Monday, April 21, 2014

Herbal Treatment for Diabetes Mellitus


BITTER MELON

Biological source

 It is obtained from edible fruit of Momordica charantia, belonging to the family Cucurbitaceae.

Chemical constituents
The plant contains several biologically active compounds
a) Chiefly momordicin I & momordicin II, cucurbitacin B  

b) Glycosides ( momordin, charantin,charantosides, goyaglycosides)

c) Terpenoid compounds- momordicinin,momordicilin, momordol

d) Cytotoxic ( ribosome inactivating) proteinssuch as momorcharin & momordin.

Uses
Bitter melon is used as anti-diabetic. It contains lectin that has insulin like activity due to its non- protein specific linking toghther to insulin receptors.

This lectin lowers blood glucose level by acting on peripheral tissues. Lectin is a major contributor to hypoglycemic effect.

Scientific work done
Triterpenoids Isolated from Bitter Melon has showed anti diabetic activity.

Dosage form
 It is used as fresh juice, tincture, juice extract & powered leaf.

Dose
Fresh juice- 57-113 gm daily, Tincture- 1.3 ml/ twice/ daily, Juice extract- 300-600 mg, Powered leaf- 1-2 gm
  

FIERY COSTUS

Biological Source

It is obtained from the leaves of the plant Costus igneus, belonging to the family Costaceae. Chemical 

Constituents 
The main chemical constituents are Beta-carotene, deoxyribose, phenol, flavonoids, insulin precursors.

Uses
The leaves of insulin plant reduced the fasting and postprandial blood sugar levels, bringing them down towards normal. Reduction in the fasting and the postprandial blood sugar levels with leaves of insulin plant was comparable with that obtained with Glibenclamide 500 µg/kg at 250 mg/kg/day and 500 mg/kg/day of powdered leaves of the insulin plant.

The hypoglycemic action can be due to release of insulin, insulin-sensitizing action or a combination of both. Hence further studies need to be undertaken to determine the mechanism of action by measurement of either insulin or 'C' eptide level.

Scientific work done
Costus igneus has showed effect on hyperglycemia.

Dosage Forms
It is used as oral hypoglycemic agent, or as i.v. injection
Dose- Tablet- 1 tablet/ day

  
DANDELION

Biological Source

It is obtained from the leaves of Taraxacum officinale, belonging to the family Asteraceae. 

Chemical Constituents
 1. Sesquiterpene lactones (bitters): taraxinic acid (taraxacin), tetrahydroridentin B

2. Triterpenoids and sterols: taraxasterol, taraxerol, cycloartenol, beta-sitosterol

3.Other: Vitamin A, Vitamin C, tannins, alkaloids, pectin, insulin, starch, potassium, beta
carotene, caffeic acid, flavonoids (apigenin)

Uses
It is a good antidiabetic drug. It can lower the blood glucose level .Tests on diabetic mice show that dandelion extract may help regulate blood sugar and keep cholesterol in check.

Scientific work done
Dandelion has showed antihyperglycemic effect.

Dosage forms
Capsules, tinctures, and teas containing dandelion leaves, roots, flowers, or the entire plant is used.

Doses
Capsules taken after each meal
Adult doses: There is disagreement on the optimal form and dose of dandelion. Reputable physicians and herbalists recommend a range of doses :

Fresh leaves: 4-10 grams daily
Dried leaves: 4-10 grams daily
Fresh leaf juice: 1 tsp (4-8 ml) twice daily
Fluid extract: 1-2 teaspoons daily
Fresh roots: 2-8 grams daily

Dried powdered extract: 250-1000 mg three to four times daily
Tea: Pour 2 cups boiling water over one ounce of fresh leaves and steep for 10 minutes.
Or, boil 1 cup of water with 2-3 tsp of dried, cut root for 15 minutes. Cool.
Pediatric dosages: Unknown


FRENCH LILAC

Biological Source

It consists of the aerial parts of the plant, flowers, leaf, stem, seeds of the plant alega officinalis, belonging to the family Fabaceae.

Chemical Constituents
Oleanane & ursane type triterpinoids like sophoradiol, soyasapogenol b, & 9- sitosterol,
Sophorediol,galactogil,galegine,peganine, hydroxygalegine,vasicinone, alkaloids like lutein, pentahydroxyflavone 5 glucoside, luteoline, galuteoline, luteoline 5 glucosides,flavonoids, saponines etc.

Uses
It has been known since the Middle Ages for relieving the symptoms of diabetes mellitus.

Upon analysis, it turned out to contain compounds related to guanidine, a substance that decreases blood sugar by mechanisms including a decrease in insulin resistance, but were too toxic for human use. Georges Tanret identified an alkaloid from this plant (galegine) that was less toxic, and this was evaluated in clinical trials in patients with diabetes in the 1920s and 1930s.

Other related compounds were being investigated clinically at this time, including biguanide derivatives. This work led ultimately to the discovery of metformin (Glucophage), currently recommended in international guidelines for diabetes management as the first choice for antidiabetic pharmacotherapy alongside diet and exercise  and the older agent phenformin, which has been withdrawn in most countries due to an unacceptable risk of lactic acidosis (the risk of lactic acidosis with metformin is no higher than with other antidiabetic therapies when it is prescribed according to its label

The study of galegine and related molecules in the first half of the 20th century is regarded as an important milestone in the development of oral antidiabetic
pharmacotherapy.
  
Dosage form
It is used as herbal infusion, tincture & leaves.
Doses- Herbal infusion- twice daily, Tincture- thrice daily

  
TURMERIC

Biological Source

 It consists of dried fresh rhizomes of the plant Curcuma longa belonging to the family Zingiberaceae.

Chemical Constituents
Turmeric contains 5% of volatile oil, resin, zingiberaceous starch grains & yellow coloured curcuminoids. The chief components of curcuminoids is known as curcumin. Volatile oil is composed of mono and sesquiterpens such as alpha & beta pinene, alpha- phellandrene, camphor, camphene, zingiberene, alpha & beta curcumenes.

Use 
It is used as anti- diabetic drug

Scientific works done
1. Turmeric has showed hypoglycemic, hypolipidemic & antioxidant activity

2. Turmeric has shown effect in diabetes.

Dosage form
Powdered form of turmeric is used.

Dose
Powdered turmeric- 500-8000 mg/ day
  

CINNAMON

Biological source

It consists of dried inner bark of shoots of coppiced trees of Cinnamomum zeylanicum, belonging to the family Lauraceae.

Chemical constituents
Cinnamon bark contains volatile oil, tannins, mucilage, calcium oxalate, starch & mannitol. Cinnamon oil contains cinnamaldehyde, other terpenes like phellandrene, pinene, cymene, caryophyllene.

Uses
Cinnamon is used in the treatment of type II diabetes mellitus & insulin resistance.

Scientific works done
1. Alcoholic Extract of Cinnamomum zeylanicum
Leaves has shown antidiabetic Activity.

2. Cinnamon improves glucose and lipid of people

Dosage form
It is mostly used as powdered form.

Dose
Powder- ½ teaspoon daily


ONION

Biological source

It is obtained from the bulb of the plant Allium cepa, belonging to the family Liliaceae.

Chemical constituents
It contains essential amino acid composition of arginine, histidine, lysine, tryptophan, phenylalanine, methionine, threonine, leucine & isoleucine. The bulb on steam distillation yields an essential oil known as onion oil. The bulb contains several phenolic acid, such as protocatechuic acid, p-hydroxybenzoic acid, vanillic acid, caffeic acid, & o & p- coumaric acids. Citric, abietic, oxalic and mialic acids are also present. It also contains several oligo- saccharides.

Uses
Onion consists of an active ingredient called APDS (allyl propyl disulphide). APDS has been shown to block the breakdown of insulin by the liver and possibly to stimulate insulin production by the pancreas, thus increasing the amount of insulin and reducing sugar levels in the blood. It is found to lower lipid levels, inhibit platelet aggregation and are antihypertensive. So, liberal use of onion is recommended for diabetes patients.

Scientific work done
Clinical Hypoglycemic effect of Allium cepa (Red onion) has been seen.

Dosage forms
Raw & boiled onion extracts are used. APDS can also be administered orally.

Dose
 APDS- 125 mg/ kg to fasting humans.


GARLIC

Biological source

It consists of bulbs of the plant known as Allium sativum, belonging to the Liliaceae. 

Chemical constituents 
Garlic bulbs contain 29% of carbohydrate, about 56% of proteins (albumin), 0.1% of fat, mucilage, and 0.06- 0.1% of volatile oil. It also contains phosphorus, iron & copper. Volatile oil of the drug is the chief active constituent, and contains allyl propyl disulphide, diallyl disulphide, alliin and llicin. Alliin by action of enzyme allinlyase is converted into allicin. Garlic oil is yellow in
colour.

Use
Garlic cloves lower blood sugar significantly. Subsequently, scientific studies have proven that the presence of disulfides in garlic such as allyl propyl and diallyl sulfide have played a role in the decrease of blood glucose levels. They have been seen to have actions similar to Tolubutamide, a sulfonylurea drug of the first generation. They act on the pancreas and stimulate the production of insulin so as to control the sugar levels in the blood. It is those patients with type 2 diabetes who benefit the most out of this.

Scientific work done
Anti-diabetic and hypolipidaemic properties of garlic has been seen.

Dosage form
Juice extract of it is used.

Dose
Juice extract- 50 ml / daily


GINSENG

Biological Source

It is obtained from the dried roots of Panax ginseng, belonging to the family Araliaceae.

Chemical Constituents
Ginseng contains a mixture of several saponin glycosides, belonging to triterpenoid group. They are grouped as follows :

1) Ginsenosides
2) Panaxosides
3) Chikusetsusaponin

Ginsenosides contain aglycone dammarol while panaxosides have oleanolic acid as aglycone. About 13 ginsenosides have been identified. Panaxosides give oleanolic acid, panaxadiol & panaxatriol on decomposition.

Use
It is used as hypoglycemic agent.

Scientific works done
1. Use of Ginseng in diabetes.

2. Ginseng has shown hypoglycemic effect.

Dosage forms
Dried root and tincture are used.

Doses


Dried root- 0.5- 9 gm/ daily, Tincture- 0.2- 3/ one to three times daily



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