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WHO monographs on selected medicinal plants - travolekar.ru

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<str<strong>on</strong>g>WHO</str<strong>on</strong>g> <str<strong>on</strong>g>m<strong>on</strong>ographs</str<strong>on</strong>g> <strong>on</strong> <strong>selected</strong> <strong>medicinal</strong> <strong>plants</strong><br />

statistically significant. Thus, the study c<strong>on</strong>cluded that an extract of the<br />

c<strong>ru</strong>de d<strong>ru</strong>g was as effective as mesalazine for the treatment of Crohn’s<br />

disease.<br />

The effect of an extract of the c<strong>ru</strong>de d<strong>ru</strong>g was assessed in patients with<br />

ulcerative colitis, grade II or III (19). Patients were treated with the gum<br />

resin preparati<strong>on</strong> (350 mg three times daily for 6 weeks), and the effects<br />

<strong>on</strong> stool properties, histolopathology and scan microscopy of rectal biopsies,<br />

blood parameters including haemogloblin, se<strong>ru</strong>m ir<strong>on</strong>, calcium,<br />

phospho<strong>ru</strong>s, proteins, total leukocytes and eosinophils were measured.<br />

Patients receiving sulfasalazine (1 g three times daily) served as c<strong>on</strong>trols.<br />

At the end of the treatment period, all parameters tested had improved<br />

after treatment with Boswellia serrata gum resin and the results were similar<br />

to those in the c<strong>on</strong>trol group: 82% of treated patients went into remissi<strong>on</strong><br />

following treatment with the gum resin as did 75% of those treated<br />

with sulfasalazine (19).<br />

A c<strong>on</strong>trolled clinical trial assessed the efficacy of the c<strong>ru</strong>de d<strong>ru</strong>g in<br />

patients with chr<strong>on</strong>ic colitis characterized by vague lower abdominal<br />

pain, bleeding per rectum with diarrhoea and palpable tender descending<br />

and sigmoid col<strong>on</strong>. Thirty patients with chr<strong>on</strong>ic colitis, 17 men and<br />

13 women aged between 18 and 48 years, were included in the study.<br />

Twenty of the patients were given a preparati<strong>on</strong> of the gum resin of Boswellia<br />

serrata (300 mg three times daily for 6 weeks) and 10 were given<br />

sulfasalazine (1 g three times daily for 6 weeks) and served as c<strong>on</strong>trols.<br />

Of 20 patients treated with Boswellia gum resin, 18 showed an improvement<br />

in <strong>on</strong>e or more of the parameters: stool properties; histopathology;<br />

scanning electr<strong>on</strong> microscopy; and measures of haemoglobin, se<strong>ru</strong>m<br />

ir<strong>on</strong>, calcium, phospho<strong>ru</strong>s, proteins, total leukocytes and eosinophils.<br />

Of 20 patients treated with Boswellia gum resin, 14 went into remissi<strong>on</strong><br />

whereas in the patients treated with sulfasalazine, the remissi<strong>on</strong> rate was<br />

4 out of 10 (20).<br />

Adverse reacti<strong>on</strong>s<br />

Minor gastrointestinal side-effects have been reported in the clinical trials<br />

(19–22).<br />

C<strong>on</strong>traindicati<strong>on</strong>s<br />

Hypersensitivity or allergy to the c<strong>ru</strong>de d<strong>ru</strong>g.<br />

Warnings<br />

No informati<strong>on</strong> was found.<br />

56

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