study. A subset analysis was made in patients classified according to the presence of metabolic abnormalities (hypercalciuria, hyperuricosuria, hyperoxaluria, hypocitraturia and hypomagnesiuria). Overall, there were no significant differences in the mean values of urinary parameters between the urine samples before and after P. niruri intake, except for a slight reduction in mean urinary magnesium after P. niruri, which was within the normal range. However, in the subset analysis, we observed that P. niruriinduced a significant reduction in the mean urinary calcium in hypercalciuric patients (4.8±1.0 vs 3.4±1.1 mg/kg/24 h, P<0.05). In this short-term follow-up, no significant differences in calculi voiding and/or pain relief between the groups taking P. niruri or the placebo were detected. Our data suggest that P. niruri intake reduces urinary calcium based on the analysis of a subset of patients presenting with hypercalciuria. Larger trials including primary hypercalciuric stone formers should be performed in order to confirm these findings and to determine the possible clinical consequences of urinary calcium reduction during P. niruri administration.

CHANCA PIEDRA PLANT SUMMARY
Main Preparation Method: infusion
Main Actions (in order):
antilithic (prevents and eliminate kidney stones), hepatoprotective (liver protector), diuretic, antihepatotoxic (liver detoxifier), antiviral
Main Uses:
  1. for kidney stones and gallstones (active stones and as a preventative)
  2. to tone, balance, strengthen, detoxify and protect the liver (and to balance liver enzymes)
  3. for viruses, including hepatitis A, B, and C, herpes, and HIV
  4. to tone, balance, strengthen, detoxify and protect the kidneys and to reduce uric acid and increase urination
  5. for hypertension and high cholesterol levels
Properties/Actions Documented by Research:
analgesic (pain-reliever), antiulcerous , antibacterial, antihepatotoxic (liver detoxifier), antilithic (prevents and eliminates kidney stones), antimalarial, antimutagenic (cellular protector), antispasmodic, antiviral, contraceptive, diuretic, gastrototonic (tones, balances, strengthens the gastric system), hepatoprotective (liver protector), hepatotonic (tones, balances, strengthens the liver), hypocholesterolemic (lowers cholesterol), hypoglycemic, hypotensive (lowers blood pressure), uterine relaxant
Other Properties/Actions Documented by Traditional Use:
anti-inflammatory, blood cleanser, carminative, detoxifier, diaphoretic (promotes sweating), febrifuge (reduces fever), laxative, menstrual stimulant, tonic (tones, balances, strengthens overall body systems), vermifuge (expels worms)
Cautions: It may increase the effect of diabetic, high blood pressure, and diuretic drugs. Don't use during pregnancy.


WORLDWIDE ETHNOMEDICAL USES
Amazonia
for bowel inflammation, colic, constipation, diabetes, digestion stimulation, dysentery, dyspepsia, edema, fever, flu, gallstones, gonorrhea, intestinal gas, itch, jaundice, kidney aliments, kidney stones, malaria, pain, proctitis, stomachaches, tumor, urinary insufficiency, urinary tract disorders, vaginitis, worms, and to stimulate menstruation
Bahamas/
Caribbean
for bacterial infections, colds, constipation, fever, flu, hypoglycemic, laxative, liver detoxifier, liver tonic, liver protector, spasms, stomachache, typhoid, urinary insufficiency, viral infections, and as an appetite stimulant
Brazil
for abortions, aches (joint), albuminuria, arthritis, bacterial infections, bile stimulant, biliary conditions, bladder problems, bladder stones, blood cleanser, cancer, catarrh (liver and kidney), cystitis, diabetes, digestion stimulation, edema, fever, gallbladder stimulation, gallstones, gastritis, gastrointestinal problems, gout, hepatitis, hypertension, hypoglycemic, inflammation, jaundice, kidney colic, kidney pain, kidney stones, liver support, liver disorders, malaria, obesity, pain, prostatitis, renal colic, renal problems, spasms, tonic, uric acid excess, urinary insufficiency, urinary problems, uterine relaxant, viral infections, and as a muscle relaxant and to promote perspiration
Haiti
for bowel inflammation, colic, digestive problems, digestion stimulation, fever, flu, indigestion, intestinal gas, malaria, spasms, stomachache, urinary insufficiency
India
for anemia, asthma, bronchitis, conjunctivitis, cough, diabetes, diarrhea, digestion stimulation, dysentery, fevers, edema, eye disorders, genitourinary disorders, gonorrhea, hepatitis, jaundice, lack of milk production, menstrual disorders, ringworm, scabies, thirst, tuberculosis, tumor (abdomen), urinary insufficiency, urogenital tract infections, vaginal discharge, warts
Malaya
for caterpillar stings, constipation, dermatosis, diarrhea, itch, menstruation promoter, miscarriage, renal disorders, syphilis, urinary insufficiency, vertigo
Peru
for gallstones, hepatitis, kidney pain, kidney problems, kidney stones, urinary infections, worms, and to stimulate menstruation
United States
for bile insufficiency, bronchitis, diabetes, fever, gallbladder problems, gallstones, gout, hepatitis, hypertension, kidney problems, kidney stones, liver disease, obstructions, pain, uric acid excess, urinary tract infections, viral infections
Elsewhere
for bile insufficiency, bruises, constipation, cough, cuts, diabetes, diarrhea, dysentery, dyspepsia, edema, eye diseases, fever, gallstones, gonorrhea, itch, jaundice, kidney disease, kidney stones, malaria, menstrual problems, pain, rectitis, stomachache, tuberculosis, urinary insufficiency, urinary tract infections, vaginitis, venereal diseases


Antispasmodic effects of an alkaloid extracted from Phyllanthus sellowianus: a comparative study with papaverine.

Infusions of Phyllanthus sellowianus or P. niruri (Euphorbiaceae) are a popular remedy in Brazil for kidney and bladder stones. This study describes the isolation of an alkaloid from P. sellowianus, denoted ALK-1, and compares its antipasmodic activity with that of papaverine on isolated strips of guinea pig ileum and rat uterus, and rat aorta rings. ALK-1 and papaverine promoted a dose-dependent flattening of the dose-response curves obtained to acetylcholine and histamine on ileum strips and of the dose-response curves to acetylcholine and oxytocin on uterine strips. A non-competitive antagonism of noradrenaline-induced contractions by the P. sellowianus alkaloid was also demonstrated on aortic rings. Whereas the antispasmodic potency (pD'2 values) of papaverine did not depend on the muscle preparation and agonist used, ALK-1 exhibited a greater potency on the ileum strips than on the uterine or aortic preparations. Because of this selective antispasmodic action on the ileum, ALK-1 was equipotent to papaverine on this tissue, but was about 10-fold less potent than papaverine on uterine smooth-muscle. The dose-response curves to CaCl2 obtained for potassium-depolarized uterine strips were shifted to the right by both antispasmodics. Similar pA2 values with slopes not differing from unity -1.0 were obtained from Schild plots of the data, suggesting that competitive antagonism of calcium entry into the cell is a mechanism of action common to both alkaloids. The presence of at least one potent antispasmodic alkaloid in P. sellowianus justifies the popular use of infusions of this plant. Smooth muscle relaxation within the urinary or biliary tract probably facilitates the expulsion of kidney or bladder calculi.

Reference :





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