Project Title Biomedical Studies and IPR (Intellectual Property Rights) Documentation of Medicinal Plants Used in the Treatment of Women Diseases in Sindh Progress Report Period: November, 2011 District Larkana Submitted to Planning Department, Government of Sindh By Prof. Dr. M. Iqbal Choudhary H. I., S. I., T. I. Principal Investigator Dr. Atia-tul-Wahab Co-Principal Investigator H. E. J. Research Institute of Chemistry International Center for Chemical and Biological Sciences University of Karachi, Karachi-75270, Pakistan 1 CONTENTS Page no. 1. Title of the Project 6 2. Principal Investigator 6 3. Co- Principal Investigator 6 4. Implementing Institute 6 5. Project Team 5.1. Lady Doctor 6 5.2. Biochemist 6 5.3. Microbiologist 6 5.4. Pharmacist 6 5.5. Chemist 6 5.6. Anthropologist 6 5.7. Drivers 6 6. Background 6 7. Project Objectives 8 8. Project Description 9 9. Survey Report of Larkana district 10 10. 9.1. Taluka Visited 10 9.2 Description Details 10 Taluka Dokri 11 10.1 Goth Khair Muhammad Areja 11 10.1.1 Geographical Information 11 2 10.1.2 Women Interviewed 11 10.1.3 Information obtained 12 10.2 Goth Tharo Wann 10.2.1 Geographical Information 13 10.2.2 Women Interviewed 13 10.3 Goth Jhendo sero 14 10.3.1 Geographical Information 14 10.3.2 Women Interviewed 14 10.3.3 Information obtained 15 11. Taluka Ratodero 11.1. Garibabad Muhlla - Naudero 11.2 13 17 17 11.1.1 Geographical Information 17 11.1.2 Women Interviewed 17 11.1.3 Information obtained 18 Goth Saido dero 19 11.2.1 Geographical Information 19 11.2.2 Women Interviewed 19 11.2.3 Information obtained 20 11.3 Goth Gari Khuda Bux 21 11.3.1 Geographical Information 21 11.3.2 Women Interviewed 22 12. Table: List of Medicinal plants used in Larkana District 22 13. Methodology to Confirm the Names of Plants 25 3 14. Scientific Literature of Mentioned Plants 25 14.1. Acorus calamus L. 25 14.2. Ammomum subulatum Roxb. 26 14.3. Anethum sowa Roxb. 27 14.4. Apium graveolens L. 28 14.5. Areca catechu L. 29 14.6. Azadirachta indica J. Juss. 30 14.7 Cannabis sativa L. 31 14.8 Cocos nucifera L. 32 14.9 Cuminum cyminum L. 34 14.10 Elettaria cardamomum Maton. 35 14.11 Embelia ribes Burm.f. 36 14.12 Foeniculum vulgare var Dulce. 37 14.13 Glycyrrhiza glabra L. 38 14.14 Lallemantia royleana Benth. 39 14.15 Mentha Piperita L. 40 14.16 Origanum vulgare L. 41 14.17 Papaver somniferum L. 42 14.18. Piper nigrum L. 43 14.19. Quercus infectoria Olivier. 44 14.20. Ricinus communis L. 45 14.21. Salvia plebeia R. Brown. 46 14.22. Symplocos racemosa Roxb. 47 4 15. 16. 17. 14.23. Terminalia chebula Retz. 48 14.24. Trachyspermum ammi L. 49 14.25. Trigonella foenum-graecum L. 50 14.26. Triticum aestivum L. 51 Experimental Work Done: 52 15.1 Phytochemical and Biological Studies 52 15.2 Table: List of plants extracted 52 Biological Screening 54 16.1 Antifungal Assay: 54 16.2 Agar-well Diffusion Method 54 16.3. Results of in vitro Antifungal activity 54 16.4. Table: Drug Susceptibility assay for candida albicans 56 16.5. Conclusion 56 In Vitro Experiment 57 17.1 57 Development of Animal Models: 17.1.1 In vitro experiment for uterus contractility 57 17.1.2 Dysmenorrheal mice model preparation 58 17.1.3 Conclusion 59 18 Conclusion of Survey Report 59 19. Maps 60 20. References 62 21. Herbal Formulation for the Treatment of Diseases 79 22. Glossary 87 5 1 Title of the Project: Biomedical studies and IPR (Intellectual property rights) documentation of medicinal plants used in the treatment of women diseases in Sindh. 2. Principal Investigator: Dr. M. Iqbal Choudhary, Professor and Director 3. Co-Principal Investigator: Dr. Atia-tul-Wahab, Assistant Professor 4. Implementing Institution: H.E.J. Research Institute of Chemistry (International Center for Chemical and Biological Sciences) 5. Project Team: 5.1 Senior Pharmacolgist: Dr. Ahsna Dar (PhD. Pharmacology) 5.2 Lady Doctor: Dr. Nuzhat Bhatti (M.B.B.S., MCPS Gynecology) 5.3 Microbiologist: Ms. Samreen (M. Phil.) ` Ms. Summan Maqbool (M. Sc.) 5.4 Pharmacist: Ms. Geeta Kumari (Pharm-D) 5.5 Chemist: Ms. Nuzhat Shehla (M. Sc.) 5.6 Anthropologist: Mr. Ameer Ahmed (M. Phil.) 5.7 Drivers: Abdul Aleem/ Fazal Kareem 6. Background: Traditional system of medicine has been practiced since historical times and traces its roots to ancient civilizations. The World Health Organization (WHO) has recently defined traditional medicine (including herbal drugs) as comprising therapeutic 6 practices that have been in existence, often for hundreds of years, before the development and spread of modern medicine and are still in use today. This traditional medicine is still the mainstay of about 75–80% of the world population, mainly in the developing countries, for primary health care because of better cultural acceptability, better compatibility with the human body and lesser side effects. Traditional medicines not only maintained their popularity in developing world but their use is rapidly spreading in industrialized countries. Pakistan has a long history of healing tradition, in fact from pre-historic era. Its diverse topography has permitted the survival of traditional knowledge related to medicinal plants. It is estimated that over 6000 plants in Pakistan as native are in use. These are traditional, folk and herbal medicines. Sindh has diversity of vegetation and the local people use these plants for the treatment of various diseases throughout the history. More than 80% of the population, especially the rural folk are still dependent on traditional herbal remedies for their primary healthcare. These plants are the integrated part of their culture and information about these plants passed from generation to generation through oral folk and many are kept secret. However the rich tradition of herbal healing, which has the potential to tackle primary healthcare problems of millions and enable them health security, is eroding fast due to lack of social and policy support. Therefore there is an urgent need of revitalization of these traditional medical systems for their conservation through which the whole mankind can be benefited. Traditional medicines are not only used for the treatment of general diseases but also for the treatment of women disease. This includes birth control, including abortion at initial stages, preventing conception, also to cure sterility or to enhance chance of 7 conception. Plants are also use to cure widespread sexual diseases like gonorrhea (serious infection and sexually transmitted disease (STD), caused by having sex with an infected person), syphilis (serious infection and sexually transmitted disease), Chlamydia trachomatis, a bacterial infection which damage women reproductive system (STD), vulvovaginal yeast infections by Candida albicans, dysmenorrhea (painful menstruation), menorrhea (abnormally heavy and prolonged periods), amenorrhea (absence of monthly periods), leucorrhea (vaginal discharge), yeast diseases, premature menopause, sexual dysfunction, infertility and to regularize periods, etc. These traditional and herbal medicines also provide health care through out the entire birth process, from pregnancy through conception to postpartum. While most part of the province has government funded clinics and basic health units, as well as privately-owned clinics and hospitals, adequately qualified female doctors are generally not available in most part of the rural areas of Sindh. Equally important are social practices of people, living in rural areas, according to which women with specific diseases are often not taken to the hospital for proper care. In most part of the province, they are generally treated by female elder ladies or midwives by using medicinal plants and other household items and so called kitchen pharmacy. Due to this unbroken knowledge of the uses of plants has been accumulated over the years, which has the great value and needs to be properly documented and scientifically evaluated. 7. Project Objectives: The present project was aimed to preserve the indigenous knowledge of medicinal plants uses for therapeutic purposes in Sindh that is fast disappearing with time because of rapid loss of habitat, access to modern medicines, rural and urban 8 migration, and changes in life style of people. The study was initiated with the following objectives: i. To preserve the indigenous healing knowledge, related to women folk diseases. ii. To identify and record plant species used in folk medicines against women diseases. iii. To compile authentic ethno botanical information of folk medicinal practices in rural areas of Sindh, in the form of reports, databases and monographs. iv. To conduct scientific evaluation of selected medicinal plants to ascertain their efficacy and safety. v. To establish a database of traditional knowledge to be used in protecting the knowledge-base and for further studies. vi. To produce educational materials on traditional uses and along names of plants with the goal of promoting the safe cultural practices. vii. To look into possible economic opportunities in traditional and plant-based medicine. 8. Brief Project description: The project will be executed in a planned way in following steps: a) Field survey of rural urban areas of Sindh b) Compilation of database and monograph (compilation of information collected) c) Scientific literature of identified plants d) Scientific evaluation of selected medicinal plants (Plant extraction and isolation of chemical constituents) e) Bioassay and pharmacological evaluation. 9 9. Survey Report of Larkana District. 19th October, 2011 Date of visit: 9.1 Taluka visited: Taluka Dokri Goth Khair Muhammad Areja Goth Tharo Wann Goth Jhendo sero Taluka Ratodero 9.2 Garibabad Mahulla Naodero Saido Dero Gari Khuda Bux Description Details: Larkana or Larkano is a district of Sindh province of Pakistan. According to the 1998 census of Pakistan, it had a population of 1,927,066 of which 28.70% were urban. Its main city is Larkana. It is home district of two former Prime Ministers of Pakistan, Zulfikar Ali Bhutto and Benazir Bhutto and also the district of former Chief Minister of Sindh, Mumtaz Ali Bhutto. Other towns of the district include Miro Khan, Ratodero, Dokri, Bakrani and Naodero. In 2005, the Government of Pakistan under Pervez Musharraf bifurcated the district, forming a new district called Qamber and Shahdadkot, with two towns of Qambar Khan and Shahdadkot. The historic city of Mohenjo-Daro is located about 30 kilometres in the south of Larkana city, in Dokri taluka, on the right bank of river Indus. Rice canal (seasonal) and Dadu Canal (perennial) pass through the district and irrigate the agricultural fields. Taluka Larkana and Ratodero are famous for 10 Guava orchards. Rice is a major Kharif crop while Rabi crops include wheat, Mustard, Linseed and various kinds of vegetables. 10 Taluka Dokri 10.1 Goth Khair Muhammad Areja N=27o, 24.834sec 10.1.1Geographical information: E=68o, 10.454sec Elevation=135 ft Satellite 10.1.2 Women interviewed: 03 06 The Ladies of the Goth visits to Die and Lady Health Workers for consultation and use herbal remedies too. The Government hospital is nearer; ladies prefer to go there in serious condition. Lady Nishad interviewed by Survey team Lady Kalsoom (centre) interviewed by Miss Nuzhat and Dr. Nuzhat 11 L→R Miss Samreen and Miss Geeta interviewing Lady Sonan L→R LadyShehnaz interviewed by Miss Geeta and Dr. Nuzhat Daie Mithan (white dress) interviewed by team 10.1.3 Information Obtained: For expulsion of plasma membrane Take waowal (Apium graveolens L.), wavodang (Embelia ribes Burm.f.), dry leaves of podina (Mentha piperita L.), mithi kathi (Glycyrrhiza glabra L.), choti illaichi (Elettaria cardamomum Maton.), bari illaichi (Ammomum subulatum Roxb.), mint slug (Mentha piperita L.), misri (Crystal Sugar), and nibat (Candy sugar), in equal amount .Grind all together and make ball like marble from it. Place intra-vaginally once daily for 6 days. Leucorrhea Take 1spoon of zeera (Cuminum cyminum L.) with water daily for 15 days. Take saunf (Foeniculum vulgare var. Dulce) orally. 12 Menorrhea and Infertility Place dipped cotton swab of black and white glycerin intra-vaginally after menstruation ends, for 3-5 days twice daily. Take zeera (Cuminum cyminum L.), saunf (Foeniculum vulgare var. Dulce), waowal ((Apium graveolens L.), mawa (Quercus infectoria Olivier.), supari (Areca catechu L.), kamarkas (Salvia plebeia R. Brown.), kahri (Symplocos racemosa Roxb.), behra*, sakhoro*, sugar, and chotti ilaichi (Elettaria cardamomum Maton.) in equal amount. Grind all together and make remedy, take it twice daily for 5 days. For labor pain Add caster oil (Ricinus communis L.) 2-3 spoons in sulmani tea (normal tea without milk) and give to lady to take orally. Myth for usage of herbs to conceive male child Place misri (Crystal sugar) intra-vaginally 3 days regularly after delivery. Eat khopra (Cocos nucifera L.) orally. Goth Tharo Wann 10.2 N=27o, 24.834sec Geographical information: E=68o, 10.454sec Elevation=135 ft Satellite 10.2.2 Women interviewed: 03 04 Ladies visit to Shehzadi Daie who died few years back. Now they go to Sardar Daie in Goth Khair Muhmmad Areja. One Lady Rubina was under consultation of Sardar 13 Daie, she was also examined by lady doctor and sample of vaginal discharge is also collected for further diagnosis of infection. L→R Lady Rubina and Imamzadi interviewed By Miss Geeta and Dr. Nuzhat 10.3 L→R Dr. Nuzhat interviewing Lady Marium Goth Jhendo sero N=27o, 24.834sec 10.3.1 Geographical information: E=68o, 10.454sec Elevation=135 ft Satellite 10.3.2 Women interviewed: 03 03 In this Goth ladies prefer to go to Aziza Khatoon Daie, she has useful information regarding herbs. She makes remedies and gives to ladies for their problems. Lady Nosad interviewed by team members Miss Geeta interviewing Daie Aziza Khatoon 14 10.3.4 Information obtained: For Leucorrhea Take tukhm-e-balangh (Lallemantia royleana Benth.), mint slug (Mentha piperita L.), zeera (Cuminum cyminum L.), sowa (Anethum sowa Roxb.), and sathar (Origanum vulgare L.), in equal amount and grind all together to make a fine powder. Then take butter and add gurr (Jaggery) in it. Now add powdered ingredients to make vaginal suppositories. Place them intra-vaginally for 4 days regularly in night. For expulsion of plasma membrane, Menorrhea and to reduce groin pain Take methi dana (Trigonella foenum-graecum L.), zeera ((Cuminum cyminum L.), nazboo (Lallemantia royleana Benth.), sowa (Anethum sowa Roxb.), saunf (Foeniculum vulgare var. Dulce), mint slug (Mentha piperita L.) chotti ilaichi (Elettaria cardamomum Maton.), bari ilaichi (Ammomum subulatum Roxb.), misri (Rock sugar), dry leaves of podina (Mentha piperita L.), sathar (Origanum vulgare L.), ajwain (Trachyspermum ammi L.), waowal (Apium graveolens L.), wavodang (Embelia ribes Burm.f.) in equal amount . Grind them all together to make finer. Take 1 spoon daily in night orally for 8-10 days. For Dysmenorrhea and for body Pain in Pregnancy Take methi dana (Trigonella foenum-graecum L.), zeera ((Cuminum cyminum L.), nazboo (Lallemantia royleana Benth.), sowa (Anethum sowa Roxb.), saunf (Foeniculum vulgare var. Dulce), mint slug (Mentha piperita L.) chotti ilaichi (Elettaria cardamomum Maton.), bari ilaichi (Ammomum subulatum Roxb.), misri (Rock sugar), dry leaves of podina (Mentha piperita L.), sathar (Origanum 15 vulgare L.), ajwain (Trachyspermum ammi L.), waowal (Apium graveolens L.), wavodang (Embelia ribes Burm.f.) and nibat (candy sugar) in equal amount. Grind them all together to make finer. Take 1 spoon daily in night orally with 2-3 spoon of milk cream for 8-10 days. Infertility and for regulation of menstrual cycle Take khopra (Cocos nucifera L.), sounf (Foeniculum vulgare var. Dulce), mint slug (Mentha piperita L.), zeera (Cuminum cyminum L.), chotti ilaichi (Elettaria cardamomum Maton.), and misri (rock sugar) in 125gm and har siya (har siya) (Terminalia chebula Retz.)(60 gm).Grind all together to make fine powder and take 1 spoon daily in night for 4 days. Start therapy on second day of menstruation. Amenorrhea Place peppermint slug (Mentha piperita L.), intra-vaginally for 4 days daily. Firstly water discharge will come out then menstruation will start. To increase lactation Take zeera ((Cuminum cyminum L.), ½ spoon orally with water daily for a month. To lower abdomen After delivery do message of body with mustard oil and then place mud plate on stomach and then keep red bricks (2-3) over it for 15-20 min for 11 days. Prolapsed Uterus Give steam to gurr (jaggery) intra-vaginally. Myth for usage of herb to conceive male child After delivery place gurr (Jaggery) intra-vaginally then after delivery for 3 days 16 and then give Araq 32 ½ cup daily for 3 days. 11 Taluka Ratodero 11.1 Garibabad Muhlla - Naudero N=27o, 40.379sec 11.1.1Geographical information: E=68o, 21.622sec Elevation=167 ft Satellite 11.1.2 Women interviewed: 02 06 Lady Saida Bhutto (light purple dress) interviewed by team L→R Lady Anam interviewed by Miss Geeta Mostly ladies go to Daie for remedies but due to more hospital and clinics the trends towards herbal medicine has been decreased there. Lady Ikhtiyar (centre) interviewed by Miss Geeta and Dr. Nuzhat 17 11.1.3 Information Obtained: Leucorrhea Take misri (Crystal sugar), chotti ilaichi (Elettaria cardamomum Maton.), supari (Areca catechu L.), and dried and fried mango seeds (Mangifera indica L.). Grind all together to powder it and take this remedy twice daily with milk for a month. Menorrhea Soak nishasta over night in water and take ponstan forte tablet with this water in morning regularly during menstruation days. Infertility Take whole coconut (Cocos nucifera L.) cut small opening of it from upper side and add black pepper (Piper nigrum L.), khashkhash (Papaver somniferum L.) and choti illaichi (Elettaria cardamomum Maton.) in it. Then knead sujji/ semolina (Sesamum indicum L.) in milk and cover coconut with this doe. Now fry this coconut in butter oil at low flame. When it is fried completely then peel it and grind it. Add misri (Crystal sugar) in it. Dose: Take this remedy as the menstruation ends one spoon daily for a month. In continuation of this therapy place dipped cotton swabs of white & black glycerine intra-vaginally for 3 days after menstruation ends. Contraception Place cotton swabs of diluted detol intra-vaginally after inter course. To induce abortion Take a piece of dried stem of aak (Calotropis gigantean (L.) W.T.Aiton) make hole in it at one end and tie a thread .Place this stem intra-vaginally for 3 days. In 18 3 days baby will be aborted and bleeding starts. Dyspareunia Mesh nazboo leaves (Lallemantia royleana Benth.) and bari illaichi (Ammomum subulatum Roxb.) on palm of hand and tie it with thread and place intra-vaginally for 4 days regularly. Post partum hemorrhage Dip cloth in ice cold water and place on groins. Sexually Transmitted Diseases (STD) Take neem leaves (Azadirachta indica J.Juss )& boil them for 20 min in water then add pyodine and use for vaginal cleaning every time when ever you go to toilet for 15 days (avoid usage of normal water). 11.2 Goth Saido dero N=27o, 39.203sec 11.2.1Geographical information: E=68o, 19.352sec Elevation=190 ft Satellite 11.2.2 Women interviewed: 06 04 Manzooran Daie is famous Daie of the Goth and females visit to Daie for their major and minor complains. She cover whole area and has good know how of herbal 19 remedies. L →R Dr. Nuzhat and Miss Geeta interviewing Lady Samina L→R Daie Manzooran interviewed by Miss Geeta and Dr. Nuzhat 11.2.3 Information Obtained: Leucorrhea and infertility Take mawa (Quercus infectoria Olivier.), supari (Areca catechu L.), behra*, flowers of pistachio, and sugar in equal amount. Grind them all together & make remedy. Dose: Take this remedy for 3 days twice daily after menstruation ends. For Menorrhea Take mawa (Quercus infectoria Olivier.), supari (Areca catechu L.), behra*, flowers of pistachio, and sugar in equal amount. Grind them all together & make remedy Dose: Take this remedy twice daily, start therapy from 1st day of menstruation. Prolapsed uterus Take dried leaves of nazboo (Lallemantia royleana Benth.), bhang (Crocus sativus L.), sowa (Anethum sowa Roxb.), sathar (Origanum vulgare L.), powari* in equal amount. Grind these and put in cloth & tie with thread. Place it intravaginally for 5 days daily once in night. 20 Poly menorrhea Take Araq 32 in 2:2 ratios with water for 3 days in menstruation. Dysmenorrhea Take fresh leaves of nazboo (Lallemantia royleana Benth.) add a pinch of salt in it and tie it with thread. Place it intra-vaginally for 3 days. Amenorrhea Take zeera (Cuminum cyminum L.) orally with water. Give cooked stomach of goat to lady in food. Myth for usage of herbs to conceive male child Take kini kathi (Acorus calamus L.), kacha paka wai*, sowa (Anethum sowa Roxb.), rori gurr*, khopra (Cocos nucifera L.), nar chowara (dry dates), almond, chotti illaichi (Elettaria cardamomum Maton.), bari illaichi (Ammomum subulatum Roxb.), ½ mint slug (Mentha piperita L.). Grind all these in fine powder & make ball like marble.Place intra-vaginally for 6 days after delivery. Place a piece of rori gurr* intra-vaginally for 3 days. Cook chick (sindhi kukur) and give to lady to eat for 6 days daily after delivery. To lower abdomen After delivery do message of body with mustard oil and then place mud plate on stomach and then keep red bricks (2-3) over it for 15-20 min for 11 days. 11.3 Goth Gari Khuda Bux 11.3.1 Geographical information: N=27o, 41.562sec E=68o, 19.152sec Elevation=272 ft 21 Satellite 11.3.2 Women interviewed: 02 01 Mostly ladies visit to lady doctor for their problems. No specific information was obtained. 12 Table: List of Medicinal plants used in Larkana District S. no Sindhi 1 Urdu English Botanical Names Names Names Names Kini Kathi gur bach, Sweet flag, Acorus calamus L. bach, gandhari calamus bach 2 Wado Photto Bari illaichi Black Cardamom Ammomum subulatum Roxb. 3 Sowa Sowa, Soya Dill Anethum sowa Roxb. 4 Wawowal Ajmood, Celery Apium graveolens L. 5 Supari , kini Phiki chaliya Areca nuts Areca catechu L. Margosa tree Azadirachta supari, tail supari 6 Nim Neem indica J. Juss. 7 Aak Aak / Akada Crown flower (Calotropis gigantean (L.) W.T.Aiton) 8 Bhanga Bhang Marijuana, hemp Cannabis sativa L. 22 9 Dhungi Naryal, Khopra Coconut tree Cocos nucifera L. 10 Zeero, jeero Zeera Cumin seeds Cuminum cyminum L. 11 Nandho Illaichi chotti Green Cardamom Elettaria Photto cardamomum Maton. 12 Wavovadang Baobarang False black pepper Embelia ribes burm. F. 13 Saunf, Fennel seeds Foeniculum vulgare var. Saunf wadaf Dulce. 14 Mithikathi Mulethi Liquorice Glycyrrhiza glabra L. 15 Nazboo Tukhm-e- Holy basil Lallemantia balangah royleana Benth. 16 Jawar tiki Podina tikia Mint slug Mentha piperita L. 17 Phudno Podina Mint Leaves Mentha piperita L. 18 Sathar Marjoram Oregano, Origanum vulgare L. 19 Khashkhash, Khashkhash Opium seeds, Papaver somniferum L. Pusta ji kann poppy seeds 20 Kara mirich Kali Mirch Black pepper 21 Mawo, Mawa,Mazu Gal maiyan oak, Piper nigrum L. Dyer,s Quercu infectoria, Olivier. Ooak 22 Arandi Arandi Castor oil Ricinus communis L. 23 Kamarkas Kamarkas English plebeian Salvia plebeian R. Brown. 23 24 25 26 Lodh, Pathani Lodh tree, Symplocos racemosa lodh Symplocos bark Roxb. Injri , nandhi Har sehya, Black myrobalau Lodh harir hanjino Jarn Ajwain Carom Terminalia chebula Retz. seeds, Trachyspermum ammi L. bishop's Weed 27 Hurbo Methi dana Fenugreek seeds Trigonella foenumgraecum L. Triticum aestivum L. 28 Suji 29 Gurr Gurr Jaggery - 30 Misri Misri Crystal sugar - 31 Nibat Nibat Candy sugar - 32 Behra* 33 Sakhro* 34 Mango Suji, Wheat Semolina seeds* 35 Powari* 36 Kacha paka wai* 37 Rori gurr* * Still we are trying to identify these herbs. 24 13 Methodology to confirm the names of the plants: First only a few samples were collected from the survey area, and remaining samples were purchased from the pansar’s shop (herbalist shop) of that area from where these women buy herbal medicines. The Sindhi names were confirmed from other herbalist shops by showing plant materials to them. Then these samples and plant materials were brought to Karachi in H.E.J. Research institute of Chemistry, University of Karachi, and then in Karachi we went to different herbalist shops to confirm their Urdu or more common names by showing the materials to them. So it became possible to find their English and botanical name. By using different scientific books, journals, papers, internet, and science data base, their literature data were collected. 14 Scientific Literature: 14.1 Acorus calamus L. Botanical Name: Acorus calamus L. Kingdom: Plantae Order: Acorales Family: Acoraceae Genus: Acorus Local Name: Gur Bach Sindhi Name: Kini Kathi English Name: Sweet flag, calamus Part used: Whole plant 25 Uses Reported in Literature: Used for the treatment of leucorrhea.1 Treat fever during the menstruation.2 Used for the treatment of dysmenorrhea and irregular menstruation.3 Treat headache during menstrual cycle.4 Used for the treatment of infertility due to cold womb.5 Used to treat habitual abortion.6 The rhizome is used as carminative and stimulant.7, 8 It is aphrodisiac, emmenagogue, diuretic, expectorant and antipyretic. 8 Rhizomes is traditionally used against different ailments like, fever, asthma, bronchitis, cough and mainly for digestive problems such as gas, bloating, colic, and poor digestive function.9 It is also used in the treatment of cough, fever, bronchitis, depression and other mental disorders, tumors, hemorrhoids, skin diseases, numbness and general debility.10 14.2 Ammomum subulatum Roxb. Botanical Name: Ammomum subulatum Roxb. Kingdom: Plantae Order: Zingiberales Family: Zingeberaceae Genus: Amomum Local Name: Bari illaichi 26 Sindhi Name: Bari illaichi English Name: Black cardamom Parts Used: Whole Uses Reported in Literature: It is stimulant11, 15, carminative11, 15, and blood thinner11. 14.3 It is effective in Gonorrhea.12, 13,14,1 5 It possesses aphrodisiac property.14,15 It has antifungal activity against Aspergillus flavus .16 Seeds are antiemetic, used for the treatment of indigestion.17 Seed are used as cardio and liver tonic.15 Anethum sowa Roxb. Botanical Name: Anethum sowa Roxb. Kindom: Plantae Order: Apiales Family: Apiaceae / Umbellifarae Genus: Anethum Local Name: Soya Sindhi Name: Sowa English Dill Part used: Seeds, Leaves Uses Reported in Literature: It increases lactation and prevent early pregnancy after birth.18 27 It is used as emmenagogue, galactagogue also used in amenorrhea and dysmenorrhea.19 It is antimicrobial19 and anti fungal.20 It is used a condiment and flavoring agent in pickles, curries, soups and salads. 19 Aqueous extract lowers blood pressure and dilates blood vessels.20 Fresh and dried leaves are used for prevention and treatment of disease of GIT, kidney and urinary tract .20 It is used in digestive and menstrual disorder.21 It is used in internal spasm, cold, cough and flu remedies.21 14.4 Apium graveolens L. Botanical Name: Apium graveolens L. Kingdom: Plantae Order: Apiales Family: Apiaceae Genus: Apium Local Name: Ajmood Sindhi Name: Waowal English Name: Celery Parts Used: Seeds Uses Reported in Literature: Celery is thought to be an aphrodisiac because it contains androsterone (a metabolic product of testosterone) 22 Metabolic fraction of seeds shows antibacterial and antioxidant properties.23 28 It is anti inflammatory and used in inflammation of urinary tract. 24 It is used as an emmanogogue24, 27 It is used for the treatment of primary dysmenorrheal.25 Celery seeds are used to treat gynecological diseases ,such as leucorrhea, menopause, irregular periods , dysmenorrhea27, and ovary problems.26 It is carminative, and stomachic.27 It has been recommended for the treatment of liver and spleen diseases, bronchial asthma, malaria, diarrhea, dysentery, skin diseases, arthritis, painful eye diseases, chronic fever, and insect bite.28 The Apium graveolens L. has also been suggested to possess anti-inflammatory activity, antimicrobial, hepatoprotective, antiemetic, antispasmodic, analgesic and diaphoretic actions.28 14.5 Areca catechu L. Botanical Name: Areca Catechu L. Kingdom: Plantae Order: Arecales Family: Arecaceae Genus: Areca Local Name: Supari, phiki chaliya Sindhi Name: Supari, kini supari, tail supari English Name: Betel nuts, areca nuts Part used: Fruit, seeds 29 Uses Reported in Literature: It has aphrodisiac effect for women.29 It is used in excessive menstrual flow.29 It is used to inhibit growth of Candida albicans. 30 Young leaves are abortifacient in early pregnancy.30 It is used as emmenagogue, and used to treat leucorrhea.31 It is also used in vaginal laxity.32 It shows antibacterial activity against methicillin-resistant Staphylococcus aureus (MRSA) and Staphylococcus aureus.33 Powdered nuts are prescribed in diarrhea and urinary disorders.32 Aqueous extract of nuts exhibit direct vasoconstriction in rats. 32 It is used in veterinary practice as cathartic and anthelmintic.34 It is used to cure malaria.35 It possesses anti inflammatory and analgesic effects.36 14.6 Azadirachta indica J. Juss. Botanical Name: Azadirachta indica J. Juss. Kingdom: Plantae Order: Sapindales Family: Meliaceae Genus: Azadirachta Local Name: Neem Sindhi Name: Nim English Name: Margosa Tree 30 Part used: Leaves Uses Reported in Literature: It is used to treat dysmenorrhea, leucorrhea, post labor pain in uterus, amenorrhea, and also used as an emmenagogue.37 Leaf bark is antimicrobial, antifungal, anthelmenic, insecticidal, antiviral, antipyretic and anti-inflammatory.38 Oil is used as contraceptive and for treatment of vaginal infections.38 It is useful in leprosy, ulcer, wounds, malarial fever, diabetes, amenorrhea, and lumbago.39 It can cure toothache, bad breath and gum diseases.40 The chemical constituents nimbidin and nimbin have some spermicidal activity.41 Neem oil is used for preparing cosmetics as soap, neem shampoo, balms and creams.41 14.7 Cannabis sativa L. Botanical Name: Cannabis sativa L. Kingdom: Plantae Order: Rosales Family: Cannabaceae Genus: Cannabis Local Name: Bhang Sindhi Name: Bhanga English Name: Marijuana, hemp Parts Used: Leaves 31 Uses Reported in Literature: The plant is reported as abortificient, aphrodisiac, emmenegogoue, laxative, diuretic, anesthetic, analgesic, and laxative.42 It is also useful for the treatment of dysmenorrhea, gonorrhea, and constipation. 42 Juice of the leaves, 6 tea spoon is given in diarrhea, and dysentery.43 Past of the leaves is applied in cuts and wounds.43 It is reported as hypnotic, anti-inflammatory, and analgesic.44 It is prescribed in menstrual disorders and during labor pain.45 It is also used in gastro intestinal disorders, depression, and in high blood pressure.45 Marijuana exposure during pregnancy alters the neurobehavioral performance of term newborn infants of adolescent mothers.46 Cannabinoids form Cannabis sativa L. may find use in the treatment of some forms of infertility in women.47 The essential oils of industrial hemp shows significant antimicrobial activity.48 Compounds of Cannabis sativa L. also shows significant antibacterial, antifungal, and antileishmanial activity.49 14.8 Cocos nucifera L. Botanical Name: Cocos nucifera L. Kingdom: Plantae Order: Arecales Family: Arecaceae Genus: Cocos 32 Local Name: Naryal, Khopra Sindhi Name: Dhungi English Name: Coconut tree Parts Used: Roots and seed Uses Reported in Literature: Cocos nucifera L. is used as antitumor, antiseptic, anti bacterial, diuretic, and as lactagogue.50 It is also useful for the treatment of amenorrhea, candida inflammation, menorrhea, breast cancer, gonorrhea, syphilis, diabetes, and asthma.50 Roots are astringent, diuretic, and useful in uterine disorders.51 Juice of young spadix when fresh is refrigerant, aphrodisiac, and diuretic. 51 Tender coconut water can safely be given in typhoid, diarrhea, pneumonia, diphtheria, general toxaemia of pregnancy, and other surgical operation. 51 The oil is aphrodisiac, disinfectant, and useful in cough and in diabetes. 51 Fruit is laxative, diuretic and useful in burning sensation.52 Coconut oil intake is associated with beneficial lipid profiles among premenopausal women.53 Coconut flower extract is useful to decrease excessive uterine hemorrhage during menstruation.54 Coconut oil is used for contraception, the abdomen is rubbed with coconut oil, and the uterus is pushed downward for 3 consecutive days. The lowering of the uterus is meant to prevent the union of the sperm with the egg. 55 The medical formulations which also contain coconut oil showed anti-early 33 pregnancy activity in women.56 14.9 Cuminum cyminum L. Botanical Name: Cuminum cyminum L. Kindom: Plantae OIrder: Apiales Family: Apiaceae Genus: Cuminum Local Name: Zeera Sindhi Name: Jeero, Zeero English: Cumin seeds Part used: Seeds, Leaves Uses Reported in Literature: The seeds are used in leucorrhea and gynecological complexity.57 It is also used for lumbago and painful micturation.57 It is given for the treatment of impotence.57 Decoction of cumin seeds mixed with milk and honey used once daily during entire period of pregnancy helps the development of the baby, ease child birth & increase the secretion of breast milk.58 The oil is used to flavor curries and other culinary preparations, confectionery and beverages.59 It is diuretic, carminative, stimulant, antibacterial, emmenagogue and galactagogue.60 34 In the Traditional System of Medicine, the various plant parts such as bark, fruit, seed and leaf are used as astringent, sweet, sour, acrid, refrigerant, carminative, diuretic, digestive, in diabetes, leucorrhoea, gastric disorder, fever, skin diseases and wounds.61 Seeds are widely used in diabetes and leaves in anemia & gingivitis. 62 14.10 Elettaria cardamomum Maton. Botanical Name: Elettaria cardamomum Maton. Kingdom: Plantae Order: Zingiberales Family: Zingeberaceae Genus: Elettaria Local Name: Chotti illaichi Sindhi Name: Nandha photta English Name: Green cardamom Part used: Seeds Uses Reported in Literature: It is used as an aphrodiasic63, 64. Well known for impotence63 and low sexual response66. Fruit is emmenagogue65. Externally used for tumor of uterus65. It shows antimicrobial activity against both Gram-pos. and Gram negative bacterial species.66 It promotes digestion.67 35 It is stimulant, carminative, diuretic and has digestive properties.67, 68 It is useful in dyspepsia and as cholagogue.68 It is used in treating various gastrointestinal, cardiovascular and neuronal disorders.69 14.11 Embelia ribes Burm.f. Botanical Name: Embelia ribes Burm.f. Kingdom: Plantae Order: Ericales Family: Euphorbiaceae Genus: Embelia Local Name: Bao barang, Sindhi Name: Wavovadang English Name: False black pepper Parts Used: Fruits Uses Reported in Literature: It is used for contraception purpose.70 It is used for menstrual flow restoring action.71 It has an anti-fertility action. The plant is used as an anti-inflammatory drug to relive rheumatism and fever. The fruit cures tumors, ascites, bronchitis, jaundice and mental disorders.72 The fruit is astringent, carminative and stimulant. 73 The seeds are used for maintaining healthy skin and to support the digestive function.73 36 It is also used as antifungal agent in ringworm infection and other chronic dermatitis.73 It has laxative activity and used as anthelmintic agent. Seed extract possess anti-oestrogenic properties and specially used as contraceptive.73 14.12 Foeniculum vulgare var Dulce. Botanical Name: Foeniculum vulgare var Dulce. Kingdom: Plantae. Order: Alpiales Family: Apiaceae / Umbellifarae Genus: Foeniculum Local Name: Saunf Sindhi Name: Wadaf English Name: Fenne l Part used: Seeds Uses Reported in Literature: Fennel may be an effective diuretic and a potential drug for treatment of hypertension.74 Extract have estrogenic property75, 76 in hormonal imbalances caused by menopause. Infusion of fruit is useful in amenorrhea.77 It possesses antimicrobial and estrogenic activity.77 Its oil is emmenagogue oxytocic and abortifacient.78 It is used in galactagogue, relieve bloating and nausea.79 37 It is carminative, stomachic and stimulate appetite.79 It is used to treat dysmenorhea and lower abdominal pain.80 It is used as a flavor in confectionary and bakery products. 80 It regulates menstruation.81 The ethnol extract of the dried ripe fruit of Foeniculum vulgare (500 mg/kg) is diuretic, analgesic, antipyretic, and antimicrobial.82 14.13 Glycyrrhiza glabra L. Botanical Name: Glycyrrhiza glabra L. Kingdom: Plantae Order: Fabales Family: Fabaceae Genus: Glycyrrhiza Local Name: Mulethi Sindhi Name: Mithikathi English Name: Liquorice Parts Used: Roots Uses Reported in Literature: It is antibacterial, anti-inflammatory, and anti-antioxidant.83 It is reported to be as emmanagogue, aphrodisiac, and contraceptive. 83 It is administered in gastric and duodenal ulcers, hypertension, and arthritis. 84 Vacume dried ethnolic extract of roots showed anti-oxidant and wound healing properties. 84 38 It is used in treatment of contagious disease and for treating infertility and protecting pregnancy.85 The G.glabra L. root extract can be added into lotion, essence solutions and topical cleaning medicinal liquid. It has antibacterial effect against Trichomonas vaginalis, Candida albicans, and Hemophilus vaginalis, and is effective in treating leukorrhagia, and pudendal pruritus.86 Compound Chinese medicinal preparation contains Glycyrrhiza glabra L. for preventing and treating abnormal uterine bleeding, and its preparation method. 87 14.14 Lallemantia royleana Benth. Botanical Name: Lallemantia royleana Benth. Kingdom: Plantae. Order: Lamiales Family: Labiata Genus: Lallemantia Local Name: Tukhm-e- balango Sindhi Name: Nazboo English Name: Black psyllium seeds Part used: Seeds and leaves Uses Reported in Literature: The poultice of the seeds is applied topically for the treatment of abscesses, boils and Inflammations.88 The seeds are valued fro their cooling, sedative and diuretic properties. 88, 89 It is used in bevarages.88 39 They are given internally as soothing drink in urinary troubles.88 Poultice is applied to abscess, boils and inflammation.89 14.15 Mentha Piperita L. Botanical Name: Mentha Piperita L. Kingdom: Plantae. Order: Lamilales Family: Lamiaceae Genus: Mentha Local Name: Podina Sindhi Name: Phudno English Name: Pipermint Part used: Leave Uses Reported in Literature: It is used as aphrodisiac for women and men and used for vomiting during pregnancy.90 Menthol in peppermint has anti spasmodic qualities that may help relieve menstrual cramps.90 Used as an emmenagogue.91 It is used as flavor in ice creams, candies, chewing gums and pudding. 92 Essential oil is antibacterial and antifungal.93 It is given for the inflammation of oral mucosa.93 The methnol root extract of the plant possess antioxidant, antimicrobial and antiinflammatory properties.94 40 Mentha plant is widely used in several indigenous systems of medicine for various therapeutic benefits as analgesic, anesthetic, antiseptic, astringent, carminative, decongestant, expectorant, nervine, stimulant, stomachic, inflammatory diseases, ulcer and stomach problems.95 14.16 Origanum vulgare L. Botanical Name: Origanum vulgare L. Kingdom: Plantae Order: Lamiales Family: Labiateae Genus: Origanum Local Name: Oregano, marjoram, sathar Sindhi Name: Sathar English Name: Oregano, Wild marjoram Parts used: Leaves, flowering top Uses Reported in Literature: It promotes menstrual flow.96, 97 Diluted oil can be applied to toothache.97 It is used as an emmenagogue.98, 99, 100 It is used to treat menstrual irregularities99, 100, 101, amenorrhea99, 100, 101 and Dysmenorrhea.102 Used to relax uterine muscle contractions.102 It is used to treat hypo sexuality.101 Used for mood improvement during premenstrual period and treat menopausal 41 related symptoms.103 It is also used to treat infertility.104 It is used in treatment of some conditions including colds, respiratory allergies, gastrointestinal disorders, diabetes mellitus, wound healing and as a tranquilizer.105 Essential oil of oregano possesses antifungal, antibacterial, antioxidant, analgesic, anti-inflammatory, antispasmodic, and anti-parasitic activity.106 14.17 Papaver somniferum L. Botanical Name: Papaver somniferum L. Kingdom: Plantae Order: Ranunculales Family: Genus: Papaveraceae Papaver Local Name: Khashkhash Sindhi Name: Khashkhash, Pusta ji kann English Name: Opium seeds, poppy seeds Parts Used: Seeds Uses Reported in Literature: Root is used as tonic 107 The milk from fresh capsule has sedative effect and cause abortion.108 The latex possess hypnotic110, analgesic 110, 111 , antitussive 111, and anti diarrheal properties110, 111 It is used in treating chronic cough and diarrhea.109 42 It is smooth muscle relaxant.111 It has the function of promoting dispersing function of the lung, clearing away heat, and relieving cough and asthma.112 It has reliable curative effect in treating upper respiratory tract infection, tracheitis, pneumonia, and cough.112 14.18 Piper nigrum L. Botanical Name: Piper nigrum L. Kingdom: Plantae. Order: Piperales Family: Piperaceae Genus: Piper Local Name: Kali Mirch Sindhi Name: kara mirich English Name: Black pepper Part used: Fruit Uses Reported in Literature: It helps in pain relieving, rheumatism, chills, flue and cough.113 It improves menstrual cycle related discomfort in every day life.114 It s used to treat male sexual dysfunction.115 It is aphrodisiac in impotent persons.116 Liquid from leaves is used to treat influenza.117 Juice of leaves is used to treat toothache.117 It is stimulant, carminative, diuretic and antiasthamatic.118, 119 43 It is used as an aphrodisiac.119 Piper mixed with cinamon is used for treating migraine.119 14.19 Quercus infectoria Olivier. Botanical Name: Quercus infectoria Olivier. Kingdom: Plantae Order: Fagales Family: Fagaceae Genus: Quercus Local Name: Mazu, mawa Sindhi Name: Mao English Name: Gall oak, Dyer’s oak. Parts used: Fruit Uses Reported in Literature: The seeds are used in treating gonorrhea vaginal infection including leucorrhea.120 Ayurveda Pharmacopoeia of India recommends the gall in leucorrhea and dry itching vagina.121 The herbal extract has the function of vagina construction, vagina itching inhibition and sterilization.122 Galls are astringent, and were used in all cases where astringents are indicated, as in chronic dysentery124, diarrhoea124, and passive hemorrhages.123 Bark and fruit is used for eczema.121 An ointment (1 in 4 parts of Vaseline) is applied externally in hemorrhoids. 124 44 14.20 Ricinus communis L. Botanical Name: Ricinus communis L. Kingdom: Plantae Order: Euphorbiales Family: Euphorbiaceae Genus: Ricinus Local Name: Arandi Sindhi Name: Arandi English Name: Castor beans Parts Used: Seeds Uses Reported in Literature: It is used in making contraceptive jellies and creams. 125,128 Castor oil message over breast after child birth increases the flow of milk by stimulating milk producing glands.125 When it is given with pinch of alum act as safe and handy contraceptive. 125 If a women swallow one castor seed after the menstrual cycle she will not conceive during that month.125 It acts as emmenagogue and lactagogue.126 Root extracts exhibit anti-inflammatory activity.127 It is purgative.127 Oil is use in eczema.127 45 14.21 Salvia plebeia R. Brown. Botanical Name: Salvia plebeian R. Brown. Kingdom: Plantae Order: Lamiales Family: Lamiaceae Genus: Salvia Local Name: Kamar kas, sefakus, salvej Sindhi Name: Kamarkas English Name: English plebeian Parts Used: Leaves, seeds Uses Reported in Literature: It is used to treat menorrhagea129, 130, dysmenorrhea132, and to prevent sexually transmitted diseases131. It is used as an emmenagogue133. It is used for the treatment of gonorrhea131, and used as an aphrodisiac132 for female. It is also used to treat leucorrhea134 , and vaginitis.134 It is used to treat premenopausal symptoms.135 Plant is diuretic, anthelmintic, astringent, and demulcent.137 Seeds are used in diarrhea, leucorrhea, menorrhea and hemorrhoids. 137 46 14.22 Symplocos racemosa Roxb. Botanical Name: Symplocos racemosa Roxb. Kingdom: Plantae Order: Ericales Family: Symplocaceae Genus: Symplocos Local Name: Lodh, Pathani lodh Sindhi Name: Lodh English Name: Lodh tree, Symplocos bark Parts Used: Bark Uses Reported in Literature: The plant is used in excessive bleeding during menstruation .138,142 The bark extract have been Reported to reduce the frequency & intensity of the contraction of uteri of both pregnant and non pregnant animals. 139 The bark is used as specific remedy for uterine complaints 144, vaginal diseases and menstrual disorders, menorrhagia144 and leucorrhoea.139 The herb is used to treat gynecological disorders, dysfunctional uterine, bleeding, anemia due to extreme bleeding, and menstrual disorders.140 Stem bark have anti-inflammatory property.141 It cures digestive disorders, ulcer, and eye diseases.142 Stem is used to treat hemorrhage, acne, leucorrhea, and pimples.143 Medicinally, bark is useful in bowel complaints such as diarrhea, dysentery, dropsy, liver complaints, fevers, ulcers, and scorpion-sting. 144 47 A decoction of the bark or wood is used as gargle for spongy gums and bleeding. It cures diseases of the blood and leprosy. 144 It is useful in abortions and miscarriages and for ulcers of vagina. 144 Unani medicine uses it as emmenogoggue and aphrodisiac. 144 It is also one of the constituent of a plaster used to promote maturation of boils and other malignant growths.144 14.23 Terminalia chebula Retz. Botanical Name: Terminalia chebula Retz. Kingdom: Plantae Order: Myrtales Family: Combretaceae Genus: Terminelia Local Name: Harsia Sindhi Name: Nandhi harir, Injri English Name: Black myrobalau Parts Used: Whole herb Uses Reported in Literature: The herb is used for the treatment of unusual vaginal discharges such as leucorrhea145 It can be given as adjuvant in atonic condition of uterus.145 The fruit is anti-inflammatory, anthelmintic, cardiotonic, antiseptic, diuretic and aphrodiasic.146 It is used for treating dysentery, constipation, cyst, cough, and bronchial 48 asthama.147 The fruit decoction is used in bleeding and ulceration of gums.148 It possess antibacterial activity, cardio-tonic activity, and anti-oxidative activity.149 14.24 Trachyspermum ammi L. Botanical Name: Trachyspermum ammi L. Kingdom: Plantae Order: Apiales Family: Apiaceae Genus: Trachyspermum Local Name: Ajwain Sindhi Name: Jannr English Name: Carom seeds, Bishop's Weed Parts Used: Seeds Uses Reported in Literature: Seeds are used for the treatment of leucorrhea. 150 It is used for the treatment of painful menstruation, and lumbago.150 Seeds are also used for the treatment of impotence.150 It is carminative, antispasmodic, anti-cholinergic, and anti-diarrheal.151 Leaf juice is anthelmintic, and root is febrifuge and diuretic.151 In Ayurvedic system of medicine it is used primarily to aid digestion, disorders of the circulatory system and diarrhea.152 The oil of Ajwain is rich in monoterpenes and it may be used as a natural antibacterial agent in drug and food industries.153 49 It is galactogogue, stomachic, expectorant, antiseptic, amoebiasis, and antimicrobial.154 Seeds fried in oil are used in curing diarrhoea, Parasiticidal, and given in treatment of amenorrhea, Bronchitis, colic pain. 154 It also cures abdominal tumors, abdominal pains, and piles. 154 14.25 Trigonella foenum-graecum L. Botanical Name: Trigonella foenum-graecum L. Kingdom: Plantae Order: Fabales Family: Fabaceae Genus: Trigonella Local Name: Methi dana Sindhi Name: Hurbo English Name: Fenugreek seeds Parts Used: Seeds Uses Reported in Literature: It treats sexual disorders.155 It is aphrodisiac, and galactagogue156. Application of paste of fresh leaves completely stops the secretion of breast milk.156 It is used to treat menstrual irregularities.156 Its roasted seeds are given with milk and sugar to increase milk secretion. 156 50 Decoction of seeds with turmeric powder is used to cure vaginitis, leucorrhea, and bad smell after menstruation.156 It shows antibacterial activity.156 Seeds are used in loss of appetite, flatulence, diarrhea and cholic.157 It is used as lactagogue.157 Leaves are refrigerant, and apperient.158 A poultice of leaves is applied to swelling and burns.158 14.26 Triticum aestivum L. Botanical Name: Triticum aestivum L. Kingdom: Plantae Order: Poales Family: Poaceae Genus: Triticum Local Name: Suji, Wheat Sindhi Name: Suji English Name: Semolina Parts Used: whole plant Uses Reported in Literature: It is used to treat menoxenia and female infertility.159 It is used for improving sperm and egg activity and quality, enhancing sexual function and treating sexual dysfunction.160 In Indian medicine it is used to treat menorrhea.161 51 It’s bread eaten with honey and half boiled egg is an excellent nerve tonic to retain sex power and vigour.161 It is good source of nutrient.162 Grains are refrigerant, emollient, laxative and appetizer.163 15. Experimental Work Done: 15.1 Phytochemical and Biological Studies: Extraction of above collected plants was carried out at the H.E.J Research Institute of Chemistry (International Center for Chemical and Biological Sciences) University of Karachi. Ethanol (EtOH) and water were used as solvents for soaking of plant materials in specific ratio as mentioned in table. Evaporation was carried out by using Rotary Evaporator under reduced pressure. 15.2. Table: List of plants extracted S.no Name of plants Percentages & Weight of extract & weights volumes of solvents obtained (gm) used for extraction. 1 Acorus calamus L. 3 Anethum sowa Roxb. 20% H2O:80 % EtOH 45.3425 gm 20% H2O:80 % 44.864 gm EtOH 4 Apium graveolens L. 20% H2O:80 % EtOH 49.6787 gm 5 Areca Catechu L. 20% H2O:80 % EtOH 203.5749 gm 6 Azadirachta indica J. Juss. 20% H2O:80 % EtOH 26.9994 gm 52 (Leaves) Cuminum cyminum L. 20% H2O:80 % EtOH 31.5592 gm 10 Piper nigrum L. 20% H2O:80 % EtOH 48.77815 gm 11 Elettaria cardamomum 20% H2O:80 % EtOH 20.30162 gm 9 Maton. 12 Embelia ribes Burm.f. 20% H2O:80 % EtOH 29.4802 gm 14 Glycyrrhiza glabra L. 20% H2O:80 % EtOH 105.4958 gm 15 Lallemantia royleana Benth. 20% H2O:80 % EtOH 17.1449 gm (Leaves) 16 Mentha Piperita L. 20% H2O:80 % EtOH 77.0889 gm 17 Origanum vulgare L. 20% H2O:80 % EtOH 22.8631 gm 18 Papaver somniferum L. 20% H2O:80 % EtOH 7.2854 gm 19 Piper nigrum L. 20% H2O:80 % EtOH 48.77815 gm 20 Quercus infectoria Olivier. 20% H2O:80 % EtOH 205.5313 gm 21 Salvia plebeian R. Brown. 20% H2O:80 % EtOH 18.9748 gm 22 Symplocos racemosa Roxb. 20% H2O:80 % EtOH 40.5219 gm 23 Terminalia chebula Retz. 20% H2O:80 % EtOH 179.0312 gm 24 Trachyspermum ammi L. 20% H2O:80 % EtOH 28.3128 gm 25 Trigonella foenumgraecum 20% H2O:80 % EtOH 11.3454 gm L. 53 16 Biological Screening 16.1 In vitro Antifungal Assay: The following two methods were used to determine the antifungal activity of the medicinal plant extracts against C. albicans. a) Agar-well Diffusion Method b) Micro-well Dilution Method 16.2 Agar well Diffusion Method: 1) 100 µL of 1 Mc-farland solution of C. albicans culture in sabouraud dextrose broth (SDB) was placed over the surface of an agar plate and keep it for solidification. 2) By using a sterile 5 cm plastic pipette, four holes were punched (2 mm in diameter) in each of the culture plate. 3) In the first hole, 10 µL of the drug was added as positive control and DMSO as negative control, while in rest of the holes 5, 10, 20, and 30 µL was added. 4) The culture plates were than incubated at 37º C and results were observed after 48 h. 16.3 S.no. Results of in vitro antifungal assay Scientific Name Local Name 1. Anethum sowa Roxb. Sowa 2. Areca catechu Supari Part Used Zone Of Inhibition (mm) 400 300 200 150 100 µg/m µg/m µg/m µg/m µg/m L L L L L 19 16 - 20 18 - - Picture - L. 54 23 18 15 - - Zeera 16 - - - - Chotti illaichi 20 - - - - 17 - - - - Mulethi 15 12 - - - Nazboo 19 16 - - - Mentha Podina 15 - - - - piperita L. tikki 10. Piper nigrum L. Kali mirach 19 12 - - - 11. Trigonella foenumgraecum L. Methi dana 20 12 - - - 12. Terminalia Har 22 20 18 17 15 chubula Retz. sihya 13. Trachyspermu m ammi l. Ajwain 20 17 12 - - 14. Papver somniferum L. Khashkhash 15. Origanum vulgare L. 3. 4. Azadirachta indica J. Juss Cuminum Nim Fruit cyminum L. 5. Elettaria cardomomum Maton. 6. Embelia ribes Burm.f. 7. Glycyrrhiza glabra L. 8. Lallemantia royleana Benth. 9. Sather No- Activity No- Activity 55 16.4 Drug Susceptibility assay for candida albicans S.No. Drugs 1. 2. 3. 4. 5. Miconazol Ketoconazol Fluconazol Nystatin Amphotericin B 400 µg/mL 36 300 µg/mL 35 32 25 31 22 Miconazol Zone of Inhibition (mm) 200 150 100 µg/mL µg/mL µg/mL 34 28 27 30 20 29 20 26 - 50 µg/mL 26 25 - 25 µg/mL 25 30 35 22 - Nystatin Criteria for Zone of Inhibition (ZIH): 18 or > 18 mm = Significant activity 16-<18 mm = Good Activity <16 mm = Low activity 16.5 Conclusion: Ethanolic extract of Azadirachta indica J. Juss. and Terminalia chubula Retz. showed significant anti-candidal activity at the conc. of 400 µg/mL with the 23 and 22 mm zone of inhibition respectively ,while in comparison of standard drugs Fluconazol, Miconazol and Ketaconazol showed significant zone of inhibition 25 to 35 with very low concentration (25 µg /mL)of extracts. 56 17 In vivo Experiments 17.1 Development of Animal Models 17.1.1 In vitro experiment for uterus contractility Take Female ICR mice (unpregnant) Wt. 18-22g ↓ Estrogenized mice with estradiol benzoate (1mg/kg/d s.c) 3 days before experiment ↓ (sacrificed by decapitation) Excised uterine horn and place in organ bath incubate in Locke’s solution at 37±1 C and bubble with gas (95% O2, 5% CO2) ↓the preload will be 1 g and equ period not less than 45 min. Measure spontaneous uterine contractions after its amplitude become stable ↓ Plot normal concentration – response curve for 5-10 min as control curve ↓ Then add oxytocin (0.01 U/ml) in bathing solution and react for 15 min to induce contractions ↓ Different concentrations of the extracts are added to the bathing solution and plot concentration – response curve of the prescription against the phasic response to oxytocin 57 17.1.2 Dysmenorrheal mice model preparation Take Female ICR mice (unpregnant) Wt. 18-22g and divide in groups (normal control and model control) ↓ Normal control group is treated with distilled water intragastrically ↓ Model control group is given estradiol benzoate (0.01g/kg/d s.c) for 6 days and on 7th day oxytocin 0.01L/kg intra peritoneal and distilled water (i.g.) intragastrically regularly ↓ Dose of drug is administered for five days in seven days modeling period ↓ Record the number of writhing occurring for 5 to 10 min after oxytocin administered ↓ Sacrifice the mice after writhing recording and the contents of Ca2+ and NO in homogenaye uterus are determined according to specification of kits. 58 17.1.3 Conclusion: The protocols for the animal model for dysmenorrhea have been developed and work will be started as the requirements will be completed for the experiment. 18 Conclusion of Survey Report: The district Larkana is very well developed and people are aware and conscious for there health care. They refer doctor for consultation. There is still widespread use of herbal treatment or folk medicines in small villages of the District and useful information is collected during the field survey. The literature survey of plants has been done and some of the experimental work is done further work will justify the statements. The people were very poor in some villages and living very hard life due to lack of basic facilities while some villages have better living standard. 59 19 Map: Map of Sindh showing different districts and its sub-areas 60 Map of Larkana District 61 20 References: 1. Wang, Xinsuo. Faming Zhuanli Shenqing Gongkai Shuomingshu (2007), Patent no.CN 101085122 A 20071212. 2. Wang, Feng; Wang, Wenkui. Faming Zhuanli Shenqing (2010), Patent no.CN 101837113 A 20100922. 3. Liu, Zhimou; Liu, Lu. Faming Zhuanli Shenqing Gongkai Shuomingshu (2006), Patent no.CN 1857690 A 20061108. 4. Wang, Feng; Wang, Wenkui. 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D., A Handbook of Medicinal Plants, p. 524 (2003) Agrobios (India), Jodhpur, India. 165. journal homepage: www.elsevier.com/locate/jethpharm 78 21 S.NO 1 Herbal formulation for the treatment of diseases: CONDITION For expulsion of plasma membrane HERBAL FORMULATION Take waowal (Apium graveolens L.), wavodang (Embelia ribes Burm.f.), dry leaves of podina (Mentha piperita L.), mithi kathi (Glycyrrhiza glabra L.), choti illaichi (Elettaria cardamomum Maton.), bari illaichi (Ammomum subulatum Roxb.), mint slug (Mentha piperita L.), misri (Rock Sugar), and nibat (Candy sugar), in equal amount .Grind all together and make ball like marble from it. Place intra-vaginally once daily for 6 days. Take methi dana (Trigonella foenum- graecum L.), zeera ((Cuminum cyminum L.), nazboo (Lallemantia royleana Benth.), sowa (Anethum sowa Roxb.), saunf (Foeniculum vulgare var. Dulce), mint slug (Mentha piperita L.) cardamomum chotti ilaichi Maton.), bari (Elettaria ilaichi (Ammomum subulatum Roxb.), misri (Rock sugar), dry leaves of podina (Mentha piperita L.), sathar (Origanum vulgare L.), 79 ajwain (Trachyspermum ammi L.), waowal (Apium graveolens L.), wavodang (Embelia ribes Burm.f.) in equal amount . Grind them all together to make finer. Take 1 spoon daily in night orally for 8-10 days. 2 Leucorrhea Take 1spoon of zeera (Cuminum cyminum L.) with water daily for 15 days. Take saunf (Foeniculum vulgare var. Dulce) orally. Take tukhm-e-balangh (Lallemantia royleana Benth.), mint slug (Mentha piperita L.), zeera (Cuminum cyminum L.), sowa (Anethum sowa Roxb.), and sathar (Origanum vulgare L.), in equal amount and grind all together to make a fine powder. Then take butter and add gurr (Jaggery) in it. Now add powdered ingredients to make vaginal suppositories. Place them intra-vaginally for 4 days regularly in night. Take misri (Rock sugar), chotti ilaichi (Elettaria cardamomum Maton.), supari (Areca catechu L.), and dried and fried mango seeds (Mangifera indica L.). Grind all 80 together to powder it and take this remedy twice daily with milk for a month. Take mawa (Quercus infectoria Olivier.), supari (Areca catechu L.), behra*, flowers of pistachio, and sugar in equal amount. Grind them all together & make remedy. 3 Menorrhea Place dipped cotton swab of black and white glycerin intra-vaginally after menstruation ends for 3-5 days twice daily. Take zeera (Cuminum cyminum L.), saunf (Foeniculum vulgare var. Dulce), waowal ((Apium graveolens L.), mawa (Quercus infectoria Olivier.), supari (Areca catechu L.), kamarkas (Salvia plebeia R. Brown.), kahri (Symplocos racemosa Roxb.), behra*, sakhoro*, sugar, and chotti ilaichi (Elettaria cardamomum Maton.) in equal amount. Grind all together and make remedy, take it twice daily for 5 days. Soak nishasta over night in water and take ponstan forte tablet with this water in morning regularly during menstruation days. Take mawa (Quercus infectoria Olivier.), 81 supari (Areca catechu L.), behra*, flowers of pistachio, and sugar in equal amount. Grind them all together & make remedy. 4 For labor pain Add caster oil (Ricinus communis L.) 2-3 spoons in sulmani tea (normal tea without milk) and give to lady to take orally. For Dysmenorrhea Take methi dana (Trigonella foenum- graecum L.), zeera ((Cuminum cyminum L.), nazboo (Lallemantia royleana Benth.), sowa (Anethum sowa Roxb.), saunf (Foeniculum vulgare var. Dulce), mint slug (Mentha piperita L.) cardamomum chotti ilaichi Maton.), bari (Elettaria ilaichi (Ammomum subulatum Roxb.), misri (Rock sugar), dry leaves of podina (Mentha piperita L.), sathar (Origanum vulgare L.), ajwain (Trachyspermum ammi L.), waowal (Apium graveolens L.), wavodang (Embelia ribes Burm.f.) and nibat (candy sugar) in equal amount. Grind them all together to make finer. Take 1 spoon daily in night orally with 2-3 spoon of milk cream for 8-10 days. Take fresh leaves of nazboo (Lallemantia 82 royleana Benth.) add a pinch of salt in it and tie it with thread. Place it intra-vaginally for 3 days. 5 Infertility Take khopra (Cocos nucifera L.), sounf (Foeniculum vulgare var. Dulce), mint slug (Mentha piperita cyminum L.), cardamomum L.), chotti Maton.), zeera (Cuminum ilaichi and (Elettaria misri (rock sugar) in 125gm and har siya (har siya) (Terminalia chebula Retz.)(60 gm).Grind all together to make fine powder and take 1 spoon daily in night for 4 days. Start therapy on second day of menstruation. Place dipped cotton swab of black and white glycerin intra-vaginally after menstruation ends for 3-5 days twice daily. Take zeera (Cuminum cyminum L.), saunf (Foeniculum vulgare var. Dulce), waowal ((Apium graveolens L.), mawa (Quercus infectoria Olivier.), supari (Areca catechu L.), kamarkas (Salvia plebeia R. Brown.), kahri (Symplocos racemosa Roxb.), behra*, sakhoro*, sugar, and chotti ilaichi (Elettaria 83 cardamomum Maton.) in equal amount. Grind all together and make remedy, take it twice daily for 5 days. 6 Amenorrhea Place peppermint slug (Mentha piperita L.), intra-vaginally for 4 days daily. Firstly water discharge will come out then menstruation will start. Take zeera (Cuminum cyminum L.) orally with water. Give cooked stomach of goat to lady in food. 7 Lactation Take zeera ((Cuminum cyminum L.), ½ spoon orally with water daily for a month. 8 For lower abdomen After delivery do message of body with mustard oil and then place mud plate on stomach and then keep red bricks (2-3) over it for 15-20 min for 11 days. 9 Prolapsed Uterus Give steam to gurr (jaggery) intra-vaginally Take dried leaves of nazboo (Lallemantia royleana Benth.), bhang (Crocus sativus L.), sowa (Anethum sowa Roxb.), sathar (Origanum vulgare L.), powari* in equal amount. Grind these and put in cloth & tie with thread. Place it intra-vaginally for 5 84 days daily once in night. 10 Contraception Place cotton swabs of diluted detol intravaginally after inter course. 11 To induce abortion Take a piece of dried stem of aak (Calotropis gigantean (L.) W.T.Aiton) make hole in it at one end and tie a thread .Place this stem intra-vaginally for 3 days. In 3 days baby will be aborted and bleeding starts. 12 Mesh nazboo leaves (Lallemantia royleana Dyspareunia Benth.) and bari illaichi (Ammomum subulatum Roxb.) on palm of hand and tie it with thread and place intra-vaginally for 4 days regularly. 13 Post partum hemorrhage Dip cloth in ice cold water and place on groins. 14 Sexually Transmitted Diseases (STD) Take neem leaves (Azadirachta indica J.Juss )& boil them for 20 min in water then add pyodine and use for vaginal cleaning every time when ever you go to toilet for 15 days (avoid usage of normal water). 15 Poly menorrhea Take Araq 32 in 2:2 ratios with water for 3 days in menstruation. 85 22 GLOSSARY Abortifacient: An abortifacient is a substance that induces abortion. Abortion: Abortion is the termination of a pregnancy by the removal or expulsion of a fetus or embryo from the uterus, resulting in or caused by its death. Amoebiasis/ Amebiasis: refers to infection caused by the amoeba Entamoeba histolytica. Amenorrhea: Amenorrhea is the absence of a menstrual period in a woman of reproductive age. Analgesic: It is also known as a painkiller, is any member of the group of drugs used to relieve pain. Anthelmintics: Anthelmintics or antihelminthics are drugs that expel parasitic worms (helminths) from the body, by either stunning or killing them. Antibacterial: Antibacterial are antiseptics that have the proven ability to act against bacteria. Anticholinergic: Anticholinergic agent is a substance that blocks the neurotransmitter acetylcholine in the central and the peripheral nervous system. Antifungal: An antifungal drug is a medication used to treat fungal infections such as athlete's foot, ringworm, candidiasis (thrush), serious systemic infections such as cryptococcal meningitis, and others. 86 Antimicrobial: An anti-microbial is a substance that kills or inhibits the growth of microorganisms such as bacteria, fungi, or protozoans. Antipyretics: Are drugs or herbs that reduce fever. Aphrodisiac: An aphrodisiac is a substance that increases sexual desire. Backache: It is pain felt in the back that usually originates from the muscles, nerves, bones, joints or other structures in the spine. Bloating: The bloating is any abnormal general swelling, or increase in diameter of the abdominal area. The patient feels a full and tight abdomen, which may cause abdominal pain. Bronchitis: Is inflammation of the mucous membranes of the bronchi, the airways that carry airflow from the trachea into the lungs. Carminative: is a herb or preparation that either prevents formation of gas in the gastrointestinal tract or facilitates the expulsion of said gas, thereby combating flatulence Cervical swelling: The medical term for cervical swelling is cervicitis. Cervical swelling includes abnormal vaginal bleeding, painful intercourse, unusual vaginal discharge, and vaginal pain. Some cases, particularly those associated with sexually transmitted infection, have no symptoms Contraception: Contraception is techniques and methods use to prevent human fertilization. 87 D&C: D&C, also known as dilation and curettage, is a surgical procedure often performed after a first trimester miscarriage. Dilation means to open up the cervix; curettage means to remove the contents of the uterus. Curettage may be performed by scraping the uterine wall with a curette instrument or by a suction curettage (also called vacuum aspiration), using a vacuum-type instrument. Diaphoretic: It is an agent that promotes sweating. Dysmenorrhea: Dysmenorrhea is a gynecological medical condition of pain during menstruation. Dyspareunia: is painful sexual intercourse, due to medical or psychological causes. Emmenagogue: Emmenagogue is herbs which stimulate blood flow in the pelvic area and uterus; some stimulate menstruation. Expectorant: A medication that helps bring up mucus and other material from the lungs, bronchi, and trachea. Fibroids: Fibroids are the most common benign tumors in females and typically found during the middle and later reproductive years. Galactagogue: A galactagogue is a substance that promotes lactation in humans and other animals. Gingivitis: Inflammation of the gum tissue is a term used to describe non-destructive periodontal disease. 88 Gonorrhea: Gonorrhea is a common sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. The usual symptoms in men are burning with urination and penile discharge. Women, on the other hand, are asymptomatic half the time or have vaginal discharge and pelvic pain. Habitual abortion: The miscarriage of 3 or more consecutive pregnancies. The abortion of 3 or more miscarriages (spontaneous abortions) with no intervening pregnancies is also termed recurrent abortion. Habitual or recurrent abortion is a form of infertility. It is sometimes due to chromosome abnormalities or other genetic causes. Hemorrhoids: are vascular structures in the anal canal which help with stool control. Hepatoprotection: Hepatoprotection or antihepatotoxicity is the ability to prevent damage to the liver. Hypo sexuality: Inability to experience a sexual response of any kind. Impotence: Impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis sufficient for satisfactory sexual performance. Infertility: Infertility primarily refers to the biological inability of a person to contribute to conception. Infusion: An infusion is the outcome of steeping plants with desired 89 chemical compounds and/or flavors in water or oil. Labour pain: The pain before gestation period Lactation: Lactation describes the secretion of milk from the mammary glands. Leucorrhea: Leucorrhea is a medical term that denotes a thick, whitish or yellowish vaginal discharge. Laxatives (purgatives, aperients): are foods, compounds, or drugs taken to induce bowel movements or to loosen the stool, most often taken to treat constipation. Leprosy or Hansen's disease (HD): It is a chronic disease caused by the bacteria Mycobacterium leprae and Mycobacterium lepromatosis. Lumbago: Lumbago is a common musculoskeletal disorder, in which low back pain occurs. Menorrhea: Menorrhea is an abnormally heavy and prolonged menstrual period at regular intervals. Menopause: Menopause is the transition period in a woman's life when her ovaries stop producing eggs, her body produces less estrogen and progesterone, and menstruation becomes less frequent, eventually stopping altogether. Menoxenia: Any abnormality of menstruation. Menstrual flow restoration: To regularize menstrual flow. Menstruation: Menstruation is the shedding of the uterine lining (endometrium). It occurs on a regular basis in reproductive- 90 age females of certain mammal species. Menstrual cramps: Menstrual cramps are caused by uterine contractions (when your uterus tightens and relaxes allowing blood to leave your uterus). The lining of your uterus releases special chemicals substances can called increase "prostaglandins." the intensity These of the contractions, especially if the levels rise. High levels of prostaglandins may also cause nausea and lightheadedness. Miscarriage: Miscarriage or spontaneous abortion is the spontaneous end of a pregnancy at a stage where the embryo or fetus is incapable of surviving, generally defined in humans at prior to 20 weeks of gestation. Missed abortion: A missed abortion is characterized by there being no reasons to have suspected that the pregnancy is not going to continue but the embryo has died. Oestrogenic: Ability of a substance to promote or mimic the action of female hormones. Oxytocic: Oxytocic is an agent which acts as oxiytocin. Oxytocin is a mammalian hormone which is best known for roles in female reproduction. Painful micturation: Pain in passage of urine Pregnancy: Pregnancy is the carrying of one or more offspring, known as 91 a fetus or embryo, inside the womb of a female. Prolapsed uterus: Uterine prolapsed is a form of female genital prolapsed also called pelvic organ prolapsed or prolapsed of the uterus (womb). Pelvic inflammatory disease: Pelvic inflammatory disease (or disorder) (PID) s a generic term for inflammation of the uterus, fallopian tubes, and/or ovaries as it progresses to scar formation with adhesions to nearby tissues and organs. This may lead to infections. Polymenorrhea: When menstruation cycle repeats more than once in a month. Postpartum hemorrhage: Hemorrhage after delivery is the loss of greater than 500 ml of blood following vaginal delivery, or 1000 ml of blood following cesarean section. Pruritus: Is a sensation that causes the desire or reflex to scratch. Pruritus vulva: with profuse leucorrhoea and sexual excitement. Sexually transmitted diseases: Sexually transmitted disease (STD) or venereal disease (VD) is an illness that has a significant probability of transmission between humans by means of human sexual behavior. Threatened abortion: Threatened abortion is a condition that occurs during the first 20 weeks of pregnancy, in which vaginal bleeding suggests an increased risk of miscarriage. 92 Toxaemia: It is literally the presence of toxins within the blood. It commonly causes a number of systemic symptoms including malaise, fever and vomiting. Vaginitis: Vaginitis is an inflammation of the vagina. It can result in discharge, itching and pain, and is often associated with an irritation or infection of the vulva. Vasoconstriction: This is the narrowing of the blood vessels resulting from contraction of the muscular wall of the vessels, particularly the large arteries, small arterioles and veins. 93
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