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WHO monographs on selected medicinal plants - travolekar.ru

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Cortex Phellodendr<strong>on</strong><br />

Berberine<br />

O<br />

O<br />

Jatrorrhizine<br />

Palmatine<br />

R = OH<br />

R=OCH 3<br />

OCH 3<br />

R<br />

H 3 CO<br />

N +<br />

H 3 CO<br />

N +<br />

OCH 3<br />

OCH 3<br />

H 3 CO<br />

Phellodendrine<br />

OH<br />

HO<br />

HO<br />

H 3 CO<br />

N + CH 3<br />

H CH 3<br />

Magnoflorine<br />

HO<br />

H 3 CO<br />

H<br />

N +<br />

CH 3<br />

OCH 3<br />

Medicinal uses<br />

Uses supported by clinical data<br />

N<strong>on</strong>e.<br />

Uses described in pharmacopoeias and well established documents<br />

Used orally to treat abdominal pain, diarrhoea, gastroenteritis and urinary<br />

tract infecti<strong>on</strong>s (1, 15). While no clinical studies evaluating the safety<br />

and efficacy of the c<strong>ru</strong>de d<strong>ru</strong>g have been reported, clinical studies have<br />

been performed to assess the effects of berberine, the major chemical c<strong>on</strong>stituent<br />

of the c<strong>ru</strong>de d<strong>ru</strong>g, for the treatment of diarrhoea, ocular trachoma<br />

and cutaneous leishmaniasis. Berberine has been shown to be effective for<br />

the treatment of bacterially-induced diarrhoea (16–21), ocular trachoma<br />

and cutaneous leishmaniasis (22–24).<br />

Uses described in traditi<strong>on</strong>al medicine<br />

Treatment of burns, cough, fever, jaundice, malaria, skin wounds and<br />

sores (5).<br />

Pharmacology<br />

Experimental pharmacology<br />

An overview of the pharmacological studies evaluating the efficacy of the<br />

c<strong>ru</strong>de d<strong>ru</strong>g and berberine, the major chemical c<strong>on</strong>stituent of the plant is<br />

presented. The direct applicability of the pharmacological data for berberine<br />

to the c<strong>ru</strong>de d<strong>ru</strong>g is uncertain and needs to be further investigated.<br />

Antidiarrhoeal activity<br />

The infectivity of rotavi<strong>ru</strong>s, a vi<strong>ru</strong>s associated with the development of<br />

diarrhoea, was inhibited in vitro by the additi<strong>on</strong> of a decocti<strong>on</strong> of the<br />

247

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