CCNM - Botanical Medicine I Flashcards
This flashcard deck was created using Flashcardlet's card creator
What people are often overlooked in the history of botanical medicine and why?
Indigenous people, because their traditions were passed down orally all the time - not written down.
What discovery, significant to botanical medicine, was made regarding the neanderthal man?
A skeleton was found with 8 medicinal plants
What does the shaman believe and what might they use to aid in healing, and why?
Shamans believe spirits affect health and they will use psychoactive plants as an aid in healing.
They believe this altered state of consciousness allows individuals to deal with their “demons” and face them head on. Furthermore, the physical vomiting is representative of vomiting out negative experiences and/or their demons.
What/Who were the botanical medicine contributors from ancient egypt? and what were the contributions?
Imhotep
- western worlds "first physician" - he wrote the "Edwin Smith Papyrus" an anatomy & conditions text
Ebers Papyrus
-a medical text with more than 850 medicinal plants and remedies
What traditional medicine is native to india? and what were it’s influences?
Ayurvedic medicine - influences from the book “Rig Veda”
root of Hinduism, yoga and ayurveda
What are the Doshas (3 humours) in ayurvedic medicine and what is believed about them?
Vata - wind
Pitta - fire
Kaph - water
Health is maintained by keeping the Doshas in balance.
Who were the contributors from TCM?
Shannong “Divine Farmer” & Yellow Emperor
Who founded chinese herbalism and what was later recorded in his name?
Shannong “divine farmer”
The “Shannong Materia Medica” containing 365 plant and animal remedies
Who founded TCM theory and what were the beliefs and principles behind it?
Yellow Emperor
Rejected the thought that spirits caused disease. Instead believed diet, emotions, environment and age impact health.
Principles of Yin/Yang and the five elements.
What is Kampo and what significance does it have today?
Kampo is traditional Japanese medicine and today it is integrated into the modern national health system with 148 Kampo formulas approved for use in Japan.
Who wer the three contributors from Greco-Roman medicine?
Hippocrates - the father of modern medicine
Dioscorides - a roman army phyisician
Galen of Pergamum
What major contributions did Hippocrates have?
He developed a code of medical ethics. He recognized that illness resulted from natural, rather than supernatural, causes and he developed the four humours approach.
According to Hippocrates what are the four humours and what is believed about them?
Phlegm (wet, cold)
Yellow bile (dry, hot)
Black bile (dry, cold)
Blood (wet, hot)
Dyscrasia: an imbalance of the humours resulting in a diseased state.
What were Dioscorides contributions?
On his travels with the Roman army he documented medicinal plants others used and wrote the De Materia Medica - a treatise on medicinal plants.
What were Galen of Pergamum’s contributions?
How long did his principles rule western medicine?
He extracted herbs to make crude drugs and he refined the humoural theory.
His principles dominated the western world of medicine for 1500 years.
Who was the major contributor from Arabic (Unani) medicine and what were his two major contributions?
Avicenna the “Prince of Physicians”
- Created the system of medicine called Unani Tibb
- Wrote “Canon Medicine”
- 760 plant descriptions
- authoritative in pharmacy until 17th century
- greatly influenced early European medicine
There were 7 contributors from European herbalism. Who/What were they?
Folk medicine Monastic Medicine Pharmacy Paracelsus Orto Botanico di Padova, Italy Jakob Boehme Nicholas Culpepper
What were folk medicines contributions?
They weren’t well documented.
What is Monastaic medicine?
Greco-Roman medicine that was preserved in monasteries during the middle ages.
When was pharmacy established as a profession?
In the 12th century.
Who is Paracelsus, what is his famous quote, and what did he do?
He is the founder of pharmacology.
“All things are poison, nothing is without poison, the dose alone causes a thing not to be poison.”
Used chemistry to create medicine from herbs and metals.
What is the Orto Botanico di Padova and where is it located?
It is the oldest academic botanical garden and it is located in Italy.
Who is Jakob Boehme and what did he believe?
He is the “Doctor of signatures” and he believed that God marked everything He’s created with a sign to indicate it’s purpose.
What did Nicholas Culpepper contribute?
He wrote “The Complete Herbal”, which is the most successful non-religious text.
Who were the two major contributors from American Herbalism?
Samuel Thompson and The Eclectics.
Who is Samuel Thompson and what did he do?
He is considered the “Father of American Herbalism”. He learned from the first nations and opposed conventional medicine.
Who were the Eclectics? What important book did they contribute? and who are the noteworthy four physicians?
They were a group of physicians that opposed "heroic" conventional medicine and integrated botanical medicine. The wrote "King's American Dispensary". And the noteworthy four are: John Uri Lloyd John Milton Scudder Harvey Wickes Felter & John King
What are the five different ways to classify herbs?
Taxonomy - Famly, Latin binomial
Actions - diuretic,, antiinflammatory etc.
Systems - cardiovascular, urinary etc.
Constituents - terpenoid, phenolics, essential oils etc.
Herbal tradition - TCM, Ayurvedic, Western
Herbs vs Drugs
Compound?
Herbs contain hundreds of compounds.
Drugs typically contain one active ingredient.
Herbs vs Drugs
Quality?
Herbs - the active ingredients vary from batch to batch.
Drugs - very pure and precise amounts.
Herbs vs Drugs
Potency?
Herbs are generally less potent but safer than drugs.
Drugs are stronger but generally have more side effects.
Herbs vs Drugs
Medicinal Actions?
Drugs and herbs share many of the same actions but…
Herbs possess medicinal qualities that have no equivalent in pharmaceuticals.
What are the three strategies for drug development?
- Explore traditional medicine to develop new drugs.
- Screen plants with known medical action for potential drug development.
- Use phytochemicals as a source of chemical building blocks.
Example - drugs from plants. Explain…
Aspirin
Made by adding an acetyl group to salicylic acid
Salicylic acid is found in willow bark.
Example - drugs from plants. Explain…
Ephedrine
Found in Ephedra
Used for respiratory conditions.
Example - drugs from plants. Explain…
Taxol (anticancer drugs)
Found in Pacific Yew (no traditional medicinal indications), but difficult to get/synthesize.
obtained from cell-cultures using plant fermentation technology.
Example - drugs from plants. Explain…
Tamiflu (antiviral drug)
Not naturally occurring.
Synthesized from shikimic acid (found in star anise & others but these plants don’t have the same effect)
Define:
Pharmacology
The study of the interaction of biologically active agents with living systems.
Define:
Pharmaognosy
Discipline dealing with medicines from natural sources (plants, animals, microorganisms) and their constituents.
Define:
Pharmacodynamics
How the drug effects the body by interacting with receptor, transport processes and enzymes.
Define:
Pharmacokinetics
How the body effects a drug.
i.e. absorption, distribution, bio-transformation, storage, elimintion.
Define:
Toxiology
How substances negatively effect living organisms.
Define:
Agonist
Something that binds to a receptor and activates it.
Define:
Antagonist
Something that binds to a receptor and inactivates it. Prevents agonist from binding. This could be reversible or irreversible.
Define:
Modulator
Something that binds to a receptor and partially turns it on.
This could also have a slowing down effect…
Define:
Therapeutic index
Refers to how safe a drug or plant is - how close the therapeutic dose is to the toxic dose.
Define:
Broad therapeutic index
Considered safe - large amounts required before serious side effects
Define:
Narrow therpeutic index
Considered dangerous & must be used with cations - therapeutic dose close to and may overlap toxic amount.
Define…
Carbohydrate
Organic compounds that consist of carbon, hydrogen and oxygen with the formula Cm(H20)n
What are the phytochemicals for carbohydrates?
Glycosides Fiber -inulin -beta glucans -mucilage -gum -gel
Define…
Glycoside
An organic compound, usually biologically active, with sugars attached.
What are glycosides composed of?
A glycone - the sugar component
An aglycone - the organic component
Glycoside phytochemicals
Sugars can be attached to a variety of compounds
- hydroquinone glycoside (e.g. arbutin)
- cardiac glycoside (e.g. digoxin)
- saponins (e.g. ginsenosides)
- anthraquinone glycosides
By creating a glycoside the sugar allows the aglycone to become…? (5 options)
- More water soluble
- Reversible inactivated
- Easily stored
- Transported
- Excreted
Define…
Fiber
Undigestible carbohydrates that bulk up the stool (soluble and insoluble).
Give four actions of fiber.
- Bulking agent
- Demulcent
- Lowers cholesterol
- Lowers blood sugar
Where is fiber found?
In fruits and vegetables.
What are the five phytochemicals for fiber?
- Mucilage (forms slime)
- Cellulose
- Inulin
- Glucan
- Fructooligosaccharides (FOS)
Define…
Mucilage
Produces a viscous substance when added to water.
Define…
Gums
Mucilage excreted when the plant is injured.
In relation to fiber define…
Gels
Highly cross-linked forming semi-solid.
What are the three actions of mucilage, gums and gels?
- Bulking agent
- Demulcent
- Prebiotic
Mucilage, gums and gels indications…
inflamed mucous membranes
In what herbs can you find mucilage?
Psylium, ground flax, oatmeal & okra
In what herbs can you find gums?
Guar gum, mastic gum.
In what herbs can you find gels?
Carrageenan, agar & aloe vera
What phytochemical is found in mucilage, gums and gels?
Arabinogalactan: polymers of arabinose and galactose and is a constituent of many gums.
What are glucans?
They are polysaccharides consisting of D-glucose linked by glycosidic bonds.
Glucans can either have alpha-linkages or beta-linkages. Which of these is digestible and which is indegestible?
Which are soluble and insoluble fibers?
Alpha-linkage chains are digestible.
Beta-linkage chains are indigestible and are you soluble and insoluble fibers.
What action do glucans have?
They are immunomodulating.
Where can you find glucons?
In medicinal mushrooms.
What are the phytochemicals for alph-glucans?
alpha 1,4- and 1,6- are starch and glycogen.
What are the phytochemicals for beta-glucans?
Beta- 1,3- & 1,4- is oatmeal
Beta- 1,3- & 1,6- are immunomodulators
What influences the immunomodulating effects of glucans?
Linkage type, frequency, and location.
Addition of proteins and other molecules.
What are essential oils? (aka aromatic oils)
They are short, non-polar hydrocarbon molecules (10-15 carbons) that can be extracted by steam distillation.
What are the two actions that essential oils have?
They act as carminatives: helps in digestion
as well as antimicrobials.
There are two plant families high in essential oils. What are they?
Apiaceae - Umbellaferae - “Carrot family”
and
Lamiaceae - Labiatae - “Mint family”
Name the three phytochemicals of essential oils.
- Phenylpropanoids
- Monoterpeneds
- Sesquiterpenes
What is one major caution you must use when dealing with aromatic oils?
Pure essential/aromatic oils are potent but also very dangerous! 5mL can result in death!
What three things describe fixed oils?
- They are long non-polar hydrocarbon molecules.
- They are triglycerides [made up of esters of glycerol and fatty acids (15-24 carbons)].
- They tend to liquify at room temperature.
Furthermore, they may contain other compounds such as terpenoids or phenoloics
Fixed oils have three actions. What are they?
- Anti-inflammatory
- Pro-inflammatory
- Fuel
Where can you find fixed oils?
In vegetable oils - they contain triglycerides consisting of a mixture of saturated and unsaturated fatty acids
- Olive oil - Castor oil - Coconut oil - Flax seed oil
What is wax? How many carbons are in their chains?
Wax is long non-polar hydrocarbon chains that tend to be malleable solids at room temperature Their chains consist of ~29-33 carbons.
What are the two components of a wax ester?
One fatty acid and one fatty alcohol.
What two actions do waxes serve?
They serve as a protective barrier and water repellant.
Where do you find wax?
Bees wax, from insects and Bayberry “wax myrtle”(Myrica cerifera).
What caution do you have to keep in mind about wax?
Wax is indigestible - oral consumption may cause steatorrhea.
What is a resin?
A solid or very viscous mixtures of hydrocarbons (terpenes)
What are the three classes of resins and what do they include?
Oleoresins include essential oils
Gum resins include gums (carbohydrates)
Oleo-gum-resins include essential oils and gums
What are the two actions of resins?
Resins act as Antiinflammatories and antimicrobials
Where can resins be found? (name 2)
Resins can be found in conifers (balsam firs, pine, cedars) and burseraceae family (frankinsense, myrrh).
How is turpentine obtained?
Obtained through steam distillation of pine trees.
What is a rosin?
A solid (triterpenes & diterpenes) that remain after steam distillation.
Fossilized resin is also known as what?
Amber.
What are balsam oils?
Oleoresins obtained from various balsam trees.
Define…
latex
milky liquid that consists of an emulsion of various substances in an aqueous base.
In what family can you find latex?
The poppy family, or papaveraceae.
Name three plants you in the poppy family that contin latex.
- Opium poppy - Papaver somniferum
- Greater Calendine - Cheledonium majus
- Bloodroot - Sanguinaria canadensis
Latex may contain an emulsion of which five phytochemicals?
- Proteins
- Carbohydrates
- Gums
- Alkaloids
- Resins
What are terpenoids/terpenes?
Hydrocarbon compounds synthesized from a fie carbon precursor; isoprene.