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Phytochemical & therapeutic potentials of Murr makki (Commiphora myrrha): A review

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Abstract

Commiphora myrrha is an important medicinal plant used in traditional system of medicine since Bible times, first described in Chinese medical literature in 600 AD. It belongs to the family Burseraceae. Murr is an oleo gum resin obtained from bark of this plant. Unani physicians mentioned its use in gynecological diseases like amenorrhea, menorrhagia, leucorrhea, pelvic inflammatory disease, cervical stenosis; as an abortificient and galactogogue; in treatment of wounds and ulcers, and also in various gastrointestinal, urinary tract and respiratory disorders due to its properties like detergent, desiccant, carminative, anti inflammatory, astringent, analgesic, anti septic, diuretic, emmenagogue, expectorant, etc . Pharmacological studies proved that it has antitumor, immunomodulatory, antioxidant, anti-inflammatory, analgesic, cytotoxic, antibacterial, hepatoprotective, antimicrobial and anti-ulcer activities due to the presence of volatile oil, tannins, phenols, steroids, terpenoids, carbohydrates, resins etc.. The present review focuses on traditional uses of Murr as mentioned in Unani literature in scientific manner
PHYTOCHEMICAL AND THERAPEUTIC POTENTIALS OF MURR MAKKI
(COMMIPHORA MYRRHA): A REVIEW
Tooba Fahad*
P.G. Scholar, Dept of Ilmul Qabalat wa Amraze Niswan, National Institute of Unani
Medicine, Kottigepalya, Magadi Road, Bengaluru. Karnataka. India.560091
*Corresponding Author
Original Research Paper
Unani Medicine
INTRODUCTION:
Commiphora myrrha is a big tree, derived from genus Commiphora, is
the most species-rich genus of flowering plants in the family
Burseraceae. The word myrrha is derived from arabic word murr
means bitter and it has been used throughout the history in incense and
perfume. Greek soldiers would not go to the battle without a poultice of
1
murr to put on their wounds. Also known as Balsamodendron
2,3,4 3,5,6
myrrha, Commiphora molmol In Unani system of medicine , it is
termed as 'Murr' is an oleo gum resin obtained from bark of tree
7
Commiphora myrrha (Myrrh), first described in Chinese medical
literature in 600 AD.
Murr: Plant, leaves & oleo gum
Ethanobotanical descriptions: Small tree or a large shrub,3,5,7 not
reaching more than 9 feet in height, but with a trunk of considerable
thickness, numerous irregular, knotted branches, smaller branchlets
clustered, stout, spreading nearly at right angles, and terminating in a
sharp spine; bark smooth, thin, flaking off in small portions, pale
orange brown, becoming ash grey when detached. Leaves about ½
inch long, trifoliate, leaflets sessile, unequal, but the terminal ones
3
more or less toothed. Flowers not seen, the phloem (inner most layer
of bark) contains schizogenous ducts and lysigenous cavities which
8
are filled with yellowish granular resinous liquid.
Habitat: 3,7,9,10
The genus Commiphora is mainly found in Arabia,
3,7 7 11
Somaliland, Ethiopia, Abyssina, Persia, Siam, to some extent in
Northern Kenya.7The bushes grow on very hot and sunny places, at an
12 9
elevation of 1500-3000 feet. The specimens were collected in March.
The oleogum resin is obtained by making incision in the bark, or it
appears spontaneously from the cracks or fissures formed in the bark.
1,8,13,14,15,16
At first it is liquid exudes and hardens to a reddish brown mass.
Myrrh occurs in irregular masses, external surface is rough and
reddish brown, covered with yellowish dust. Pieces are brittle,
fractured surface is waxy, granular and oily with whitish marks. It is
16-19 2
bitter and pleasant in taste with aromatic odour.
Temperament:
014 016,20 0 14,16,20
Hot 3 / 2 Dry 2
Therapeutic dosage: 16 18,21 15 22
1- 2 g, 1-2 g, Upto 1 g, 5-15g
Chemical constituents:
The main active constituents include volatile oil (cuminic aldehyde,
eugenol, metacresol, pinene, limonene, diterpenes, and sesquiterpenes).
1,4,7,18,23,24; resin up to 40% (ether soluble portion: α, β and γ commiphoric
1,4,7,18,25
acids and esters of another resin acid and two phenolic resins). gums
1,4,7,12,26
up to 60%(associated with enzyme oxidase, polysaccharides). , and
7,23,24 19,27
bitter principle. Other constituents include Flavonoids Alkaloids
19, 26, 27 19 7, 19 7,1 9,2 7
Tannin s Glyc osi des Ster oid s Sa pon ins Terpeno ids
2,7,19,23, 26
(sesquiterpenes, furanosesquiterpenoids) (Su et al., 2009).
Carbohydrates7 Organic compounds (limonene, curzerene, germacrine B,
isocericeni ne, myrceno l, beta s elinene, sp athulenol), Minera ls
(Magnesium, Potassium, Sodium, Manganese, Zinc, Calcium and
Phosphorus, Aluminum, Scandium, Chlorine, Arsenic, mercury , lead
28
etc).
Ac ti o ns : 1,5,27,19,23,26,29 7,26,28
an tif ung al , ant ib act eri al cy tot oxi c,
3,12,26,30 3,4
bacteriostatic, antiviral, expectorant, stimulant, leucocytogenic,
30 12
aphrodisi ac, diuretic, deodorant, ophthalmic, ant ispasmodic,
24 14,15,16,18,31 3,12,15,16,18,26,30,32
antidermatophyte desiccant, carminative, anti
3,12 ,13 ,14 ,16 ,17 ,26 ,30 3, 12, 14, 26, 30 1, 14
infla mma tor y, astringent analgesic, anti
1 , 1 3 , 1 4 , 1 5 , 1 6 , 1 8 , 2 6 , 3 0 , 3 1 1 4 , 1 5 , 1 8 , 3 1 1 4
s e p ti c, d i ur et i c, a n ti tu s si ve ,
3,12,13 ,14,15 ,16,18, 30,28, 31 14,3 3,14,19
emmenagogue expectorant, 1blood purifier,
3,16,18,31 16 31 19
anthelminthic deobstruent, brain tonic , abortive
USES:
Urogenital disorders:
ŸAmenorrhea: Murr is used with elwa and iron component to
14,17,18,24,31,33,34
induce menstruation, if cause is qillate dam.
14,33
Ÿ 1.75 g of murr with baiza neem barisht or Menorrhagia:
31
roghane kunjad is beneficial to arrest excessive menstrual blood
loss.
ŸOleo-gum resin act as emmenagogue and antispasmodic, hence
3,7,8,13,25,30,33
used for irregular & painful menstruation.
12,13,14,18,33
Ÿ Murr is beneficial in PID, leucorrhoea Uterine infections:
12,14and cervical stenosis.
ŸAbortificient: Murr causes expulsion of janin wa masheema as it
is bitter in taste.
ŸLocal application of murr is beneficial to remove bad smell of farj
17,18,24 17
(humool form), as well as rahim (douche with na'na) .
19
ŸUseful in treatment of UTI
Gastrointestinal disorders:
ŸMyrrh mixed with equal parts of honey and rectified spirit and
dissolved in rose water or infusion of rose petals (50 parts) is
11,13,26
effective in stomatitis.
ŸMurr is useful in diseases of spleen, kidney, urinary bladder
,11 ,17,24
(urinary retention renal pain cystitis) & intestine (seheje
,24 .17,24
ama'a muzmin diarrhea )
12 1,3,12,13,25
ŸGI diseases like dyspepsia, decreased appetite gall bladder
7,17,23,28
diseases.
Volume-8 | Issue-9 | September-2018 | 86 18ISSN - 2249-555X | IF : 5.397 | IC Value : .
KEYWORDS : Commiphora myrrha, Murr, Unani text
Commiphora myrrha is an important medicinal plant used in traditional system of medicine since Bible times, first
described in Chinese medical literature in 600 AD. It belongs to the family Burseraceae. Murr is an oleo gum resin
obtained from bark of this plant. Unani physicians mentioned its use in gynecological diseases like amenorrhea, menorrhagia, leucorrhea, pelvic
inflammatory disease, cervical stenosis; as an abortificient and galactogogue; in treatment of wounds and ulcers, and also in various
gastrointestinal, urinary tract and respiratory disorders due to its properties like detergent, desiccant, carminative, anti inflammatory, astringent,
analgesic, anti septic, diuretic, emmenagogue, expectorant, etc . Pharmacological studies proved that it has antitumor, immunomodulatory,
antioxidant, anti-inflammatory, analgesic, cytotoxic, antibacterial, hepatoprotective, antimicrobial and anti-ulcer activities due to the presence of
volatile oil, tannins, phenols, steroids, terpenoids, carbohydrates, resins etc.. The present review focuses on traditional uses of Murr as mentioned
in Unani literature in scientific manner.
ABSTRACT
Ismath Shameem
Lecturer, Dept of Ilmul Qabalat wa Amraze Niswan, National Institute of Unani
Medicine, Kottigepalya, Magadi Road, Bengaluru. Karnataka. India.560091
102
INDIAN JOURNAL OF APPLIED RESEARCH
ŸMurr with su haga or gulqand is used in indigestion an d
co ns tip ati on due t o it s ja li , des ic c an t, a nd a nti s ep tic
16,17,19,32
properties; even it kills intestinal worms when used with
16,17,19,20, 21,24 24
arand. Murr is used with arqe charaita in yarqan zard.
Respiratory disorders:
7,7,23,28
ŸIt is used in chest ailments as an expectorant in respiratory
13
tract infections especially asthma chronic cough, and also in
diphtheria ,tonsillitis, pharyngitis, common cold, bronchitis.
1,4,7,12,13,17,18,19,20,24,26, 32,38
Ear diseases:
ŸMurr is beneficial in ear abscess or ottorhoea, when used with
jundbedastar or maameesa and afyun in the form of ear drops
17,24,32
(Jalinoos).
Eye diseases:
ŸMurr is beneficial in eye diseases; like in ulcers of eye with other
drugs in kahl form due to its desiccant and jali properties; in
cataract, when eyes are washed after dissolving murr in milk and
in infraorbital hemorrhage, mixture of murr with aabe mooli is
17,18,20, 24
applied over the eyes.
Skin diseases:
Ÿ Murr is one of the best drug to eliminate Wounds and ulcers:
1,4,5,24,26,28,30,32, ,
infection, hence beneficial in all types of ulcers when
17
used in the form of paste with kundur, or aabe dhaniya taaza or
24
karafs taaza; even murr with sirka in ringworm and roghane gul
8 17,24
in scabies. Paste is useful in non healing ulcers, malignant
32 17,24
ulcer, hence, it is used in the preparation of qabid marahim.
4,7,12,24,33
effective in skin infections (acne, boils, pressure sores),
28 1,5,7,10,24,28,30,33 5,10,26
burns, painful swellings, and athletes foot. Because
of astringent and disinfectant action, especially its alcoholic
tincture is used in skin applications even in snake and scorpion
7,23,28,33
bites.
ŸMurr is useful in ulcers of head & remove dandruff, when applied
over the scalp after dissolving in makhkhan and mixed with
3,8,21,24, 31,32
zeera.
Ÿ Murr strengthen the hair & prevents hair fall, if applied Hair fall:
14,16,24,30,32,33
with roghane aas, lazan and sharab.
ŸLocal application of murr is useful, with lehej, pyaz dashti (onion
squill) & shehed in warts, with sharab and phitkiri remove bad
smell of axilla and inguinal region. Paste of murr with tezab shura
17,24,32
in lymphadenopathy & scrofula.
ŸMurr is beneficial in epidemic diseases, if used with other drugs in
16,18,19
the form of pills due to its antiseptic property.
Musculoskeletal system:
ŸMurr possess anti inflammatory, deobstruent and musakhkhin
16
properties, hence, useful as zimad in awrame balghami like
.16,17,21,24
arthritis, gout and sciatica
7,23,28 23
ŸUseful in backache, muscular pains and spasms.
OTHERS:
Ÿ Murr increases milk secretion if used with Galactogogue:
17,24
jaggery.
ŸDecoction of murr strengthens the teeth & remove bad odour of
16,19,24,31-33
mouth.
ŸMyrrh mixed with equal parts of honey and rectified spirit and
dissolved in rose water or infusion of rose petals (50 parts) is good
11,13,26
for mouth wash Murr mixed with arqe gulab is used in
16,19,24,31,32,33
aphthous ulcers.
16,17,24,31,33
ŸGargle of murr is useful in istirkhae halaq; when gargle of
murr is combined with sirkae unsul or soya or joshanda beekhe
24
hilyun (Asparagus officinalis) or zanjar prevents falling of teeth.
ŸMyrrh has stimulant and antiseptic properties and hence used in
the preparation of toothpaste and tinctures for the treatment of
3,18
gingivitis
ŸMurr, seeds of ilaichi, banslochan are mixed and grinded and used
17,24
orally with honey in general weakness.
2,4 7,28
ŸIt is helpful in hypertension, hyperlipidemia or obesity, fever,
headaches
5,6,8,30,31
ŸUsed in preparation of perfumes, incense, mouth washes etc.
Uses of leaves:
ŸLeaves of murr strengthen the stomach, act as carminative,
32
remove fuzlaat & toxins of snake and scorpion bite; stops
menstrual bleeding if used in humool form, its extract (in the form
of sao'ot) is useful in epistaxis.
ŸLeaves are used in marz kamzorie khoon with iron, in gargle form
in qula, quruhe zuban, iltihabi liththa, istirkhae halaq (with gulab
17
and tincture cincona).
Pharmacological studies:
Ÿ C. myrrha was reported to have cytotoxicity Cytotoxic activity:
activity on human gynecologic cancer cell on clinical trial due to
the presence of two compounds of diterpene resin acid, which
7
significantly inhibit proliferation of human ovarian cancer.
Ÿ Khatoon et al. reported that Murr is Emmenagogue activity:
effective in PCOD related secondary amenorrhea when used in
combination with Muqil and Abhal. This combination induced
withdrawal bleeding along with menstrual regulation due to the
presence of steroids and flavonoids. Moreover, Murr contains
phy to st erols, saponins, terpen oi ds , lig nans an d p he no li c
compounds; and glycosides and alkaloids in Abhal which exerts
hormone like action in the body and thus withdrawal bleeding and
35
menstrual regulation.
Ÿ Ethanol extract of C. molmol exhibit Antioxidant activity:
antioxidant activity on in vitro study due to the presence of
23
phenolic and flavonoid contents.
Ÿ The methanolic extract of C. myrrha Anti-microbial activity:
demonstrated antimicrobial activity against E. coli, S. aureus, B.
19
cereus, E. coli, & K. pnuemoniae due to the presence of broad
spectrum antimicrobial compounds that act against gram negative
23
bacteria. Even its petroleum ether extract showed antibacterial
effect against S. aureus, E. coli, Pseudomonas aeruginosa; and
26
antifungal to Aspergillus niger and Candida albicans.
Ÿ The ethanolic extract and essential oil of C. Anti-fungal activity:
myrrh reported to have antifungal effect against T. rubrum, T.
mentagrophytes, M. canis, M. gypseum, and T.verrucosum on in
vitro study due to the presence of furanoeudesma 1,3diene and
menthofuran in myrrh oil while 2-tert-butyl-1,4-napthoquinone,
benzene methanol, 3-methoxy-α-phenyl, and curzerene in myrrh
24
ethanol extract. Petroleum ether and methanol extracts of oleo-
gum resins of C. myrrha revealed antifungal activity against of
Aspergillus species: A. flavus, A.fumigatus, A.terreus and A.niger
29
on in vitro study.
Ÿ C. myrrha extract exhibit anti-Anti inflammatory activity:
inflammatory effect as evident by decrease in volume of paw
edema induced by formalin in rats probably due to an inhibition of
1,10
release of inflammatory mediator PGs.
ŸAnalgesic activity: C. molmol extract exhibit analgesic activity in
rats due to the presence of bioactive compounds that raised pain
threshold by depressing pain receptors centrally in the brain and
also by inhibiting the release of prostaglandins (Pgs). Thus C.
molmol extract appeared to produce analgesic effect through both
central and peripheral mechanisms.
Ÿ C. myrrha significantly decreased Anti hyperlipidemic activity:
the body weight gain, normalized the high levels of blood lipids
and decreased atherogenic index, low-density lipoprotein/high-
density lipoprotein in obese hyperlipidemic rats due to the
10
presence of guggulsterones, plant sterol etc.
Ÿ Extract of myrrh exhibit significant Anti dysmenorrheic activity:
anti dysmenorrheic activity (Wang et al.2009) and inhibits uterine
7
contraction and aromatase activity. (Su et al.2008.)
Ÿ Com mipho ra myrrha trea tment H epa to pro tecti ve effec t:
improved liver histology towards more normalization in rats as
evident by a reduction in liver enzymes in a dose-dependent
manner. It increases hepatic antioxidant activity and decreases the
oxidative stress by down-regulation of important key players such
as TNF-α, IL-6, IL-10, iNOS-2, and HO-1, which might be
sufficient to combat cellular damage. Histological recovery
towards normalization also suggests that C. myrrha extract may
protect parenchymal cells and improve liver tissue regeneration.
The hepatoprotective effect is due to the presence of flavonoids,
36
terpenoids and alkaloids
DISCUSSION AND CONCLUSION:
Murr appears to be one of the oldest medicines. The use was recorded
since ancient Rome and in the texts of Hippocrates. Murr and its
tincture have a very long history of medicinal uses. Unani physicians
have mentioned its uses in various systemic disorders. However,
scientific studies have proven its efficacy in some properties of drug.
Hence, further clinical trials are needed to prove other properties of
drug as mentioned by Unani physicians.
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... It is composed of 3-4 wt% impurities, 7-17 wt% volatile oils, 25-40 wt% alcohol-soluble resins, and 57-61 wt% water-soluble gum [43]. Myrrh has unique medicinal properties: it can act as an anti-inflammatory, antifungal, astringent, analgesic, antiseptic, and diuretic agent [44][45][46]. In previous studies [42], it was shown that the best way to form PLA melt spun yarns is by using ethanolic myrrh extract instead of water-based myrrh extract. ...
... Myrrh resin is rich in organic and inorganic elements and volatile oils, which help in healing skin ulcers and sores [45]. Gas chromatography-mass spectrometry (GC-MS) analysis was used to investigate the compounds of ethanolic myrrh resin extract, and the results are presented in Figure 3. ...
... Myrrh resin has various volatile oils (elemol, eugenol, limonene, esters, etc.) and alcohol-soluble resins (commiphorinic acids, commiphoric acids, commiferin, heerabomyrrhols, etc.). Most of them are strong light-absorbers [45,69]. Multifilament yarns PLA/M3 and PP/M3 are characterized by a lower reflectance in the visible and ultraviolet regions, which was caused by myrrh volatile oils due to scattered light. ...
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Myrrh has unique medicinal properties: it is an anti-inflammatory, antifungal, and antibacterial material. The aim of this study was to assess the influence of ethanolic myrrh extract on the production and properties of modified PP and PLA melt spun yarns. In this work, multifilament yarns of polylactide (PLA) and polypropylene (PP) containing 10 wt% myrrh resin at different melt-spinning drawing ratios (DRs) were prepared. The results of scanning electron microscopy revealed that the multifilament yarns from polymers covered by myrrh resin extract had a smooth surface without cracks or visible myrrh derivatives. The influence of myrrh resin on the mechanical properties of PP and PLA multifilament yarns was analyzed, and it was found that the presence of myrrh (PP/M, PLA/M) increased tenacity (cN/tex) and decreased the tensile strain (%) of melt spun yarns obtained at different draw ratios (DRs). During optical analysis, it was found that the absorbance of yarns increased in the entire UV region of the spectra, which was most likely determined by the presence of myrrh. The degree of crystallinity and the wetting angle of PP/M and PLA/M multifilament yarns increased compared with the pure PLA and PP multifilament yarns. This study concludes that the presence of myrrh derivatives influences PLA yarns degradation rate and antibacterial effects against Gram-positive bacteria.
... Ÿ Volatile oil (7-17%): Cuminicaldehyde, eugenol, metacresol, pinene, limonene, diterpenes and two sesquiterpenes. 16,33 Aspergillus niger and Candida albicans. ...
... Analgesic activity: The bioactive chemicals that decreased pain receptors in the brain's central area and inhibited the release of prostaglandins, C. molmol extract demonstrated analgesic action in vitro. As a result, both central and peripheral pathways 16 may be used by C. molmol extract to induce analgesic effects. ...
... Anti-hyperlipidaemic activity: Due to the presence of guggulsterones, plant sterols, etc., C. myrrha significantly reduced hyperlipidaemic activity, body weight gain, normalised the high levels of blood lipids and decreased atherogenic index, low-density lipoprotein/high-density lipoprotein in obese 16 hyperlipidaemic rats. ...
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Myrrh as yellowish aromatic oleores in exudates from Commiphora myrrha bark (Burseraceae family) has a traditional history in the treatment of some diseases. Exudates are used topically for the treatment of ulcers, abscesses and wounds, headaches and backaches, fungal infections, relieving cramps, muscular pains, spasms, and snake bites. Volatile oil and mucilage in myrrha oil are used in treating amenorrhea, athlete's foot, bronchitis, mouth sores and toothache. Myrrh is one of the oldest remedies. This review aims to collect data about its medicinal uses described in Unani literature under the heading of Amrād-i-Niswāṉ (gynaecological disorder) like Usr al-Tamth, Kathrat-i-Hayd, Ihtibas al-Tamth, Qillat-i-Tamth, Sayalan al-Rahim, Salaba al�Rahim, Waram al- Rahim, Insidad Fam al-Rahim. Details of dosage and dosage forms, along with phytochemical and pharmacological properties will be presented in this review. Key words:Commiphora myrrha; gynaecological diseases; murmakki; Unani medicine
... The myrrh is yellowish resinous fluid released from the phloem of the tree. Moreover, the name Myrrh was derived from the Arabic word (murr), meaning bitter [6,7]. Therapeutic application of Myrrh has a wide range in management of numerous oral and body diseases, referred to its pharmacological activities (e.g., antibacterial, antifungal, anti-inflammatory, antioxidant, analgesic, antiparasitic) [6][7][8]. ...
... Moreover, the name Myrrh was derived from the Arabic word (murr), meaning bitter [6,7]. Therapeutic application of Myrrh has a wide range in management of numerous oral and body diseases, referred to its pharmacological activities (e.g., antibacterial, antifungal, anti-inflammatory, antioxidant, analgesic, antiparasitic) [6][7][8]. Myrrh is produced in several forms: essential oils, tincture, gargles, and mouthwashes. ...
... Regarding previous scientific knowledge, C. myrrh is established a significant natural anti-inflammatory agent in downregulating several inflammatory mediators and the role in controlling of chronic inflammatory periodontal diseases is expected.Clinical effectiveness of commiphora myrrh in periodontal diseasesHerbal medicine and using of medicinal plants in several body diseases were used for several last centuries. The effectiveness of herbal natural products in management of oral and periodontal diseases were discussed in many reviews and original research trails[4,6,12,26].The efficacy of C. myrrh mouthwash in gingivitis and plaque control in comparison to a most commercially chlorhexidine (CHX) mouthwash (MW) was assessed by Zahid and Alblowi (2018). The study exhibited that Myrrh mouthwash led to clinical improvement in plaque reduction and gingival inflammation [27]. ...
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Background and objectives: The herbal extracts in management of oral and other body diseases were increased in last decades due to potential benefits as antibacterial, anti-inflammatory and antioxidant properties. Commiphora myrrh (C. myrrh) has been used for treating different diseases including chronic inflammatory conditions as periodontal diseases. This review aims to provide updated information on the clinical effects of C. myrrh products in treatment of periodontal diseases. The collected data of these review article obtained from several electronic data bases (PubMed, Scopus, Google Scholar, and others), the review based on the antibacterial, anti-inflammatory, and clinical effectiveness of C. myrrh in treating of periodontal diseases then discussion for these knowledges. Conclusions: The current review suggested that C. myrrh extracts is an effective to improve oral hygiene. It demonstrated clinical effectiveness in reduction of dental plaque and gingival inflammation and used as an adjunct to mechanical plaque control and professional therapies of periodontitis patients. Furthermore, well designed studies are required to establish the efficacy of C. myrrh in controlling of subgingival biofilm and reducing the proinflammatory cytokines.
... 7 It is extracted from plants and chemically composed of mainly 8 gum which is in the form of resin, essential oil containing terpene 2.5%-5%, gum having arabinose, galactose 30%-40%, and the rest is made of about 35%-40% resin. 7,9 Around 60% of the gum resins comprise terpenic acids and alcohols. 9 Resin species are mainly used as pharmacological agents for treating wounds, fractures, stomach diseases, mouth ulcers, body aches, and inflammatory and infectious diseases. ...
... 7,9 Around 60% of the gum resins comprise terpenic acids and alcohols. 9 Resin species are mainly used as pharmacological agents for treating wounds, fractures, stomach diseases, mouth ulcers, body aches, and inflammatory and infectious diseases. In ancient healing practices, that is, Unani medicine, Myrrh as gums are the main medicinal agents used as astringent, carminative, antiseptic, emmenagogue, expectorant, and anthelmintic. ...
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Background and Aim Hemorrhoids affect 75% of people worldwide. surgical hemorrhoidectomy remains the definitive intervention for severe cases. Postoperative wound care is critical, and alternative treatments, like Myrrh, are of growing interest due to their potential wound‐healing properties. This study aimed to compare the safety, efficacy, and treatment outcomes of Myrrh sitz baths with standard clinical care in promoting wound healing after hemorrhoidectomy. Methods A retrospective cohort study was carried out using medical records from Abha Private Hospital for the period of January–December 2022. The data of patients who underwent hemorrhoidectomy were collected and categorized based on postoperative wound care into two groups: Group A for Myrrh‐based wound care as a self‐medication and Group B for standard wound care. Results The study included 67 patients who underwent hemorrhoidectomy. Out of these patients, 52 had standard wound care, while 15 used Myrrh‐based wound care as self‐treatment without medical advice. The Myrrh group patients were significantly older with more comorbidities. The Myrrh group had significant Grade III wound healing outcomes 9/15 (60%) compared to the standard care group 2/52 (3.8%) (p < 0.001). However, despite the better healing outcomes, the Myrrh group had a significantly higher complication rate 7/15(46.7%) than the standard care group 1/52 (1.9%) (p < 0.001). These results indicate that despite the good healing capacity of Myrrh, cautious usage must be considered. Conclusion Myrrh sitz baths appear more effective than standard wound care in enhancing healing after hemorrhoidectomy. However, increased complications suggest the necessity for comprehensive evaluation and research on its safety profile. These findings can guide future research and clinical practices related to postoperative wound care.
... Myrrh as a complementary medicine has wide range of activity as antifungal, antibacterial, expectorant and antiviral (Chandrasekharnath et al., 2013;Shameem & Fahad, 2018). It is used in addition to other herbs as a remedy for some covid-19 symptoms (Alyafei, 2020). ...
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Myrrh was used anciently in difficult cultures as in embalming fluids by Egyptians, in Chinese and other traditional medicine. However, research about activity of myrrh till now is not very convincing. Compendial description of myrrh wasn't helpful nor convenient in fully describing the composition as well as the attributes of the nature of myrrh, which put a burden on healthcare providers to appropriately prescribe it as it lacks the adequate validation tool in its healing properties or practices. Methods used were descriptive parameters, such as color and particle size. Furthermore, we enforced chemical instrumental procedures, such as near infrared spectra, Thin layer chromatography and ultraviolet spectroscopy profiling. In conclusion, in vitro biological α-glucosidase activity of myrrh was assigned. Impartially, NIR spectra of Myrrh were recorded and attempt to assign peaks of myrrh's chemical composition, this is the first study to use this approach for myrrh. Particle size and color-PLS models with low RMSEC and RMSECV was useful to estimate alpha-glucosidase inhibitory activity with acceptable accuracy. In the absence of evidence based therapeutic indication for myrrh chemistry we must accurately study the composition of myrrh and agree upon species.
... Ismath shameem et al. [30] Suddab Ruta graveolens Rutaceae Leaf, seed Abortifacient, antiepileptic, antiinflammatory, emmenagogue, emetic, carminative ...
... Saffron has been reported to have anti-HSV, anti-HIV (Soleymani et al., 2018), immunomodulatory, anti-oxidant, anticancer, chemopreventive, antigenotoxic, anti-inflammatory, antihypertensive, and antihyperlipidemic activities (Kianbakht and Ghazavi, 2011). Myrrh, on the other hand, has been reported to have antioxidant, anti-inflammatory, antimicrobial and antiviral activities (Fahad and Shameem, 2018;Ghadir and Ahmed, 2014;Mohammad et al., 2014). The formulation (Tirya‾q-i-Waba‾i‾) has been reported to possess immune-stimulation activity in immunocompromised elderly persons (Nigar and Itrat, 2013). ...
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Introduction: COVID-19 has affected the whole world drastically and led to a substantial loss of human life. Relentless research is underway to identify effective treatment to control the disease. Traditional systems are also being explored to search for a potent drug. Unani formulation 'Tiryāq-i-Wabāī' has long been used in cholera, plague and other epidemic diseases. This review is aimed at analysing the possible role of Tiryāq-i-Wabāī in the prevention and control of COVID-19. Methodology: Unani classical texts and Pharmacopoeias available in the library of Regional Research Institute of Unani Medicine, Chennai were reviewed to collect information related to epidemics, commonly prescribed drugs during epidemics, and therapeutic uses of Tiryāq-i-Wabāī ingredients. ScienceDirect, Springer, PubMed and Google Scholar were searched to collect information regarding current pandemic and pharmacological activities of ingredients and phytoconstituents present in the formulation. The collected data was analyzed and interpreted. Results: Tiryāq-i-Wabāī was found to be the most recommended prophylactic and curative drug during epidemics. The formulation ingredients, Sibr (Aloe vera (L.) Burm.f.), Murr Makki (Commiphora myrrha (T.Nees) Engl.) and Zāfrān (Crocus sativus L.) are categorized under Tiryāqi Advia (literally - antidote drugs) and are considered to be very effective in SARS related conditions. These ingredients have been reported to exhibit immunomodulatory, antioxidant, antiviral, antibacterial, antitussive, smooth muscle relaxant, antipyretic and anti-inflammatory activities corroborating the traditional use of Tiryāq-i-Wabāī. Conclusion: Scientific data imply great potential and utility of the formulation which could be a possible alternative approach for the prevention and control of current and future pandemics.
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Since the human population realized how important it was to maintain overall health and the weight of disease, they have been looking for therapeutic qualities in natural environments. The use of plants having medicinal qualities for the treatment and prevention of illnesses that may have an impact on general health is known as herbal medicine. There has been a noticeable increase in interest lately in the combination of synthetic contemporary medications and traditional herbal remedies. About 80% of people rely on it for healthcare, particularly in developing nations. One important aspect of overall health is said to be oral healthcare. The World Health Organization views oral health as a crucial component of overall health and well-being. Because they are more readily available, less expensive, and have fewer adverse effects than pharmaceutical treatments, using natural medicines to treat pathologic oro-dental disorders can make sense. The current evaluation of the literature sought to investigate the range and scope of the use of herbal products and their secondary metabolites in maintaining oral health, encompassing several oral healthcare domains such as halitosis, gingivitis, periodontitis, and other oral disorders. Therefore, there are many herbs discussed in this work and their mechanism in the treatment and improvement of many oral ailments. Besides, compounds that are useful in oral treatment with their natural sources and the cases where they can be used. To prevent any possible side effects or drug interactions, a doctor's consultation is necessary before using dental medicine. Although herbal therapy is safe and with minimum side effects, it is also strongly advised to do a more thorough preclinical and clinical evaluation before using herbal medicines officially.
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The cellular and biochemical stages of the wound-healing process are interrelated and work to repair the wound. The body heals wounds in stages, and each stage that is postponed raises the risk of microbial infection. The time needed for healing can be sped up, and unwanted events can be reduced to improve wound healing. To aid in the healing of the wounds, the medications are administered locally or systemically. In order to promote wound healing, antibiotics, antiseptics, desloughing agents, extracts, etc. have been employed. Due to their adverse effects, several synthetic medications are subject to restrictions. Investigation, identification, and formulation of plants or plant-derived combinations are required for the management and therapy of wound healing. Because they have fewer adverse effects and have been used to treat wounds for a longer period, medicinal plants are becoming more popular for use in wound healing. According to studies, medicinal herbs help diabetic, infected, and opened wounds heal more quickly. It has been claimed that medicinal herbs can speed up wound healing through a variety of processes. Many medicinal plants, including Allium sativum, Commiphora myrrha, Curcuma longa (L.), Rauwolfia serpentia, and Vateria indica, have demonstrated the ability to treat wounds.
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Background The coronavirus disease 2019 (COVID-19) pandemic resulted in mortality and morbidity worldwide. Many treatment modalities have been experimented with limited success. Therefore, the traditional system of medicine needs to be explored. Objective To evaluate the benefits of Unani regimensTiryaq-e-Arba and Unani Joshanda, as adjuvant therapy, were compared to standard treatment alone among reverse transcription polymerase chain reaction (RT-PCR)-confirmed mild to moderate COVID-19 cases. Materials and methods An open-label, double-arm, randomized, controlled interventional clinical study was conducted among 90 RT-PCR-confirmed mild to moderate COVID-19 inpatients admitted to a tertiary care hospital in New Delhi, India. Participants who fulfilled the criteria for inclusion were randomly assigned to two arms, with 43 subjects allocated to the Unani add-on arm and 47 subjects to the control arm receiving standard treatment alone. Results Clinical recovery was achieved in all patients of the Unani arm, while in the control arm, three (6.4%) patients deteriorated and had to be shifted to ICU following admission. In the intervention arm, a shorter duration of hospitalization was observed (mean 5.95 days {SD = 1.99}) than in the control arm (mean 7.62 days {SD, 4.06}); which was a statistically significant difference (p-value 0.017). The majority of the patients recovered within 10 days in the Unani add-on arm. The number of days taken for the reduction of symptoms was significantly less in the intervention arm (mean 5.14 days {SD, 2.39}) as compared with standard treatment (mean 6.53 days {SD, 3.06}) (p < 0.02). Renal and liver safety parameters were within the normal limits in both arms and no serious adverse event was reported. Conclusion Adding Unani formulations to standard treatment significantly reduced the duration of hospital stay and showed early recovery in COVID-19 patients compared with the control arm. It may be concluded that the synergistic effect of the Unani add-on with standard treatment gave more promising results in mild to moderate COVID-19 patients.
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The medicinal plants represent an enormous reservoir of potential microbial compounds that could be useful as an alternative to synthetic microbicides and are being used to develop drugs. In the present study, preliminary phytochemical analysis and antibacterial activity of Commiphora myrrha (Burceracea) the resin collects from bark and stem of the plant by the process incision. The resin powder extracts of Commiphora myrrha were tested against different gram negative bacteria by disc diffusion method. It was found that ethyl acetate and hexane extract possess bacterial growth inhibition where as methanol extract having antibacterial activity only on higher concentration and the extract is separated by TLC and silica gel preparative chromatography to fractionate bioactive constituents. Thereafter, the fraction purified by HPTLC and active fraction was analyzed by FTIR.
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Myrrh (Commiphora molmol) has been widely used as an anti-inflammatory and wound healing commercial product. As white blood cell (WBC)/leukocyte counts have been used as an indicator by clinicians to monitor progress of healing in patients, the purpose of this study was to examine effects of myrrh supplementation on blood WBC numbers before an injury and during healing. Male rats (7-8-wk-of-age) were randomly assigned to four groups. Group 1 (SIM) served as "skin injury treated + myrrh treatment (500 mg/kg/day)," Group 2 (SI) as "skin injury alone", Group 3 (GUM) as "gastric ulcer treated + myrrh treatment", and Group 4 (GU) as gastric ulcer only. Myrrh treatments (via drinking water) began 4 wk before induction of injury and continued for a 2 wk period post-injury. Baseline values for each WBC type were recorded before start of the myrrh treatments. Counts were performed again on Day 1 of the 5th wk (1-2 hr before injury) and post-injury on Days 4 and 7 of the 5th wk, and a final time on Day 4 of the 6th wk. Results showed that levels of all WBC types were significantly (P < 0.05) elevated before either injury in myrrh-treated rats (Groups 1 and 3) as compared with levels in rats in Groups 2 and 4. At all timepoints, there were neither significant differences between the values seen with rats in Groups 1 and 3, nor between those in Groups 2 and 4. Treatment with myrrh also induced an initial increase in WBC levels that persisted through the post-injury healing period. Levels of most cell types only increased in the Group 2 and 4 rats once the injury was induced, but then declined over the healing period. Since myrrh enhanced WBC levels before injury, we conclude that myrrh likely contains substances that could induce an apparent antigen-driven response. As the myrrh also helped maintain elevated WBC levels throughout the healing period, this implied it was also able to induce maturation/differentiation/activation of both myeloid and lymphoid cell types during the effector phase of the immune responses involved in wound healing.