Article

Ethnomedicinal Plants Used for Treatment of Urolithiasis in India: A Review

Bentham Science
Current Traditional Medicine
Authors:
  • Institute of Chemical Technology, Mumbai Marathwada Campus Jalnaa
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Abstract

Background The kidney stone is the most commonly observed and painful disease of the urinary tract in human being. Numerous intrinsic and extrinsic factors are responsible for the formation of kidney stone, for instance, age, sex, heredity (intrinsic factors) and climate, dietary, geography, mineral composition, and water intake (extrinsic factors). The kidney stones are categorized into calcium, struvite or magnesium ammonium phosphate, uric acid or urate, cystine and other types of stones based on chemical composition and pathogenesis. Due to the multifactorial nature of kidney stone disease, the patient may need to rely on complex synthetic medication. However, in ancient Indian history, there are several pieces of evidence where natural resources such as plants were used to remediation this lethal disease. Objective The present review attempts to provide exhaustive information of ethnomedicinal and ethnopharmacological information of medicinal plants used for kidney stone in India. Result Hitherto, there are a total of 258 ethnomedicinal plants from 90 different families reported using for kidney stone application. The majority of the plant species are associated with three important families: Asteraceae, Amaranthaceae, and Fabaceae. Most of the plants are from Andhra Pradesh (43 plants), followed by East Bengal (38), Jammu & Kashmir (36), Uttarakhand (31), Panjab (27), Mizoram (23), Karnataka (20), Maharashtra (20) and Assam (18). The commonly used plant parts for the herbal preparation are roots (21.22 %) followed by leaves/leaf (20.15 %), and sometimes complete plant (17.77 %) is used. The most commonly used method for the formulation is decoction (46.41 %) followed by powder (18.66 %) and then extracts (15.78 %) of different aerial and non-aerial parts of the plant. To date, the in-vitro and in-vivo activities against the kidney stone assessed for more than sixty ethnomedicinal plants. Conclusion The present review epitomizes the ethnomedicinal information of medicinal plants used for kidney stone and pharmacological evidence for anti-urolithiasis activity. Most reported medicinal plants are not yet scientifically explored and need immediate attention before we lose some important species due to excessive deforestation for farming and industrial needs.

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... Thực vật và các hợp chất tự nhiên của chúng đã được chứng minh có tiềm năng để điều trị sỏi niệu, giảm nguy cơ tái phát sỏi thận và ảnh hưởng đến sự hình thành và phát triển của các tinh thể [5], [6]. Một số loại dược liệu và các hợp chất tự nhiên đã được ứng dụng thành công cho những mục đích này. ...
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Tác dụng của các hợp chất có hoạt tính sinh học trong thực vật được thể hiện dựa trên khả năng chống oxy hóa, giúp giảm thiểu tác hại gây ra bởi các gốc tự do sinh ra từ quá trình hình thành và phát triển sỏi niệu. Chiết xuất diệp hạ châu chứa một lượng lớn chất chống oxy hóa có thể đóng vai trò quan trọng trong việc hấp phụ và trung hòa các gốc tự do. Hoạt tính chống oxy hóa này phần lớn có thể là do thành phần phenolic và flavonoid có chứa trong thực vật với hàm lượng lần lượt là 438,13±16,37 (mg GAE/g cao chiết) và 157,10±1,31 (mg QE/g cao chiết). Khả năng kháng oxy hóa được đánh giá qua 4 phương pháp DPPH, ABTS, RP, TAC với giá trị EC50 lần lượt là 129,74±3,05; 82,35±1,25; 196,03±6,66 và 40,32±2,78 µg/mL. Cao chiết diệp hạ châu giúp giảm biến tính protein albumin huyết thanh bò với IC50 là 1,52±0,28 mg/mL, thấp hơn 7,24 lần so với chất chuẩn diclofenac (0,21± 0,08 mg/mL). Sự tạo mầm của tinh thể calcium oxalate bị ức chế bởi chiết xuất từ diêp hạ châu với IC50 là 4,74±0,31 mg/mL. Những kết quả này cho thấy diệp hạ châu có thể xem là một dược liệu tiềm năng để điều trị sỏi tiết niệu.
... In most cases, medicinal plants are cheap, and are considered to be safe alternative. Multiple plants have been evaluated recently for their antiurolithiatic efficacy [11,[17][18][19][20][21][22][23]. Cucurbitaceae family has been reported for its efficacy against urolithiasis [24,25]. ...
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The present study was undertaken to evaluate the in vitro antiurolithiatic activity of the medicinal plant Gossypium herbaceum. Both Ethanolic and Aqueous extracts showed their maximum efficiencies in the dissolution of calcium oxalate crystals Ethanolic extract was even more efficient than Aqueous extract in dissolution of calcium oxalate crystals. Our results have clearly indicated that the aqueous and ethanolic extracts of Gossypium herbaceum were quite promising for further studies in this regard. In this study Neeri was used as standard drug.
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Urolithisis is a very complex disease which is characterized by the formation of renal calculi in urinary track/kidney. Several physic chemical events like super saturation, nucleation, growth, aggregation and retention of dietary minerals of urine in the kidney leads to the formation of kidney stone; for this a essential need to develop a formulation which is made up of medicinal pant belong to the class of Pasanabheda plant according to ancient literature available in Ayurveda, which facilitate the repair mechanism in a natural way towards the organ. Bridelia retusa, is a well know plant of Western Ghats. Present study deals with the inhibitory effect of different fraction of methanol extract of Bridelia retusa. Nucleation of calcium oxalate crystals was estimated by the spectrophotometric assay and whereas crystal dissolution was determine by titrimetry/egg shell permeation method, hence the extract fractions exhibited inhibitory action in both of nucleation and aggregation assays to significant level.
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Herbal medicine is a natural remedy for all the disease. The herbal medicines do not have any side effect and it is cost effective and safest medicine from an ancient periods. Urolithiasis or Lithiasis is a consequence of complex physical processes. The major factors are supersaturation of urine with the offending salt and crystallization. This process is synonymously known as Urolithiasis or Lithiasis or Nephrolithiasis or Kidney stones. In this study Ethanolic & Aqueous extracts of roots of Hedychium coronarium J. Koenig and leaves extract of Ageratum conyzoides Linn. plant species were evaluated for their potential to dissolve experimentally prepared kidney stones like calcium oxalate by an Invitro model and Antioxidant activity was also performed by DPPH scavenging assay method. For performing Invitro Antilithiatic activity titrimetric method was adopted. For performing antioxidant activity DPPH scavenging assay method was adopted and for this materials used were DPPH dye, alcohol, ascorbic acid, UV visible spectrophotometer etc. Phytoconstituents were also isolated by column and thin layer chromatographic techniques from both plant species. Only Ethanolic extract of roots of Hedychium coronarium and leaves extract of Ageratum conyzoides plant species produced highest dissolution of stones when compared to standard drug cystone and at 10 mg. concentration. Also this study showed that alcoholic extract of roots of Hedychium plant and leaves of Ageratum plant species in higher concentration possess best antioxidant potential as compare to standard ascorbic acid with IC 50 value 9.3, 18.9 and 24.8 μg/ml. for ascorbic acid, alcoholic extract of roots of Hedychium plant species and alcoholic extract of leaves of Ageratum plant species respectively. For Hedychium plant species isolated phytoconstituents were hedychilactone like derivatives and for Ageratum plant species isolated phytoconstituents were precocene I and II and their structures were confirmed by IR, NMR and Mass spectroscopic datas.