提高认知能力的印度传统草药土丁桂

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论文字数:**** 论文编号:lw2023123556 日期:2025-12-10 来源:论文网

   作者:Neeraj Kumar SETHIYA1, Alok NAHATA2, Sri Hari MISHRA1, Vinod Kumar DIXIT2

【摘要】 土丁桂属草药是作用于中枢神经系统的印度传统药物,特别是对促进记忆和改善智力有较好疗效。从印度传统医学和梵语文献中提取的大量信息提示,冠以土丁桂属草药名称的植物类别共4种:旋花科田旋花、旋花科土丁桂、蝶形花科蝴蝶花豆和龙胆科穿心草。这些草药名称均在古代文献中有所记载,可单独使用或与其他药材组合成各种草药处方。本文就现有的科学信息,如土丁桂属不同植物来源物种的生药学特征、化学成分、药理作用、临床前及临床应用等方面进行述评,以期为科学地应用土丁桂提供依据。此外,还可根据不同植物来源土丁桂属草药的不同功效进行鉴别应用。

【关键词】 旋花科田旋花; 旋花科土丁桂; 蝶形花科蝴蝶花豆; 龙胆科穿心草; 医学, 印度传统; 认知障碍

Ayurveda is the oldest medical science in the Indian subcontinent and has been practiced since the 12th century BC. Its objective is to accomplish physical, mental, social and spiritual wellbeing by adopting preventive, health promoting and holistic approach towards life[1]. Drugs acting on the central nervous system (CNS) are among the first to be discovered by the primitive human and are still the most widely used group of pharmacological agents. The CNS acting drugs are invaluable therapeutically, because they can produce specific physiological and psychological effects. From the vast array of materia medica of the indigenous system, many plants have been reported to have activity against CNS disorders and thus act as very useful remedies for the alleviation of human suffering[2]. Various attempts have been made to counter the aversive effects of stress, ranging from yoga and meditation to antistress drugs. However, despite claims to the contrary, these nonpharmacological and pharmacological methods appear to have limited utility[3]. An answer to this perplexing problem of countering stressinduced perturbations of physiological homeostasis came from the plant kingdom[4]. With the advent of newer techniques for chemical characterization and pharmacological investigations, plantbased drugs are receiving much attention. The importance of plants acting on CNS has been reviewed, and the role of adaptogens from plant origin has been emphasized[5].

  Memory (cognition) is a recollection of that which has been experienced once or learnt. Memory may be defined as mental information system consisting of encoding, storage and retrieval[6]. Memory is the ability of an inpidual to record sensory stimuli, events, information, etc., retain them over short or long periods of time and recall the same at a later date when needed. Aging and Alzheimer’s disease (AD) leading to memory loss has emerged as a major concern of modern scientists. Amnesia means loss of memory. There are many different types of amnesias according to their cause. Functional amnesia refers to memory disorders that seem to result from psychological trauma, not an injury. Organic amnesia involves memory loss caused by specific malfunctions in the brain. Another variant is infantile amnesia, which refers to the fact that most people lack specific memories of the first few years of their life. AD is a chronic and progressive neurodegenerative disease which is characterized symptomatically by progressive deterioration of the activities of daily living, behavioral disturbances and cognitive loss[7]. Involvement of brain cholinergic activity has been recognized in memory loss. Among the possible strategies for enhancing brain cholinergic activity, acetyl cholinesterase inhibitors (AChEIs) have been used most extensively for the symptomatic treatment of AD. Physostigmine and tacrine are the only AChEIs reasonably evaluated in AD patients, even though their use is limited by the short halflife and peripheral cholinergic sideeffects of physostigmine, and the dosedependent hepatotoxicity of tacrine[8, 9]. Various mechanisms have been postulated from time to time for memory. Fortunately, basic research during the past 25 years has begun to define a chemistry of brain plasticity, which is suggesting new gene targets for the discovery of memory enhancers[10].

  In Ayurvedic literature, medicinal plants from more than one botanical source have been employed for a single entity raising controversy as to correct identity of a drug. The availability of the plant in usage of particular region has forced the practitioners to substitute with nearly similar pharmacological or therapeutic action. Many of the traditional systems have records where one common vernacular name is applied to plants with two or more entirely different plant species[11]. Our studies on Ayurvedic plants reveal that although the botanical source of an Ayurvedic medicine may differ, the basic pharmacological category is not inconsistent. It may be that during the process of development of Ayurveda, the Vaidya practicing it in different regions of the subcontinent may have found substitutes which replaced the original plant drug.

  1 Shankhpushpi

  Shankhpushpi is considered as Medhya Rasayana in Ayurvedic texts. Shankhpushpi of Ayurvedic Pharmacopoeia of India consists of whole plant of Convolvulus pluricaulis Choisy (CP, Convulvulaceae) (Syn: Convulvulus microphyllus Sieb. ex Spreng)[12]. Plants other than Convolvulus pluricaulis are used as sources of drug in different parts of the country, and Evolvulus alsinoides Linn. (EA, Convulvulaceae) is also used as Shankhpushpi by some practitioners. Other plants e.g. Clitorea ternatea Linn. (CT, Papilionaceae) and Canscora decussata Schult. (CD, Gentianaceae) are also used as Shankhpushpi by some practitioners[1318]. Whatever is the source, the drug finds the use for its therapeutic effects on CNS disorders like insanity, epilepsy, nervous debility and memory enhancement[19, 20]. Many formulas containing Shankhpushpi as a single drug or in combination with other drugs are available in Indian market and Shankhpushpi is vigorously advertised for memory enhancement in print and electronic media in India.

  1.1 Traditional medicinal uses Shankhpushpi is a reputed drug of Ayurveda and reported as a brain tonic, nervine tonic, alternative and laxative[21, 22]. It has also been found effective in anxiety and neurosis, due to its clinical antianxiety effects and improved mental function highly esteemed by ancient Indian physicians as a wonderful nervine tonic && memory invigorator and used in cerebral abnormalities, epilepsy, insomnia, burning sensation, oedema, urinary disorders, snakebites and disease caused by evil spirits. It is best tonic for brain and nerves and is also recommended for sexual && seminal debilities[23]. Shankhpushpi is found to be one of the ingredients in majority of the formulas available in market like Dimagheen (Dawakhana Tibiya College), Shankhpushpi syrup (Unjha), Shankhavali Churna (Narnaryan Pharmacy), BR16A (Himalaya Drug. Co. Ltd.) etc, which were prescribed as brain tonics in Ayurvedic system of medicine.

  According to Ayurveda, Medhya can promote intellectual capacity; Swarakarini can improve voice; Grahabhootadi doshaghni is useful in diseases of supernatural origin; Rasayani can rejuvenate the body; Kantida can enhance the aura of body and give it a healthy look; Majjadhatu rasayana can rejuvenate the nervous tissue; Unmadaghna can alleviate insanity and emotional instability; Vrishya is an aphrodisiac; Pachanbala can increase the strength of the digestive system; Chedana is a laxative; Nidrajnana can promote sleep. Besides this, Shankhapushpi can improve digestion, prevent water retention, borborygmus and constipation. It is specifically beneficial where digestion is upset because of nervousness and anxiety (Unpublished). The classification of Shankhpushpi[24] was shown in Table 1.

  Table 1 Taxonomic classification of Shankhpushpi(略)

  1.2 Geographical distribution Of the four species most commonly associated with the Sanskrit names Shankhapushpi and vishnukranti, CD is native to southern India, Sri Lanka, tropical Africa, and Southeastern Asia[16, 25], CP is known from the margins and within the Sahara and Sind deserts, a distribution that Sad called “Saharo Sindian”. In India it is widely distributed in and grows on the waste land in the plains of Punjab, Bihar and Chhotanagpur[26, 27]. CT is cultivated throughout India, but is naturalized in the more tropical regions[28]. EA is naturalized widely in India and elsewhere[2934].

  1.3 Pharmacognostical profile The pharmacognostical profile of Shankhpushpi[12, 14, 15, 19, 20, 3542] is shown in Table 2.

  1.4 Phytochemical profile The phytochemical profile of Shankhpushpi is shown in Table 3 and Table 4.

  1.5 Structures of chief secondary metabolites The chemical structures of chief secondary metabolites are shown in Figure 1[77], Figure 2[5961, 70], Figure 3[120] and Figure 4 to 6.

  1.6 Pharmacological activities The pharmacological activities of Shankhpushpi are shown in Table 5.

  2 Preclinical and clinical applications of Shankhpushpi

  2.1 Evolvulus alsinoides

  2.1.1 Toxicology Ayurvedic medicine regards EA highly for its effect on CNS. Moderate doses (200 mg/kg) of the alcoholic extract of EA caused drowsiness, stupor and less mobility in albino mice; higher doses were neither toxic nor lethal. Laboratory studies revealed the herb as anticatatonic and a CNS depressant with a median lethal dose (LD50) of 450 mg/kg[56, 121].

  2.1.2 Learning behavior and memory enhancement activity in rodents The ethanolic extract has been shown to improve learning and memory and it significantly reversed the amnesia induced by scopolamine. EA also exhibited potent memoryenhancing effects in the stepdown and shuttlebox avoidance paradigms. Nootropic activity was assessed with passive and active avoidance paradigms using Cook and Weidley’s pole climbing apparatus and elevated plus maze as models[131].

  Table 2 Different pharmacognostical features of controversial sources of Shankhpushpi(略)

  Table 3 Different phytochemical features of controversial sources of Shankhpushpi (Part 1)(略)

  Table 4 (To be continued) Different phytochemical features of controversial sources of Shankhpushpi (Part 2)(略)

  Table 4 (Continuation) Different phytochemical features of controversial sources of Shankhpushpi (Part 2)(略)

  Table 5 (To be continued) Different pharmacological features of controversial sources of Shankhpushpi(略)

  Table 5 (Continuation) Different pharmacological features of controversial sources of Shankhpushpi(略)

  Numbers in brackets refer to reference numbers.

  Figure 1 Chemical structures of antistress components isolated from E. alsinoides(略)

  Figure 2 Chemical structures of antistress components isolated from C. pluricaulis(略)

  Figure 3 Chemical structures of antistress components isolated from C. ternatea(略)

  Figure 4 Structures of different xanthones isolated from C. decussata(略)

  Figure 5 Structures of different lanostane triterpenoids isolated from C.decussata(略)

  Figure 6 Structures of different loliolides isolated from C.decussata(略)

  2.1.3 Adaptogenic, anxiolytic and antiamnesic activity Ethanol extract of the aerial parts of the drug was evaluated for CNS activity by using elevated plus maze test, open field exploratory behavior and rota rod performance experiments. The ethanol extract as well as its ethyl acetate and aqueous fractions was tested in experimental models employing rats and mice. The extracts were also studied for their in vitro antioxidant potential to correlate their anxiolytic activity[216]. The improvement in the peripheral stress markers and scopolamineinduced dementia by EA in the chronic unpredictable stress and acute stress models indicated the adpatogenic and antiamnesic properties of EA, against a well known adaptogen i.e. Panax quinquefolium[130]. Phenolics and flavonoids, isolated form bioactivityguided purification of nBuOH soluble fraction from the ethanol extract of EA, were screened for antistress activity in acute stress models. Stress exposure resulted in significant increase of plasma glucose, adrenal gland weight, plasma creatine kinase, and corticosterone levels. One constituent displayed most promising antistress effect by normalizing hyperglycemia, plasma corticosterone, creatine kinase and adrenal hypertrophy, while others were also effective in normalizing most of these stress parameters[77]. Effects of methanolic extracts of roots of EA (MEEA) on acute reserpineinduced orofacial dyskinesia showed increased vacuous chewing frequencies (VCMs) and TPs in acute reserpinetreated animals compared with vehicletreated animals. Chronic treatment significantly reversed the reserpineinduced VCMs and TPs in a dosedependent manner, decreased the locomotor activity as well as the transfer latency in acute reserpinetreated rats[217].

  2.1.4 Antiulcer and anticatatonic activity The in vivo evaluation of the ethanolic extract of EA revealed its marked antiulcer and anticatatonic activity[172].

  2.1.5 Antioxidant activity Antioxidant substances were isolated and identified from EA by preparing fractions of phenolic and nonphenolic compounds. Results of antioxidant activities of EA from 2,2diphenyl1picrylhydrazyl (DPPH) assays were not as high as expected. The need of more antioxidant tests with different action mechanisms and also invivo studies with EA were suggested[159]. Ethanolic extracts and water infusions of EA, Cynodon dactylon and Sida cordifolia were tested for their antioxidant activity in the 2, 2'azinobis3ethylbenzothiazoline6sulfonic acid radical cation (ABTS) decolonization assay. The results showed that the ethanolic extract of Sida cordifolia was found to be most potent, followed by EA and Cynodon dactylon. The relative antioxidant capacity for the water infusions was observed in the following order: EA&>C. dactylon &>S. cordifolia. The results of water infusions on lipid peroxidation were as follows: EA&>S. cordifolia&>C. dactylon[141].

  2.1.6 Immunomodulatory activity The crude extracts of Emblica officinalis and EA were evaluated for immmunomodulator activity in adjuvantinduced arthritic rat model. Both the drugs showed a marked reduction in inflammation and edema. At cellular level immunosuppression occurred during the early phase of the disease. The induction of nitric oxide synthase was significantly decreased in treated animals as compared with controls[162].

  2.1.7 Evolvine hydrochloride The hydrochloride of alkaloid evolvine was reported to exhibit lobelinelike action on the cardiovascular system. In cats, the drug demonstrated sympathomimetic activity. The blood pressure remained elevated for a longer duration as compared with adrenaline. Increase in peripheral pressure was observed on local injection of the drug[55].

  2.1.8 Activity related to formulas of EA BR16A (Mentat) is a herbal formula consisting of Brahmi (Bacopa monnieri), Mandukparni (Centella asiatica), Ashwagandha (Withania somnifera), Jatamansi (Nardostachys jatamansi), Shankhpushpi (EA), Tagar (Valeriana wallichi), Vach (Acorus calamus), Guduchi (Tinospora cordifolia), Malkangni (Celastrus paniculatus), Kuth (Saussurea lappa), Amla (Embelica officinalis) and the other ingredients of Triphala (Terminalia chebula and Terminalia belerica). The results indicated that Mentat (100 mg/kg) and piracetam (100 mg/kg) induced statistically significant nootropic effect in all the test parameters of learning and memory, and can be categorized as a nootropic agent[207].

  A nineweek cross over study (5week drug administration and 4week withdrawal) was performed to see the effect of a composite Indian herbal preparation (CIHPⅢconsisting of EA), viz. Mentat, on avoidance learning during endurance performance of albino rats. Runimex, a circular runaway was used for this purpose. Results indicated significant improvement in avoidance learning during endurance performance due to the intake of CIHP (Ⅲ)[208].

  A study provided a novel herbal composition, which promotes the proven pharmacological activities such as antioxidant, antistress and adpatogenic activities. Composition comprises of plant juices or together with the conventional recipients to form paste/jelly/jam/cake/cream puff/chocolate forms fortified with plants like Mangifera indica, EA, Withania somnifera, Asparagus racemosus and Amaranthus hypochondriacus which are used as functional foods[218].

  A clinical trial was undertaken on 31 adult subjects, 6 of which were newly diagnosed cases, while the remaining 25 were old ones taking some antiepileptic drugs. Mentat, 2 tablets bid, along with the other drugs for a period of six weeks brought about significant reduction in seizure frequency. Thus Mentat served as a valuable adjuvant to commonly used antiepileptic drugs. No side effects were observed with Mentat administration[195].

  Preclinical research has established that BR16A (Mentat) enhances cognition and protects against both anterograde and retrograde amnesia induced by electroconvulsive shock in rats[219222]. This relationship holds even when rats are preselected for poor learning in an effort to define the floor effect of the formula[223]. Studies on the mechanism of action of BR16A (Mentat) have indicated that it may have opioid peptidergic activity[200]. BR16A (Mentat) does not appear to influence α2 adrenergic receptor functioning but enhances the activity of dopamine postsynaptic receptors in vivo in laboratory rats[224].

  BR16A (Mentat) also enhances dopamine postsynaptic receptor functioning in the laboratory rats. This suggests a potential application in Parkinson’s disease. A case study describing the clinical use of the formula in Parkinsonism has been reported[225].

  In other experiments of Mentat, on patients with poststroke disability, out of 24 patients in the study, 13 received Mentat and 11 received a placebo for 12 weeks. Electromyography (EMG) recording following neuromuscular stimulation was done at the beginning of the study and after 12 weeks. The final EMG responses in the trial group were found to be better than in the control group during study[226].

  The antistress effects of BR16A and its interaction with GABAergic modulators against social isolationinduced stress were investigated on various behavioural parameters, pentobarbitoneinduced sleep (sleep latency and duration), analgesia (tailflick test) and locomotor activity. BR16A (100 mg/kg and 200 mg/kg) treatment for 5 days significantly reversed the social isolation stressinduced prolongation of onset and decrease in pentobarbitoneinduced sleep, increased total motor activity and stressinduced antinociception. When diazepam (0.5 mg/kg), a benzodiazepine agonist, was coadministered with BR16A (100 mg/kg), it significantly potentiated the reversal of pentobarbitoneinduced shortening of sleep time effects, increased locomotor activity and stressinduced antinociceptive effects. However, the sleep latency was not decreased significantly. Further, flumazenil (2 mg/kg), a benzodiazepine receptor antagonist and FG 7142 (10 mg/kg), an inverse agonist, when coadministered with BR16A (100 mg/kg), showed no significant reversal on pentobarbitoneinduced hypnosis, locomotor activity and social isolationinduced antinociception compared with their effects perse. The study demonstrated the antistress effects of BR16A preparation against social isolationinduced stress[227]. The study also suggested that the GABAergic system may be involved in its antistress effect[227].

  2.2 Convulvulus pluricaulis

  2.2.1 Toxicological assessment The LD50 of the whole extract of CP was found to be 1 250 (1 000-1 400) mg/kg p.o. Mice treated with the extract showed a sedative effect at doses greater than 200 mg/kg and reflected a moderate to marked decrease in locomotor activity which lasted nearly for 12 h[123].

  2.2.2 Learning, memory and behavior The ethanolic extract of CP and its ethyl acetate and aqueous fractions were evaluated for their memoryenhancing properties. Significant improvement in learning and memory in rats was noted in passive avoidance paradigms and active avoidance tests using various laboratory models for learning and memory assessment[122].

  2.2.3 Anxiolytic and antiamensic activity Alcoholic extract of CP was found to cause an antagonist effect against amphetamines and tremorine, a potentiator of acetylcholine effect, of pentobarbitoneinduced hypnosis and morphine analgesia, without having own sedative properties. A protective action on muscle against electroshocks has been shown[146, 147, 150]. The chloroform fraction of the total ethanolic extract of CP elicited a significant antidepressantlike effect in mice by interaction with the adrenergic, dopaminergic, and serotonergic systems[151, 152]. Methanolic extract of the whole plant produced alterations in the general behaviour pattern, reduction in spontaneous motor activity, hypothermia, potentiation of pentobarbitonesleeping time, reduction in exploratory behavioural pattern, and suppression of aggressive behaviour[123]. Ethyl acetate and aqueous fractions of ethanolic extract showed an anxiolytic effect in the elevated plus maze. The ethyl acetate fraction at dose of 200 mg/kg p.o. significantly reduced the neuromuscular coordination indicative of the muscle relaxant activity[216]. Nitrogen containing active principle of drug produced marked reduction in Ⅰ131 uptake, PBI, acetylcholine, suggesting its effect on various glands through neurohumors particularly acetylcholine[61]. Upadhyay[144] studied the therapeutic role of Ayurvedic herbs in mental disorders and classified CP as a brain tonic. CP in a dose of 100 mg/100 g body weight exhibited a barbiturate potentiation effect in albino rats; this effect was weaker than that of diazepam, but stronger than that of Centella asiatica Linn. (Syn: Hydrocotyle asiatca Linn.)[148150].

  2.2.4 Anticonvulsant activity The water soluble portion of ethanolic extract abolished spontaneous motor activity and the fighting response, but did not affect the escape response; electrically induced convulsive seizures and tremorineinduced tremors were antagonized by the extract[150]. It was observed that the animals treated with the methanolic extracts of stem callus, leaf callus and whole plant of CP, showed significant protection against tonic convulsion induced by transcorneal electroshock, which was also comparable with that of standrad drug phenytoin[228].

  2.2.5 Antioxidant activity Ethanolic extract of CP possesses significant antioxidant activity when tested in vitro[216].

  2.2.6 Hypolipidemic activity Ethanolic extract of whole plant when administered to cholesterol fed gerbils, reduced serum cholesterol, low density lipoprotein cholesterol, triglycerides and phospholipids significantly after 90 days[161].

  2.2.7 Effect on thyroid gland The root extract of CP [0.4 mg/(kg·d) for 30 days] administered to Lthyroxineinduced hyperthyroid mice decreased serum concentration of T3 and hepatic 5D activity. These results indicate that the plant extractinduced inhibition in thyroid function is primarily mediated through T4 to T3 conversion[163]. Potential effect was shown by CP for the management of thyrotoxicosis[229].

  2.2.8 Analgesic activity The extract caused a reduction in the fighting behavior in mice but was devoid of analgesic activity although it potentiated morphine analgesia[150].

  2.2.9 Antiulcer and anticatatonic activity The antiulcerogenic effect of CP was found to be due to augmentation of mucosal defensive factors like mucin secretion, lifespan of mucosal cells and glycoprotein rather than the offensive factors like acidpepsin[182].

  2.2.10 Cardiovascular activity Total water soluble fraction of the plant caused a marked and prolonged hypotension in dogs and inhibited the frog myocardium[188, 189]. Ethanolic extract of the entire plant exerted a negative ionotropic action on amphibian and mammalian myocardium. It also exerted spasmolytic activity on smooth muscles[150].

  2.2.11 Drug interactions There was unexpected loss of seizure control and reduction in plasma phenytoin levels in two patients who were also taking Shankhapushpi, an Ayurvedic preparation containing CP as an ingredient. In an attempt to know the cause, it was found that single dose SRC and phenytoin (oral/i.p.) coadministration did not have any effect on plasma phenytoin level but decreased the antiepileptic activity of phenytoin significantly, but in multipledose coadministration, Shankhapushpi not only reduced the antiepileptic activity of phenytoin but also lowered plasma phenytoin levels[194].

  2.2.12 Activity of convolvinean alkaloid isolated from CP The specific pharmacological action of convolvine has been found to block M2 and M4 cholinergic muscarinic receptors. It was also found that convolvine potentiates the effects of arecoline, a muscarinic memory enhancer that ameliorates cognitive deficits in Alzheimer’s disease[230, 231].

  2.2.13 Clinical studies of activity of polyherbal formula Maharishi Amrit kalash (MAK) is a herbal formula composed of two herbal mixtures, MAK4 and MAK5. These preparations are part of a natural health care system from India, known as Maharishi Ayurveda. A combination of MAK4 and MAK5 was found to have cancer inhibiting effects in vitro and in vivo when both used in combination[232].

  Thyrocap is a herbal preparation containing solid extracts of Bauhinia variegate, Commiphora mukul, Glycyrrhiza glabra and CP (100 mg of each extract/capsule). This preparation was tried in 50 patients of simple diffuse goiter at a dose of one capsule three times a day for 3 months. A significant increase in serum T4 and T3 concentrations and a decrease in serum cholesterol concentration confirmed its thyroid stimulating property[212].

  2.3 Clitorea ternatea

  2.3.1 Toxicological assessment Gross behavioral and acute toxicity studies after administration of graded doses of alcoholic extract of aerial parts of CT were carried out. LD50 of the extract in mice was 2 290 mg/kg, i.p. An ethanolic extract of aerial parts and root of CT when administered orally to mice, in doses of 1 500 mg/kg and above was found to be lethargic instead of CT root extracts which up to 3 000 mg/kg administered orally failed to produce any lethality in mice[125, 126].

  2.3.2 Learning, memory and behavior Effects of CT aqueous root extract on learning and memory in rat pups observed by using open field behaviour test, spontaneous alternation test, rewarded alternation test and passive avoidance test showed that the oral treatment of CT roots extract at different doses significantly enhanced memory in rats[133]. The alcoholic extracts of aerial parts and roots of CT attenuated electroshockinduced amnesia[124]. The authors also studied the possible mechanism through which CT elicits the antiamnesic effects on central cholinergic activity by evaluating the acetylcholine content of the whole brain and acetylcholinesterase activity at different regions of the rat brain, viz., cerebral cortex, midbrain, medulla oblongata and cerebellum. It was suggested that an increase in ACh content in rat hippocampus may be the neurochemical basis for improved learning and memory[120, 135]. In another study, the effect of CT aqueous root extract on the dendritic cytoarchitecture of neurons of the amygdale was studied. The study showed a significant increase in dendritic intersections, branching points and dendritic processes arising from the soma of amygdaloid neurons in aqueous root extracttreated rats compared with agematched saline controls[137].

  2.3.3 Anxiolytic and antistress activity The ethanolic extract of CT caused reduction in spontaneous activity, decrease in exploratory behavioural pattern by the head dip and Ymaze test, reduction in the muscle relaxant activity by rota rod, 30° inclined screen and traction tests, and potentiated the pentobarbitoneinduced sleeping time[153]. In another study, the effect of alcoholic extract of aerial part of CT on spatial discrimination in rats followed by oral treatment with alcoholic extract at a dose of 460 mg/kg significantly prolonged the time taken to traverse the maze, which was equivalent to that produced by chlorpromazine. The lower dose 230 mg/kg was ineffective[125].

  2.3.4 Anticonvulsant activity Methanolic extract from the aerial parts of CT was screened byusing pentylenetetrazol (PTZ) and maximum electroshock (MES)induced seizures in mice at the dose of 100 mg/kg p.o. CT significantly delayed the onset of convulsions in PTZinduced convulsions and also delayed the duration of tonic hind limb extension in MESinduced convulsions[154]. At the dose of 230 and 460 mg/kg, no significant effects were observed in both tests[125].

  2.3.5 Antidiabetic activity Ethanolic extracts of flowers significantly lowered serum sugar level in experimentally induced diabetes[181].

  2.3.6 Antimicrobial activity A flavonol glycoside isolated from the ethyl acetate soluble fraction of the roots of CT showed antimicrobial activity against various bacteria and fungi[107].

  2.3.7 Antiinflammatory, analgesic and antipyretic activity Methanolic extract of CT roots was reported to have significant antiinflammatory activity in the experiment using carrageenininduced rat paw edema and acetic acidinduced vascular permeability models in rats[168].

  2.3.8 Activity of formulation Clitorea, Gliricidia and Mucuna was found to be active as nitrogen supplements to Napier grass basal diet in relation to the performance of lactating Jersey cows[213, 233].

  2.4 Canscora decussata

  2.4.1 Anticonvulsant activity The results of administration of crude fine powder and alcoholic extract of CD against MES, MST and hypnosis potentiation tests were found to be encouraging. The drugs were also tested for toxicity studies prior to clinical trial[157]. In another set of experiments crude dried powder and its alcoholic extract with reference to phenytoin sodium (serve as positive control) were found to provide cent percent protection against supramaximal electroshock[156]. Mangiferin and total xanthones did not elicit any anticonvulsant activity against maximal electroshock and pentylenetetrazolinduced convulsion in a dose up to 100 mg/kg[127].

  2.4.2 Antitubercular activity Chloroform soluble fraction of ethanolic extract of CD gave a mixture of about dozens of polyoxygenated xanthones, which were used for the assessment of the antimycobacterium tuberculosis H 37 RV using Youmanin medium by tube dilution methods on these xanthones[191]. A potent antimycobacterium tuberculosis component of CD was reported to possess xanthone nucleus, which should contain oxygen functions at 1, 3 and 5, 6 or 8position[190].

  2.4.3 Immunomodulatory activity Aqueous extract of CD was found to promote the adhesion of neutrophils by inducing the expression of cell intercellular adhesion molecule1 and Eselectin on endothelial cells[165].

  2.4.4 Antiinflammatory activity Significant antiinflammatory activity was observed in rats by carrageenin hind paw oedema, cotton pellet granuloma, and granuloma pouch techniques[169, 170].

  2.4.5 Hepatoprotective activity Magostin3, 6diOglucoside and mangiferin, a Cglucoside from CD roots provides a definite protection against experimentally induced carbon tetrachloride liver injury in albino rats[169].

  2.4.6 Spermicidal activity Aqueous extract of this herb in a dose of 25 mg/100 mg body weight arrested spermatogenesis in albino rats[184, 185].

  2.4.7 Effect of its formula on postmenopausal One of the leading pharmaceutical house in India has formulated a safe and effective herbomineral preparation viz., Menotab to relieve the distressing symptoms of postmenopausal syndrome. Menotab comprises of Withania somnifera, Elletaria cardamomum, Bombax malbaricum, Centella asiatica, Embelia ribes, Canscora decussata, Asparagus racemosus, Oyster shell extract, Glycyrrhiza glabra, Adhatoda vasica, Tinospora cordifolia and Boerhaavia diffusa[214].

  2.4.8 Simultaneous pharmacological screening Methanolic extracts of five of these plants, e.g. Clitorea ternatea, Canscora decussata, C. diffusa, Evolvulus alsinoides, E. nummularius were analyzed for their antioxidant and acetylcholinesterase inhibitory properties by using mice brain homogenates as the enzyme source. All the plants (except CT) inhibited acetylcholinesterase in a dosedependant manner, significantly scavenged DPPH radical and superoxide radical and chelated metal ions. Total antioxidant capacity (equivalent to ascorbic acid) of the plant extracts was also good. It was found that CD has the highest acetylcholinesterase inhibitory activity. Antioxidant activity in all systems (except metal chelation property) was highest in CD[234].

  2.4.9 Some important facts related to Shankhpushpi Upadhya and Kambhojkar[21] carried out studies on Shankhpushpi from Western Maharashtra, India and identified four major species viz. C. decussata, C. ternatea, E. alsinoides and Tephrosea purpurea as Shankhpushpi out of the nine species he studied. Rajagopalan[235] reported the effect of Ayushman8 (containing Shankhpushpi, Brahmi and Vacha) on Manasamandata (mental retardation). Singh and Vishwanathan[236] suggested that there was a need for the authentication of samples of the crude drug purchased from the local market under the trade name Shankhpushpi before their utilization. They also suggested the need for authentication of C. microphyllus and E. alsinoides.

  3 Summary and conclusion

  An estimate of the World Health Organization (WHO) states that around 85%-90% of the world’s population consumes traditional herbal medicines. Use of herbal remedies is on the rise in developing and developed countries. Many traditional systems have records where one common vernacular name is used for two or more entirely different plant species. Controversial herbs in other words are accidental herbal medicine which comes in existence due to wrong identification of a prescribed medicinal plant. Sandigdha dravays, a term used for medicinal plants having controversial sources, appear in the ancient Indian literature[11]. India is a country having variety of languages and population dependent on different tribal and folklore medicine. The variation in the language sometimes is responsible for confusion in the nomenclature of different plants having similar name. Moreover the description of a plant in the ancient literature is found in versus having ample use of synonym. These synonyms have caused controversy in the identification of plants and hence the correct source sometime is mistaken with a fictious plant. In Ayurveda, the plant Shankhpushpi is regarded as controversial in origin. Existence of four different plants is seen in different places of India as Shankhpushpi. Even the official publication of Government of India has shown more than one plant as source for the drug. Although there is lot of work for all plants which has been done for the presence of different chemicals and for various activities. A survey on different Ayurvedic formulus revealed its use as a brain tonic. Sometimes instead of using botanical name doctors only prescribed common name. Since herbal products are prepared by using the extracts of plant known for particular activity, the controversial source sometimes leads to variable preparation. Hence generation of parameters based on characterization and identification of chemical and biomarker, using modern method may provide a solution for solving out the controversy. The available herbal products may be evaluated and analyzed by using sophisticated modern techniques such as UV, TLC, HPLC, HPTLC, GC, Spectrofluorimetric, microarray and other methods. Their biological efficacy also needs to be evaluated to justify the indications of the polyherbal formulas. In present work parameters of identification as well as differentiation among different plant sources having similar name Shankhpushpi in Ayurvedic literature have been reviewed, which may serve the purpose for solving controversy of Shankhpushpi.

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