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HERBAL MEDICINE

HERBAL MEDICINE Introduction What is herbal medicine Preparation and forms of herbal medicine

Safety

Standardization risks Methods on evaluating benefits and safety Top ten herbs approved by DOH Proven effective herbal medicine Potentially dangerous herbs and misleading claims

Examples of Herbal Medicine

WHAT IS HERBAL MEDICINE? An herb is a plant or plant part used for its scent, flavor or therapeutic properties Herbal medicine products are dietary supplements thatpeople take to improve their health

some can cause health problems, some are not effective and some may interact with other drugs

HOW ARE HERBS SOLD?fresh or dried products

liquid or solid extracts - tablets, capsules, powders and tea bags Ex: fresh ginger root; dried ginger root is sold packaged in tea bags, capsules, or tablets; and liquid preparations made from ginger root are also sold

A particular group of chemicals or a single chemical may be isolated & sold as a dietary supplement, usually in tablet or capsule form

HOW ARE HERBS PREPARED? TEA

made by adding boiling water to fresh or dried botanicals and steeping them

DECOCTION TINCTURE

simmered in boiling water for longer periods than teas made by soaking a botanical in a solution of alcohol and water.

EXTRACT- made by soaking the botanical in a liquid that removes specific types of chemicals

SAFETY: ARE HERBAL MEDICINES STANDARDIZED?Standardization process that manufacturers may use to ensure batchto-batch consistency of their products may involve identifying specific chemicals that can be used to manufacture a consistent product. can also provide a measure of quality control.

Dietary supplements are not required to be standardized in the United States

SAFETY: ARE HERBAL MEDICINES GENERALLY SAFE? safety of a herb depends on many things chemical makeup, how it works in the body, how it is prepared, and the dose used

Herbal supplements can act in the same way as drugs Some are known to interact with medications in ways that cause health problems

SAFETY: ARE HERBAL MEDICINES GENERALLY SAFE? it is best to use herbal medicine under the guidance of a medical professional The active ingredients in many herbs and herbal supplements are not known Some herbal supplements have been found to be contaminated with metals, unlabeled prescription drugs, microorganisms, or other substances.

What methods are used to evaluate the health benefits and safety of a botanical dietary supplement? history of use laboratory studies using cell or animal studies Studies involving people (individual case reports, observational studies, and clinical trials)

relevant to how botanical dietary supplements are used

systematic review to summarize and evaluate a group of clinical trials that meet certain criteria

meta-analysis which includes a statistical analysis of data combined from many studies

http://www.nlm.nih.gov/medlineplus/herbalmedicine.html

TOP TEN MEDICINAL PLANTS APPROVED BY DOH1. Akapulko (Cassia alata) - "bayabas-bayabasan" / "ringworm bush; is used to treat ringworms and skin fungal infections 2. Ampalaya (Momordica charantia) - "bitter gourd" / "bitter melon; it most known as a treatment of diabetes (diabetes mellitus), for the non-insulin dependent patients

3. Bawang (Allium sativum) - "garlic; mainly reduces cholesterol in the blood and hence, helps control blood pressure4. Bayabas (Psidium guajava) - "guava; primarily used as an antiseptic, to disinfect wounds; can be used as a mouth wash to treat tooth decay and gum infection 5. Lagundi (Vitex negundo) - "5-leaved chaste tree; It's main use is for the relief of coughs and asthma.

TOP TEN MEDICINAL PLANTS APPROVED BY DOH6. Niyog-niyogan (Quisqualis indica L.) - vine known as "Chinese honey suckle; effective in the elimination of intestinal worms, particularly the Ascaris and Trichina. 7. Sambong (Blumea balsamifera)- Blumea camphora; A diuretic that helps in the excretion of urinary stones. It can also be used as an edema. 8. Tsaang Gubat (Ehretia microphylla Lam.) - Prepared like tea, this herbal medicine is effective in treating intestinal motility and also used as a mouth wash 9. Ulasimang Bato (Peperomia pellucida) - "pansit-pansitan; effective in fighting arthritis and gout. 10. Yerba Buena (Clinopodium douglasii) Peppermint; used as an analgesic to relive body aches and pain

Proven Effective Herbal Medicine: GARLICUSES BASED ON SCIENTIFIC EVIDENCE High cholesterol small reductions in total blood cholesterol and low-density lipoproteins ("bad cholesterol") over short periods of time (4 to 12 weeks). Effects on high-density lipoproteins ("good cholesterol") are not clear. Welldesigned and longer studies are needed in this area. Anti-fungal (applied to the skin) Several studies describe the application of garlic to the skin to treat fungal infections, including yeast infections. Grade

B

C

Anti-platelet effects (blood thinning) The effects of garlic on platelet aggregation have been assessed in several human trials. Because garlic has been associated with several cases of bleeding, therapy should be applied with caution.

C

Atherosclerosis ("hardening" of the arteries) Preliminary research inevidence suggests that deposits of cholesterol in for thisC A: Strong scientific humans for this use; B: Good scientific evidence use; blood vessels may not Unclear scientific evidencewho this use; C: grow as quickly in people for take garlic.

Proven Effective Herbal Medicine: GARLICFamilial hypercholesterolemia Familial hypercholesterolemia is a genetic disorder in which very high cholesterol levels run in families. Heart attack prevention in patients with known heart disease It is not clear if garlic prevents future heart attacks in people who have already had a heart attack. The effects of garlic on cholesterol levels may be beneficial in such patients. High blood pressure garlic can lower blood pressure by a small amount, but larger, well-designed studies are needed to confirm this possible effect.C

C

C

A: Strong scientific evidence for this use; B: Good scientific evidence for this use; C: Unclear scientific evidence for this use;

Proven Effective Herbal Medicine: GARLIC Side Effects and Warnings Bad breath, body odor, and allergic reactions; rash or skin burns, both in people taking garlic therapy and in food preparers handling garlic Other reported side effects include dizziness, increased sweating, headache, itching, fever, chills, asthma flares, and runny nose. Bleeding is a potentially serious side effect of garlic use, including bleeding after surgery and spontaneous bleeding. Interactions with Drugs garlic may increase the risk of bleeding when taken with drugs that also increase the risk of bleeding. Examples include aspirin, anticoagulants, anti-platelet drugs and non-steroidal anti-inflammatory drugs Garlic may lower blood sugar levels. Caution is advised when using medications that may also lower blood sugar.

Proven Effective Herbal Medicine: My Marvel TAHEEBO HERBAL CAPSULE/TEA An evergreen tree, with rosy colored flowers, belonging to the Bignonia family. The medicinal part of the tree is the bark, specifically in the inner lining called "phloem".

endemic in the mountains of South America, utilized for over two thousand years to help cure diverse forms of diseases. The Inca's referred to Taheebo as "TAJY", meaning "The Divine Tree" because of it's potency to combat multifarious diseases.

Proven Effective Herbal Medicine: My Marvel TAHEEBO HERBAL CAPSULE/TEA Voluminous clinical works affirmed the encouraging results of the Taheebo to combat diverse kinds of ailments such as: Allergies, Arthritis, Asthma, Colds, Diarrhea, Dysmenorrheal, Diabetes, Fever, Flu, Goiter, Hemorrhoids, Hepatitis, Hypertension, Infections, Insomnia, Kidney Trouble, Migraine, Rheumatism, Skin Diseases, Sinusitis,Tumor.

Scientists and medical practitioners concur that Taheebo is a powerful: Analgesic eliminates pain Anti-oxidant promotes production of healthy cells Decongestant clears air passage of the lungs Diuretic promotes better urine flow Hypothensive maintains the natural equilibrium of blood and prevents the rise of cholesterol

Proven Effective Herbal Medicine: CHARANTIA Ampalaya Food Supplement first made into commercial tea and capsule products when Charantia Ampalaya Food Supplement was launched by Herbcare Corporation in 2001. Through a special dehydration process, Oribiana said that Charantia preserves Ampalayas key compounds, assuring users that theyre getting the full blood sugarlowering benefit of the plant, particularly the plant insulin, polypeptide-P.

Proven Effective Herbal Medicine: CHARANTIA Ampalaya Food Supplement Ampalaya is the only medicinal plant approved for diabetes. It has the most number of scientific reports among plants for diabetes, one factor that convinced the DOH to recommend it. A review of these studies by Dr. William Torres (former Bureau of Food and Drugs Director) released last January 2004 concludes that Ampalaya [Momordica charantia L.] fruits, leaves, seeds and other parts, when used as dry powders, extracts, decoctions, fresh or cooled, have clearly demonstrated hypoglycemic activity. Researchers have identified the key compounds present in Ampalaya, notably polypeptide-P, a plant insulin found only in the Ampalaya. Similar to animal insulin, polypeptide-P lowers elevated blood sugar levels.

Proven Effective Herbal Medicine: LAGUNDI scientific name: Vitex negundo; shrub that grows in the Philippines has been clinically tested to be effective in the treatment of colds

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