conjunctivitis

Catharanthus roseus

(In territories with significant traditional TRAMIL use)

Honduras:

  • guajaca

Cuba:

  • vicaria
  • vicaria blanca
Significant uses found by the TRAMIL surveys

flower, decoction, compresses1-2,21

Recommendations Preparation and Dosage References

According to published and other information:

Use for conjunctivitis is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, on toxicity studies and on available published scientific information.

Strict hygiene measures should be observed in order to avoid contamination or additional infection and to avoid contact with conjunctiva-irritating substances.

Should there be a notable worsening of the patient’s condition, or should conjunctivitis last more than 3 days, medical attention should be sought for.

Do not ingest any part of the plant due to toxicity risk.

For conjunctivitis:

Prepare an infusion with 1/2 liter (2 cups) of boiling water and 3-4 white flowers.  Cover pot, leave to cool down for 5-10 minutes, and filter.  Apply the infusion, with a cotton compress, on the affected eye for 5-10 minutes, repeat 2-3 times a day.

1 CARBALLO A, 1990
Encuesta TRAMIL. Centro de investigación de fitoterapia y medicina tradicional de Topes de Collantes, Trinidad, Cuba.

2 LAGOS-WITTE S, 1988-89, 1996
Encuesta TRAMIL. Laboratorio de Histología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

3 MOREJON Z, LOPEZ M, GARCIA MJ, BOUCOURT E, VICTORIA M, FUENTES V, MORON F, BOULOGNE I, ROBINEAU L, 2009
Encuesta TRAMIL preliminar a grupos de vecinos en los municipios 10 de Octubre, Lisa, Marianao, Habana del Este (Cojímar) en la Ciudad de la Habana. Laboratorio Central de Farmacología, Universidad de Ciencias Médicas de La Habana, Ciudad de La Habana, Cuba.

4 DAVEY JE, VAN STADEN J, DE LEEUW GTN, 1981
Endogenous cytokinin levels and development of flower virescence in Catharanthus roseus infected with mycoplasmas. Physiol Plant Pathol 19:193-200.

5 ALI I, 1990
The alkaloids in flowers of Catharanthus roseus (L.) G. Don. Gomal Univ J Res 10(1):27-31.

6 ROJAS MCN, CUELLAR MCA, 1981
Comparative microbiological studies of the alkaloids of Catharanthus roseus and other related compounds. Rev Cubana Farm 15(2):131-138.

7 WILLAMAN JJ, LI HL, 1970
Alkaloid-bearing plants and their contained alkaloids, 1957-1968. Lloydia 33S(1):1-286.

8 ATTA-UR-RAHMAN, ALI I, BASHIR M, 1984
Isolation and structural studies on the alkaloids in flowers of Catharanthus roseus. J Nat Prod 47(3):554-555.

9 SEVESTRE-RIGOUZZO M, NEF-CAMPA C, GHESQUIERE A, CHRESTIN H, 1992-1993
Genetic diversity and alkaloid production in Catharanthus roseus, C. trichophyllus and their hybrids. Euphytica 66(1/2):151-159.

10 MILO J, 1981
Flower color inheritance and shoot and ajmalicine yield components in successive developmental stages of pure lines and F-1 hybrids in Catharanthus roseus (L.) G. Don. Thesis-MS-Hebrew University.

11 DE PINHO PG, GONÇALVES RF, VALENTÃO P, PEREIRA DM, SEABRA RM, ANDRADE PB, SOTTOMAYOR M, 2009
Volatile composition of Catharanthus roseus (L.) G. Don using solid-phase microextraction and gas chromatography/mass spectrometry. J Pharm Biomed Anal 49(3):674-685.

12 LARA G, LASTRA H, 1991
Determinación de vinblastina en el follaje de Catharanthus roseus G. Don. Rev Cubana Farm 25(1):56-62.

13 GARCIA G, GARCIA R, 1987
Efectos sobre las estructuras oculares de la decocción de flores de vicaria blanca. Informe TRAMIL. Laboratorio de Control Biológico, Industria Médico-Farmacéutica, La Habana, Cuba.

14 NEOGI N, BHATIA M, 1956
Biological investigation of Vinca rosea. Indian J Pharmacy 18:73.

15 SRINIVASAN D, NATHAN S, SURESH T, LAKSHMANA PERUMALSAMY P, 2001
Antimicrobial activity of certain Indian medicinal plants used in folkloric medicine. J of Ethnopharmacol 74(3):217-220.

16 ROJAS M, CUELLAR M, 1981
Comparative microbiological studies of the alkaloids of Catharanthus roseus and other related compounds. Rev Cubana Farm 15(2):131-138.

17 CHAUHAN S, AGRAWAL S, MATHUR R, GUPTA RK, 1979
Phosphatase activity in testis and prostate of rats treated with embelin and Vinca rosea extract. Experientia 35(9):1183-1185.

18 WEE Y, GOPALAKRISHNAKONE P, CHAN A, 1988
Poisonous plants in Singapore - a colour chart for identification with symptoms and signs of poisoning. Toxicon 26(1):47.

Citrus aurantiifolia

(In territories with significant traditional TRAMIL use)

French Guiana:

  • citron
  • citron vert

Panama:

  • lima
  • limón
  • limón agrio

Venezuela:

  • lima
  • limón
  • limón agrio

Colombia:

  • lima
  • limón
  • limón agrio

Puerto Rico:

  • lima
  • limón
  • limón agrio

Honduras:

  • lima
  • limón
  • limón agrio

Trinidad and Tobago:

  • lime

Dominica:

  • lime

Dominican Republic:

  • limón, limón agrio, lima

Saint Martin:

  • sitron-vè
  • sitwon péyi

Martinique:

  • sitron-vè
  • sitwon péyi

Guadeloupe:

  • sitron-vè
  • sitwon péyi
  • sitwon péyi
  • ti sitwon vè

Haiti:

  • sitwon péyi
  • ti sitwon vè
Significant uses found by the TRAMIL surveys

  fruit, juice, instillation1-2

Recommendations Preparation and Dosage References

According to published and other information:

Use for conjunctivitis, headache, ear pain, fever, flu, cough and diarrhea is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

For topical application, strict hygiene measures should be observed in order to avoid contamination or additional infection, and contact with any substance that may be irritating for the conjunctiva should be avoided.

In case of conjunctivitis, there is a risk of increasing irritation with the application of the Citrus spp juice.

Should there be a notable worsening of the patient’s condition, or should the conjunctivitis last more than 3 days, seek medical attention.

In cases of ear pain, this may be due to otitis media or interna; therefore the evaluation of a physician is recommended as the first step.  Use is contraindicated in the presence of secretions in the ear and/or possible perforation of tympanum.

Should there be a notable worsening of the patient’s condition, or should ear pain or fever last more than 2 days, seek medical attention.

In cases of diarrhea, should there be a notable worsening of the patient’s condition, or should diarrhea last more than 3 days in adult or 2 days in children, seek medical attention.

In diarrhea, the use of this resource is complementary to oral re-hydration therapy.

Not for use by women during pregnancy, during lactation or by children under 5 years old.

The essential oil of the plant can cause reactions of hypersensitivity reactions.

The fruit and the juice of Citrus aurantiifolia are widely used for human consumption and the peel is an industrial source of essential oil.

For all reported uses:

There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

1 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

2 WENIGER B, 1987-88
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

3 OCRISSE G, 2008
Enquête TRAMIL auprès de 250 familles de la moitié Est de la partie francophone de St Martin. Biologie végétale, UAG, Guadeloupe.

4 BOULOGNE I, 2009
Enquête TRAMIL, (Terre-de-Bas et Terre-de-Haut) Les Saintes, UAG, Guadeloupe.

5 LAGOS-WITTE S, 1988-89, 1996
Encuesta TRAMIL. Laboratorio de Histología Vegetal y Etnobotánica, Departamento de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

6 SolIs PN, Espinosa A, De Gracia J, Martínez L, Gupta MP, 2003
Encuesta TRAMIL (Emberá-Wounaann). Centro de Investigaciones Farmacognósticas de la Flora Panameña, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

7 HERRERA J, 1994
Encuesta TRAMIL (Costa atlántica). Laboratorio de Fitofarmacología, Departamento de Farmacología, Facultad de Salud, Universidad del Valle, Cali, Colombia.

8 HAY YO, 1998
Enquête TRAMIL (St. Georges). Institut de Recherche pour le Développement IRD, Cayenne, Guyane.

9 EDOUARD JA, 1992
Enquête TRAMIL. Lycée agricole, Baie-Mahault, Guadeloupe.

10 LONGUEFOSSE JL, NOSSIN E, 1990-95
Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique.

11 CHARLES C, 1988
TRAMIL survey. Movement for Cultural Awareness MCA, Roseau, Dominica.

12 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984

Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

13 BENEDETTI MD, 1994
Encuesta TRAMIL. Universidad de Puerto Rico, Mayagüez, Puerto Rico.

14 DELAIGUE J, 2005
TRAMIL survey. UAG & PRDI, Tobago House of Assembly, Scarborough, Tobago.

15 Zambrano LE, 2007
Encuesta TRAMIL en Guareguare, Miranda. UCV, Caracas, Venezuela.

16 BALZ E, BOYER A, BURAUD M, 2007
Enquête TRAMIL à Marie-Galante. U. Bordeaux 3, U. Paris XI Chatenay-Malabry, UAG, Guadeloupe.

17 EKUNDAYO O, BAKARE O, ADESOMOJU A, STAHL-BISKUP E, 1991
Volatile constituents of the leaf oil of Nigerian lime (Citrus aurantiifolia). J Essent Oil Res 3(2):119-120.

18 BEZANGER-BEAUQUESNE L, PINKAS M, TORCK M, 1986
Les plantes dans la thérapeutique moderne. 2 éd. Paris, France: Ed. Maloine.

19 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA, CRC Press. p45.

20 SAUVAIN M, KODJOED JF, BERGRAVE SJ, BONNEVIE O, DEDET JP, 1986
Plantes fébrifuges en médecine traditionnelle en Haïti et en République Dominicaine et thérapie du paludisme. Rapport TRAMIL. ORSTOM, Cayenne, Guyane Française.

21 OLMEDO D, RODRIGUEZ N, ESPINOZA A, VASQUEZ Y, GUPTA MP, 2005Ensayo antimicrobiano de algunas especies con usos significativos TRAMIL-Centroamérica. Informe TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

22 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del zumo del fruto fresco de Citrus aurantiifolia (Christm.) Swing. var. mexicana. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, C. Habana, Cuba.

23 FRIAS AI, GARCIA N, MOREJON Z, MORON F, VICTORIA MC, 2009
Efecto antiinflamatorio tópico del zumo puro del fruto fresco de Citrus aurantiifolia (Christm.) Swingle (limón) en el edema de la oreja inducido por aceite de Croton en ratones. Trabajo TRAMIL. Laboratorio Central de Farmacología. Universidad de Ciencias Médicas de La Habana.

24 NOGATA Y, YOZA KI, KUSUMOTO KI, KOHYAMA N, SEKIYA K, OHTA H, 1996
Screening for inhibitory activity of Citrus fruit extracts against platelet cyclooxygenase and lipoxygenase. J Agric Food Chem 44(3):725-729.

25 CACERES A, GIRON L, ALVARADO S, TORRES MF, 1987
Screening of antimicrobial activity of plants popularly used in Guatemala for the treatment of dermatomucosal diseases. J Ethnopharmacol 20(3):223-237.

26 LAM L, ZHENG B, 1991
Effects of essential oils on glutathione S-transferase activity in mice. J Agric Food Chem 39(4):660-662.

27 EL KELTAWI N, MEGALLA S, ROSS S, 1980
Antimicrobial activity of some Egyptian aromatic plants. Herbal Pol 26(4):245-250.

28 ADESINA S, 1982
Studies on some plants used as anticonvulsants in Amerindian and African traditional medecine. Fitoterapia 53:147-162.

29 GUPTA M, 1987
Essential oil: a new source of bee repellents. Chem Ind (London) 5:161-163.

30 HARTMAN JG, LIMBIRD ILE, Eds., 1996
Goodman & Gilman Las bases farmacológicas de la terapéutica, 9a ed. México, México: Mc Graw-Hill Interamericana.

31 MARTINEZ MJ, MOREJON Z, LOPEZ M, BOUCOURT E, FUENTES V, MORON F, 2005
Clases tóxicas agudas (CTA) de una decocción de corteza de fruto fresco de Citrus aurantiifolia (Christm.) Swing. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

32 MARTINEZ MJ, MOREJON Z, LOPEZ M, BOUCOURT E, FUENTES V, MORON F, 2005. Clases tóxicas agudas (CTA) de una decocción de hoja fresca de Citrus aurantiifolia (Christm.) Swing. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

33 PAZOS L, COTO T, CAIZA F, 2009
Toxicidad oral aguda, dosis repetida, en ratón, hoja fresca de Citrus aurantiifolia. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

34 PAZOS L, COTO T, CAIZA F, 2009
Toxicidad oral aguda, dosis repetida, en ratón, cáscara del fruto fresco de Citrus aurantiifolia. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

35 GarcIa-GONZÁLEZ M, BARBOZA CJ. 2005
Toxicidad aguda (5000 mg/kg) dosis repetida, en ratones, del extracto acuoso de hojas frescas de Citrus aurantiifolia. Informe TRAMIL. PRONAPLAMED. Depto de Fisiología, Escuela de Medicina, Universidad de Costa Rica, San Pedro, Costa Rica.

36 MARTINEZ MJ, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2007
Irritabilidad dérmica (piel sana) primaria de zumo fresco de fruto de Citrus aurantiifolia (Christm) Swing var mexicana. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

37 LOPEZ M, MOREJON Z, MARTINEZ MJ, BACALLAO Y, FUENTES V, MORON F, 2009
Irritabilidad dérmica piel lesionada, dosis repetida de Citrus aurantifolia (Christm) Swing. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, Cuba, C. Habana.

38 PAZOS L, COTO T, CAIZA F, 2009
Irritación ocular, en conejos, del jugo fresco del fruto de Citrus aurantiifolia. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

39 BALA S, GROVER IS, 1989
Antimutagenicity of some Citrus fruits in Salmonella typhimurium. Mutat Res 222(3):141-148.

40 PELLECUER J, 1995
Aromaterapia y toxicidad de los aceites esenciales. Natura Medicatrix 37(8):36-40.

Citrus aurantium

(In territories with significant traditional TRAMIL use)

Cuba:

  • naranja agria
  • naranja de babor

Mexico:

  • naranja agria
  • naranja de babor

Puerto Rico:

  • naranja agria
  • naranja de babor

Dominican Republic:

  • naranja agria, naranja de babor

Martinique:

  • oranger amer
  • zowanj anmè

Grenada:

  • sour orange

Haiti:

  • zowanj gospo
  • zowanj si
Significant uses found by the TRAMIL surveys

fruit, juice, instillation2-3

Recommendations Preparation and Dosage References

According to published and other information:

Use for colic, conjunctivitis, headache, fever, flu, intestinal parasites and cough is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

In every application in the eyes, strict hygiene measures should be observed in order to avoid contamination or additional infection.  Additionally, contact with any substances that may be irritating to the conjunctiva should be avoided.  There exists the risk of increasing irritation due to the application of Citrus spp juice.

Should there be a notable worsening of the patient’s condition, or should fever last more than 2 days, or should conjunctivitis or headache last more than 3 days, seek medical attention.

Use for diarrhea and flatulence is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, and on available published scientific information.

In the case of diarrhea, the use of this resource can be considered complementary to oral re-hydration therapy.  Should there be a notable worsening of the patient’s condition, or should diarrhea last more than 3 days in adult, or 2 days in children, seek medical attention.

Due to the risk of interaction with cyclosporin, ingestion of the fruit decoction should be avoided by anyone taking this medicine.

The essential oil of the plant can cause reactions of hypersensitivity.

The fruit and the juice of Citrus aurantium are widely used for human consumption and the peel as an industrial source of essential oil.

For colic, headache, fever, flu:

Prepare a decoction or infusion with 10-15 grams (3-5 tender leaves) in 1/2 liter (2 cups) of water.  For decoction, boil for at least 10 minutes in a covered pot; for infusion, add boiling water to 3-5 tender leaves, cover and leave to cool down.  Drink lukewarm, 1 cup 3 times a day1.

For fever:

Prepare a decoction with 1-2 teaspoonfuls (5-10 grams) of fruit peel in 250 mL (1 cup) of water, boil for at least 10 minutes in a covered pot.  Filter, cool down and drink 1 cup 3 times a day33.

For flatulence:

Prepare an infusion, adding 1 liter (4 cups) of boiling water to the peel of half a fruit.  Cover the pot, let it settle for 5-10 minutes and filter.  Drink 1 cup as needed5.

For intestinal parasites:

Prepare a decoction with 8-18 tender leaves in 1/2 liter (2 cups) of water.  Boil for at least 10 minutes in a covered pot.  Leave it to cool down, sweeten with honey and drink lukewarm, 1 cup twice a day1.

For conjunctivitis, diarrhea, flu, cough (juice):

There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

1 MOREJON Z, LOPEZ M, GARCIA MJ, BOUCOURT E, VICTORIA M, FUENTES V, MORON F, BOULOGNE I, ROBINEAU L, 2009
Encuesta TRAMIL preliminar a grupos de vecinos en los municipios 10 de Octubre, Lisa, Marianao, Habana del Este (Cojímar) en la Ciudad de la Habana. Laboratorio Central de Farmacología, Universidad de Ciencias Médicas de La Habana, Ciudad de La Habana, Cuba.

2 MENDEZ M, MEDINA ML, DURAN R, 1996
Encuesta TRAMIL. Unidad de recursos naturales, Centro de Investigación Científica de Yucatán CICY, Mérida, México.

3 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

4 WENIGER B, 1987-88
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

5 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

6 MARCELLE G, 1996
TRAMIL survey. Produce chemist laboratory, Ministry of Agriculture, St George's, Grenada.

7 BENEDETTI MD, 1994
Encuesta TRAMIL. Universidad de Puerto Rico, Mayagüez, Puerto Rico.

8 LONGUEFOSSE JL, NOSSIN E, 1990-95
Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique.

9 LIN Z, HUA Y, GU Y, 1986
The chemical constituents of the essential oil from the flowers, leaves and peels of Citrus aurantium. Chih Wu Hsueh Pao 28(6):635-640.

10 RIO JAD, BENAVENTE O, CASTILLO J, BORREGO F, 1992
Neodiosmin, a flavone glycoside of Citrus aurantium. Phytochemistry 31(2):723-724.

11 BENNETT RD, MIYAKE M, OZAKI Y, HASEGAWA S, 1991
Limonoid glucosides in Citrus aurantium. Phytochemistry 30(11):3803-3805.

12 WIDMER WW, 1991
Improvements in the quantitation of limonin in Citrus juice by reversed-phase high-performance liquid chromatography. J Agric Food Chem 39(8):1472-1476.

13 HERMAN Z, FONG CH, OU P, HASEGAWA S, 1990
Limonoid glucosides in orange juices by HPLC. J Agric Food Chem 38(9):1860-1861.

14 HOSODA K, NOGUCHI M, KANAYA T, HIGUCHI M, 1990
Studies on the preparation and evaluation of Kijitsu, the immature citrus fruits. III. Relation between diameter of Kijitsu and synephrine content. Yakugaku Zasshi 110(1):82-84.

15 BEZANGER-BEAUQUESNE L, PINKAS M, TORCK M, 1986
Les plantes dans la thérapeutique moderne. 2 éd. Paris, France: Ed. Maloine.

16 WAGNER H, BLADT S, MUNZING-VASITIAN K, 1975
Thin-layer chromatography of bitter principle drugs. Pharm-Ztg 120:1262.

17 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press, p45.

18 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del zumo del fruto fresco de Citrus aurantium L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, C. Habana, Cuba.

19 MORON FJ, MOREJON Z, GARCIA AI, LOPEZ M, BOUCOURT E, BACALLAO Y, FUENTES V, 2008
Acción analgésica de la decocción 30% de hojas frescas de Citrus aurantium L. (naranja agria) en ratones. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, Ciudad de La Habana, Cuba.

20 AVIRUTANT W, PONGPAL A, 1983
The antimicrobial activity of some Thai flowers and plants. Mahidol Univ J Pharm Sci 10(3):81-86.

21 CACERES A, GIRON LM, ALVARADO SR, TORRES MF, 1987
Screening of antimicrobial activity of plants popularly used in Guatemala for the treatment of dermatomucosal diseases. J Ethnopharmacol 20(3):223-237.

22 KIM DH, SONG MJ, BAE EA, HAN MJ, 2000
Inhibitory effect of herbal medicines on rotavirus infectivity. Biol Pharm Bull 23(3):356-358.

23 SANKAWA U, 1980
Screening of bioactive compounds in oriental medicinal drugs. Korean J Pharmacog 11:125-132.

24 KINOSHITA T, SAMESHIMA M, SANKAWA U, 1979
Isolation of a sympathomimetic substance from Chinese medicinal drugs originated from Citrus sp. Shoyakugaku Zassmi 33:146-149.

25 YOO JS, JUNG JS, LEE TH, SON KH, SUH HW, SONG DK, KIM YH, 1995
Inhibitory effects of extracts from traditional herbal drugs on 5-hydroxytryptophan-induced diarrhea in mice. Korean J Pharmacog 26(4):355-359.

26 FORSTER HB, NIKLAS H, LUTZ S, 1980
Antispasmodic effects of some medicinal plants. Planta Med 40(4):309-319.

27 IWAMA H, AMAGAYA S, OGIHARA Y, 1986
Effects of five kampohozais on the mitogenic activity of lipopolysaccharide, concanavalin A, phorbol myristate acetate and phytohemagglutinin in vivo. J Ethnopharmacol 18(2):193-204.

28 HIRANO H, TAKASE H, YAMAMOTO K, YANASE T, ABE K, SAITO Y, 1997
The anti-ulcer effects of Aurantii Fructus Immaturus, Aurantii Fructus and the principles in Aurantii Fructus Immaturus. Nat Med 51(3):190-193.

29 AZUMA S, YADA Y, IMOKAWA G, TAZAKI S, SHINHO T, 1996
Skin-lightening cosmetics containing plant extracts and ascorbic acid or placenta extracts. Patent-Japan Kokai Tokyo Koho-08 208,451.

30 AMEER B, WEINTRAUB RA, JOHNSON JV, YOST RA, ROUSEFF RL, 1996
Flavonone absorption after naringin, hesperidin, and Citrus administration. Clin Pharmacol Ther 60(1):34-40.

31 HARTMAN JG, LIMBIRD ILE, Eds., 1996
Goodman & Gilman las bases farmacológicas de la Terapéutica, 9a edición. México, México: McGraw-Hill Editorial. p1670-1671.

32 MARTINEZ MJ, MOREJON Z, LOPEZ M, BOUCOURT E, FUENTES V, MORON F, 2005
Clases tóxicas agudas (CTA) de una infusión de corteza de fruto fresco de Citrus aurantium L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

33 MARTINEZ MJ, MOREJON Z, LOPEZ M, BOUCOURT E, FUENTES V, MORON F, 2005
Clases tóxicas agudas (CTA) de zumo de fruto fresco de Citrus aurantium L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

34 GARCIA-GONZALEZ M, FALLAS LV, 2005
Toxicidad aguda dosis repetida, en ratones, del extracto acuoso (decocción) de las hojas frescas de Citrus aurantium . Informe TRAMIL. PRONAPLAMED. Depto de Fisiología, Escuela de Medicina, Universidad de Costa Rica, San Pedro, Costa Rica.

35 PAZOS L, COTO T, CAIZA F, 2009 Irritación ocular, en conejos, del jugo fresco del fruto de Citrus aurantium. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

36 PENZAK SR, JANN MW, COLD JA, HON YY, DESAI HD, GURLEY BJ, 2001Seville (sour) orange juice: synephrine content and cardiovascular effects in normotensive adults. J Clin Pharmacol 41(10):1059-1063.

37 PARRA AL, YHEBRA RS, SARDINAS IG, BUELA LI, 2001Comparative study of the assay of Artemia salina L. and the estimate of the medium lethal dose (LD50 value) in mice, to determine oral acute toxicity of plant extracts. Phytomedicine 8(5):395-400.

38 CALAPAI G, FIRENZUOLI F, SAITTA A, SQUADRITO F, ARLOTTA MR, COSTANTINO G, INFERRERA G, 1999Antiobesity and cardiovascular toxic effects of Citrus aurantium extracts in the rat: a preliminary report. Fitoterapia 70(6):586-592.

39 HOU YC, HSIU SL, TSAO CW, WANG YH, CHAO PD, 2000
Acute intoxication of cyclosporin caused by coadministration of decoctions of the fruits of Citrus aurantium and the pericarps of Citrus grandis. Planta Med 66(7):653-655.

40 SATO A, 1989
Studies on anti-tumor activity of crude drugs. I. The effects of aqueous extracts of some crude drugs in short term screening test. Yakugaku Zasshi 109(6):407-423.

41 YAMAMOTO H, MIZUTANI T, NOMURA H, 1982
Studies on the mutagenicity of crude drug extracts. I. Yakugaku Zasshi 102(6):596-601.

42 MORIMOTO I, WATANABE F, OSAWA T, OKITSU T, KADA T, 1982
Mutagenicity screening of crude drugs with Bacillus subtilis REC-assay and Salmonella microsome reversion assay. Mutat Res 97(2):81-102.

43 STOHS SJ, PREUSS HG, 2010
The safety of bitter orange (Citrus aurantium) and p-synephrine. HerbalGram 89:34-39.

44 CANIGUERAL S, VILA R, RISCO E, PEREZ F, PORTILLO A, FREIXA B, MILO B, VANACLOCHA B, RIOS JL, MORALES MA, ALONSO JR, BACHILLER LI, PERIS JB, STUBING G, 2002
Citrus aurantium. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.20,2002. URL: www.masson.es/book/fitoterapia.html

Citrus limetta

(In territories with significant traditional TRAMIL use)

Dominican Republic:

  • lima, limón dulce, limasa
Significant uses found by the TRAMIL surveys

  fruit, juice, instillation1

Recommendations Preparation and Dosage References

According to published and other information:

Use for conjunctivitis is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, and on available published scientific information.

For topical application, strict hygiene measures should be observed in order to avoid contamination or additional infection, and to avoid contact with conjunctiva-irritating substances.

If conjunctivitis is present, there is a risk of increasing irritation due to the application of the fruit juice.

Should there be a notable worsening of the patient’s condition, or should the conjunctivitis last more than 3 days, seek medical attention.

The fruit of Citrus limetta is widely used for human consumption and is an industrial source of essential oil.

For conjunctivitis:

Instill (apply) in the eye 2-3 drops of the fresh fruit juice 3 times a day1.

1 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

2 BARRECA D, BELLOCCO E, CARISTI C, LEUZZI U, GATTUSO G, 2011
Flavonoid profile and radical-scavenging activity of Mediterranean sweet lemon (Citrus limetta Risso) juice. Food Chemistry 129(2):417-422.

3 COLECIO MC, RUBIO RE, BOTELLO JE, MARTINEZ GM, NAVARRETE JL, JIMENEZ H, 2012
Characterization of volatile compounds in the essential oil of sweet lime (Citrus limetta Risso). Chilean J Agric Res 72(2):276-280.

4 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press, p45.

5 NOGATA Y, YOZA KI, KUSUMOTO KI, KOHYAMA N, SEKIYA K, OHTA H, 1996
Screening for inhibitory activity of Citrus fruit extracts against platelet cyclooxygenase and lipoxygenase. J Agr Food Chem 44(3):725-729.

6 RUIZ U, AURA V, 1981
Efectos de algunas substancias y preparaciones vegetales sobre bacterias causales de conjuntivitis (Tesis de graduación). Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos, Guatemala, Guatemala.

7 ROSS SA, EL-KELTAWI NE, MEGALLA SE, 1980
Antimicrobial activity of some Egyptian aromatic plants. Fitoterapia 51:201-205.

Citrus sinensis

(In territories with significant traditional TRAMIL use)

Dominican Republic:

  • naranja dulce (ou china)

Haiti:

  • zowanj
Significant uses found by the TRAMIL surveys

  fruit, juice, instillation1-2

Recommendations Preparation and Dosage References

According to available information:

Use for conjunctivitis, diarrhea, flu, cough, headache, sprains, strain and fever is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

In any application to the eye, strict hygiene measures should be observed in order to avoid contamination or additional infection, and contact with any substance that may be irritating for the conjunctiva should be avoided.  There exists the risk or increasing irritation with the application of Citrus spp juice.

For diarrhea, the use of this resource can be considered complementary to oral re-hydration therapy.  Should there be a notable worsening of the patient’s condition, or should diarrhea last more than 3 days in adult or 2 days in children, seek medical attention.

Should there be a notable worsening of the patient’s condition, or should conjunctivitis or headache last more than 3 days, or should fever persist for more than 2 days, seek medical attention.

The essential oil of the plant can cause reactions of hypersensitivity.

The fruit and the juice of Citrus sinensis are widely used for human consumption and are an industrial source of essential oil.

For headache, flu and fever:

Prepare decoction or infusion with 5-20 grams of leaf in 1 liter (4 cups) of water.  For decoction, boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to the 5-20 grams of leaf, cover pot and cool down.  Drink 2-3 cups a day36.

For conjunctivitis:

Instill (apply) in the eye 2-3 drops of fresh juice of fruit, 3 times a day.

For diarrhea, flu, cough, sprain, twist and fever:

There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

1 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

2 WENIGER B, 1987-88
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

3 TROVATO A, FORESTIERI AM, GALATI EM, TUMINO G, 1984
Influence of the fruit juice of several Citrus species on steroidogenesis in the rat. Plant Med Phytother 18(1):8-14.

4 STEWART I, 1985
Identification of caffeine in Citrus flowers and leaves. J Agric Food Chem 33(6):1163-1165.

5 NICO KJ, CHANDLER BV, 1978
Roots as a probable site for Citrus limonoid biosynthesis. International Citrus Congress, Sydney, Australia. International Society of Citriculture 1:40-42.

6 ABDEL-ALIM MA, ABDEL-HAFEZ OM, EL-KHRISY AM, 1990
The constituents of Citrus sinensis leaves. Fitoterapia 61(5):470-471.

7 SHAFT N, IKRAM M, 1982
Quantitative survey of rutin-containing plants. Part 1. Int J Crude Drug Res 20(4):183-186.

8 EKUNDAYO O, BAKARE O, ADESOMOIU A, STAHL-BISKUP E, 1990
Nigerian sweet orange leaf oil composition. J Essent Oil Res 2(5):199-201.

9 GUANGHAN L, YU W, LEIMING Y, SHUANGLONG H, 1994
Determination of ascorbic acid in fruits and vegetables by stripping voltammetry on a glassy carbon electrode. Food Chem 51(2):237-239.

10 RADFORD T, KAWASHIMA K, FRIEDEL PK, POPE LE, GIANTURCO MA, 1975
Distribution of volatile compounds between the pulp and serum of some fruit juices. J Agric Food Chem 22(6):1066.

11 ROUSEFF RL, SEETHARAMAN K, NAIM M, NAGY S, ZEHAVI U, 1992
Improved HPLC determination of hydroxycinnamic acids in orange juice using solvents containing thf. J Agric Food Chem 40(7):1139-1143.

12 SWATSITANG P, TUCKER G, ROBARDS K, JARDINE D, 2000
Isolation and identification of phenolic compounds in Citrus sinensis. Anal Chim Acta 417(2):231-240.

13 OOGHE WC, OOGHE SJ, DETAVERNIER M, HUYGHEBAERT A, 1995
Characterization of orange juice (Citrus sinensis) by polymethoxylated flavones. J Agric Food Chem 42(10):2191-2195.

14 OOGHE WC, DETAVERNIER CM, 1999
Flavonoids as authenticity markers for Citrus sinensis juice. Fruit Process 9(8):308-313.

15 WIDMER WW, 2000
Determination of naringin and neohesperidin in orange juice by liquid chromatography with UV detection to detect the presence grapefruit juice: collaborative study. J Assoc Offic Anal Chem Int 83(5):1155-1165.

16 GROSS J, CARMON M, LIFSHITZ A, SKLARZ B, 1975
Structural elucidation of some orange juice carotenoids. Phytochemistry 14(1):249-252.

17 PAZOS L, COTO T, REYES L, 2007
Tránsito Intestinal en ratones, del jugo fresco del fruto de Citrus sinensis. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

18 NOGATA Y, YOZA KI, KUSUMOTO KI, KOHYAMA N, SEKIYA K, OHTA H, 1996
Screening for inhibitory activity of Citrus fruit extracts against platelet cyclooxygenase and lipoxygenase. J Agric Food Chem 44(3):725-729.

19 KONOWALCHUK J, SPEIRS JI, 1978
Antiviral effect of commercial juices and beverages. Appl Environ Microbiol 35(6):1219-1220.

20 PEREZ C, ANESINI C, 1994
In vitro antibacterial activity of Argentine folk medicinal plants against Salmonella typhi. J Ethnopharmacol 44(1):41-46.

21 KAWAKAMI M, SUZUKI K, ISHIZUKA T, HIDAKA T, MATSUKI Y, NAKAMURA H, 1998
Effect of grapefruit juice on pharmacokinetics of itraconazole in healthy subjects. Int J Clin Pharmacol Ther 36(6):306-308.

22 BEZANGER-BEAUQUESNE L, PINKAS M, TORCK M, 1986
Les plantes dans la thérapeutique moderne. 2 éd. Paris, France: Ed. Maloine.

23 HARTMAN JG, LIMBIRD ILE, Eds., 1996
Goodman & Gilman, Las bases farmacológicas de la Terapéutica, 9ª edición. México, México: McGraw-Hill Editores. pp1670-1671.

24 PAZOS L, COTO T, CAIZA F, 2008
Toxicidad oral aguda, dosis repetida, en ratón, de hojas frescas de Citrus sinensis. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

25 PAZOS L, COTO T, REYES L, 2007
Irritación ocular, en conejos, del jugo fresco del fruto de Citrus sinensis. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

26 MIYAGI Y, OM AS, CHEE KM, BENNINK MR, 2000
Inhibition of azoxymethane-induced colon cancer by orange juice. Nutr Cancer 36(2):224-229.

27 BALA S, GROVER IS, 1989
Antimutagenicity of some Citrus fruits in Salmonella typhimurium. Mutat Res 222(3):141-148.

28 PORTAL JA, RAMOS A, VIZOSO A, BETANCOURT J, 1995
Estudio genotóxico in vitro de una tintura al 50% de Citrus sinensis (L.) Osbeck. Medi Ciego 1(1):3-6.

29 PORTAL JA, 1995
Evaluación genotóxica in vitro e in vivo de una tintura al 50% de Citrus sinensis (L.) Osbeck (Tesis de Maestría). Universidad Médica de La Habana, La Habana, Cuba.

30 PELLECUER J, 1995
Aromaterapia y toxicidad de los aceites esenciales. Natura Medicatrix 37(8):36-40.

31 CANIGUERAL S, VILA R, RISCO E, PEREZ F, PORTILLO A, FREIXA B, MILO B, VANACLOCHA B, RIOS JL, MORALES MA, ALONSO JR, BACHILLER LI, PERIS JB, STUBING G, 2002
Citrus sinensis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.20,2002. URL: www.masson.es/book/fitoterapia.html

Hibiscus rosa-sinensis

(In territories with significant traditional TRAMIL use)

Haiti:

  • choublak

Martinique:

  • kokliko wouj

Guadeloupe:

  • rose kayenn
Significant uses found by the TRAMIL surveys

  leaf, juice, instillation1

Recommendations Preparation and Dosage References

According to published and other information:

Topical use for conjunctivitis is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

In the event of conjunctivitis, there is a risk of increasing irritation further as a result of applying the leaf juice.  In any application to the eye, strict hygienic measures should be observed in order to avoid contamination or additional infection.  Contact with any substances that may be irritating to the conjunctiva should be avoided.

Should there be a notable worsening of the patient’s condition, or should conjunctivitis last more than 3 days, seek medical attention.

Oral use for fever, flu and cough is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

Should there be a notable worsening of the patient’s condition, or should fever last more than 2 days, or cough persist for more than 5 days, seek medical attention.

Due to risk of abortion, not for oral use during pregnancy nor during lactation or by children under 10 years old.

The flower of Hibiscus rosa-sinensis is widely used for human consumption or as a spice.

For conjunctivitis:

There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

For fever, flu and cough:

Prepare a decoction or infusion with 1–2 flowers in 250 mL (1 cup) of water.

For decoction, boil for at least 3-4 minutes2-3 in a covered pot; for infusion, add boiling water to the flowers, cover and leave to cool down.  Filter and drink 1 cup 3 times a day.

1 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

2 SOLIS PN, ESPINOSA A, DE GARCIA J, MARTINEZ L, GUPTA MP, 2003
Encuesta TRAMIL-GEF Emberá-Wounaann. Centro de Investigaciones Farmacognósticas de la Flora Panameña, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

3 LONGUEFOSSE JL, NOSSIN E, 1990-95
Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique.

4 EDOUARD JA, 1992
Enquête TRAMIL. Lycée agricole, Baie-Mahault, Guadeloupe.

5 BOULOGNE I, 2009
Enquête TRAMIL, (Terre-de-Bas et Terre-de-Haut) Les Saintes, UAG, Guadeloupe.

6 MEDITSCH J, BARROS E, 1978
Hibiscus dyes as acid-base indicators. An Assoc Bras Quim 29(1):89.

7 SHRIVASTAVA D, 1974
Phytochemical analysis of japakusum. J Res Indian Med Yoga Homeopathy 9(4):103-104.

8 LIN Y, 1975
The study of red pigments in Taiwan plants. Proc Natl Sci Counc Part I (Taiwan) 1975(8):133-137.

9 PATTANAIK S, 1949
A comparative study of the catalase activity of the petals and leaves of Hibiscus rosa-sinensis. Curr Sci 18:212-213.

10 GRIFFITHS L, 1959
On the distribution of gentisic acid in green plants. J Exp Bot 10(3):437-442.

11 AGARWAL SL, SHINDE S, 1967
Studies on Hibiscus rosa-sinensis II. Preliminary pharmacological investigations. Indian J Med Res 55(9):1007-1010.

12 SRIVASTAVA DN, BHATT SK, UDUPA KN, 1976
Gas chromatographic identification of fatty acids, fatty alcohols, and hydrocarbons of Hibiscus rosa-sinensis leaves. J Amer Oil Chem Soc 53(10):607-608.

13 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p84.

14 MORON FJ, VICTORIA MdC, MARTINEZ I, BRITO G, MOREJON Z, ACOSTA L, FUENTES V, 2011
Efecto antipirético de la decocción 30% de flores frescas de Hibiscus rosa sinensis (mar Pacífico) en ratas. Informe TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

15 VICTORIA MdC, MORON FJ, MARTINEZ I, BRITO G, MOREJON Z, ACOSTA L, FUENTES V, 2011
Ausencia de efecto antipirético de la decocción 30% de hojas frescas de Hibiscus rosa sinensis (mar Pacífico) en ratas. Informe TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

16 VICTORIA MdC, MORON FJ, MARTINEZ I, BRITO G, MOREJON Z, ACOSTA L, FUENTES V, 2011
Efecto analgésico oral de la decocción 30% de flores frescas de Hibiscus rosa sinensis (mar Pacífico) en ratones. Informe TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

17 HERRERA J, 1994
Determinación de actividades biológicas de vegetales utilizados en medicina tradicional. Informe TRAMIL. Dep. de Farmacología, Facultad de Salud, Universidad del Valle, Cali, Colombia.

18 BHAKUNI DS, DHAR ML, DHAR MM, DHAWAN BN, MEHROTRA BN, 1969
Screening of Indian plants for biological activity. Part II. Indian J Exp Biol 7(4):250-262.

19 SINGH N, NATH R, AGARWAL AK, KOHLI RP, 1978
A pharmacological investigation of some indigenous drugs of plant origin for evaluation of their antipyretic, analgesic and anti-inflammatory activities. J Res Indian Med Yoga Homeopathy 13(2):58-70.

20 KHOLKUTE SD, CHATTERJEE S, UDUPA KN, 1976
Effect of Hibiscus rosa-sinensis on estrous cycle and reproductive organs in rats. Indian J Exp Biol 14(6):703-704.

21 PRAKASH A, 1979
Acid and alkaline phosphatase activity in the uterus of rat treated with Hibiscus rosa-sinensis Linn. extracts. Curr Sci 48:501-503.

22 LOPEZ M, MARTINEZ MJ, MOREJON Z, BOUCOURT E, FERRADA C, FUENTES V, MORON F, 2005
Irritabilidad dérmica primaria de hoja fresca de Hibiscus rosa-sinensis L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Medicina “Dr. Salvador Allende”, Cerro, C. Habana, Cuba.

23 SINGH MP, SINGH RH, UDUPA KN, 1982
Antifertility activity of a benzene extract of Hibiscus rosa-sinensis flowers on female albino rats. Planta Med 44(3):171-174.

24 PRAKASH A, 1984
Biological evaluation of some medicinal plant extracts for contraceptive efficacy. Contracept Deliv Syst 5(3):9-10.

25 TIWARI P, 1974
Preliminary clinical trial on flowers of Hibiscus rosa-sinensis as an oral contraceptive agent. J Res Indian Med Yoga Homeopathy 9(4):96-98.

26 KHOLKUTE S, UDUPA K, 1974
Antifertility properties of Hibiscus rosa-sinensis. J Res Indian Med Yoga Homeopathy 9(4):99-102.

27 TRIVEDI V, SHUKLA K, 1980
A study of effects of an indigenous compound drug on reproductive physiology. J Sci Res Pl Med 1(3/4):41-47.

Plantago major

(In territories with significant traditional TRAMIL use)

Dominican Republic:

  • llantén

Guadeloupe:

  • miyé
  • plantain

Martinique:

  • miyé
  • plantain

Trinidad and Tobago:

  • miyé
  • plantain

Haiti:

  • planten

Dominica:

  • planten
Significant uses found by the TRAMIL surveys

  leaf, decoction, instillation3-4

Recommendations Preparation and Dosage References

Use against "bad blood" is a traditional cultural use and is not classified in the TRAMIL program.

According to published and other information:

Use for "malozie" (eye injuries) including conjunctivitis is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies and available published scientific information.

For application in the eyes, strict hygiene measures should be observed in order to avoid contamination or additional infection, and contact with conjunctiva-irritating substances should be avoided.

In the event of conjunctivitis, there is the risk of increasing irritation by applying the leaf juice.

To avoid eye irritation, the aqueous preparation should be filtered before application.

Should there be a notable worsening of the patient’s condition, or should eye injuries or conjunctivitis persist for more than 3 days, seek medical attention.

Use for inflammation and "nervous breakdown" is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies and available published scientific information.

Should there be a notable worsening of the patient’s condition, or should "nervous breakdown" persist for more than 7 days, seek medical attention.

Not for use during pregnancy, during lactation or by children under 5 years old.

For conjunctivitis:

Prepare a decoction or infusion with 20 grams (2-3 spoonfuls) of fresh leaf in 1/2 liter (2 cups) of water.  For decoction, boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to 20 grams (2-3 spoonfuls) of fresh leaf, cover pot and leave to settle during 5-10 minutes.  Filter, allow to cool and wash eye with the content of a dropper (3 mL) every 2 hours42.

All home-made preparations with medicinal herbs for eye use must be preserved cold and should be disposed of 24 hours after preparation.

For inflammation and nervous breakdown: There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

1 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

2 DELAIGUE J, 2005
TRAMIL survey. UAG & PRDI, Tobago House of Assembly, Scarborough, Tobago.

3 CHARLES C, 1988
TRAMIL survey. Movement for Cultural Awareness MCA, Roseau, Dominica.

4 LONGUEFOSSE JL, NOSSIN E, 1990-95
Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique.

5 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

6 EDOUARD JA, 1992
Enquête TRAMIL. Lycée agricole, Baie-Mahault, Guadeloupe.

7 LEBEDEV-KOSOV VI, 1980
Flavonoids and iridoids of Plantago major L. and P. asiatica L. Rast Resur 16(3):403-406.

8 MAKSYUTINA NP, 1971
Baicalein and scutellarein derivatives in Plantago major leaves. Khim Prir Soedin 7(3):374-375.

9 HARBORNE JB, WILLIAMS CA, 1971
Comparative biochemistry of flavonoids. XIII. 6-hydroxyluteolin and scutellarein as phyletic markers in higher plants. Phytochemistry 10(2):367-378.

10 ANDRZEJEWSKA-GOLEC E, SWIATEK L, 1984
Chemotaxonomic investigations on the genus plantago. I. Analysis of iridoid fraction. Herba Pol 30(1):9-16.

11 PAILER M, HASCHKE-HOFMEISTER E, 1969
Components of Plantago major. Planta Med 17(2):139-145.

12 MAKSYUTINA NP, 1971
Hydroxycinnamic acids from Plantago major and Plantago lanceolata. Khim Prir Soedin 7(6):824-825.

13 NORO Y, HISATA Y, OKUDA K, KAWAMURA T, KASAHARA Y, TANAKA T, SAKAI E, NISIBE S, SASAHARA M, 1991
Pharmacognostical studies of plantagins herba (VII) on the phenylethanoid contents of Plantago spp. Shoyakugaku Zasshi 45(1):24-28.

14 JANSSON O, 1974
Hylloquinone (vitamin k-1) levels in leaves of plant species differing in susceptibility to 2,4-dichlorophenoxyacetic acid. Physiol Plant 31:323.

15 OBOLENTSEVA GV, KHADZHAI YI, 1966
Pharmacological testing of plantaglucide. Farmakol Toksikol 29(4):469-472.

16 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Ratón, USA: CRC Press. p131.

17 SIDDIQUI M, HAKIM M, 1991
Crude drugs and their nutrient values. J of the National Integrated Med Assoc 33(1):8-10.

18 CARBALLO A, 1995
Plantas medicinales del Escambray cubano. Informe TRAMIL. Laboratorio provincial de producción de medicamentos, Sancti Spiritus, Cuba.

19 PAZOS L, COTO T, GONZALEZ S, QUIROS S, 2004
Actividad sedante-tranquilizante en ratón, dosis repetidas del extracto acuoso de hoja de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

20 LUCIANO-MONTALVO C, GAVILLAN-SUAREZ J, BOULOGNE I, 2013
A screening for antimicrobial activities of Caribbean herbal remedies. Informe TRAMIL. BMC Complementary and Alternative Medicine 13:126.

21 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de las hojas frescas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

22 CACERES A, GIRON LM, ALVARADO SR, TORRES MF, 1987
Screening of antimicrobial activity of plants popularly used in Guatemala for the treatment of dermatomucosal diseases. J Ethnopharmacol 20(3):223-237.

23 LAMBEV I, MARKOV M, PAVLOVA N, 1981
Study of the antiinflammatory and capillary restorative activity of a dispersed substance from Plantago major L. Probl Nutr Med 9(3):162-169.

24 NÚÑEZ ME, DA SILVA JA, SOUCCAR C, LAPA AJ, 1997
Analgesic and anti-inflammatory activities of the aqueous extract of Plantago major L.
Pharmaceutical Biology 35(2):99-104.

25 CAMBAR P, SANTOS A, COUSIN L, 1985
Efecto del extracto acuoso de Plantago major (Llantén) en el choque anafiláctico inducido por albúmina de huevo en el conejo. Memoria de la III Semana Científica de la Universidad Nacional Autónoma de Honduras.

26 DUCKETT S, 1980
Plantain leaf for poison ivy. N Engl J Med 303(10):583.

27 BETANCOURT J, MARTINEZ MJ, LOPEZ M, MOREJON Z, BOUCOURT E, MORON F, 2000
Actividad genotóxica in vitro de partes aéreas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias. Médicas “Dr. Salvador. Allende”, La Habana, Cuba.

28 CAMBAR P, 1989
Efecto antiinflamatorio del extracto acuoso de la hoja de llantén (Plantago major). Informe TRAMIL. Unidad de Farmacología, Facultad de Ciencias Médicas, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

29 BETANCOURT J, MARTINEZ MJ, LOPEZ M, MOREJON Z, BARCELO H, LAINEZ A, MONTES ME, REGO R, BOUCOURT E, MORON F, 2000
Toxicidad aguda clásica de partes aéreas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias. Médicas “Dr. Salvador. Allende”, La Habana, Cuba.

30 GARCIA GM, COTO MT, GONZALEZ CS, PAZOS L, 1996
Toxicidad por vía oral en ratón, del extracto acuoso de hojas frescas de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

31 GARCIA GM, COTO MT, GONZALEZ CS, PAZOS L, 1996
Irritabilidad ocular en conejos, del extracto acuoso de hojas frescas de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

32 GUERRA MJ, LOPEZ M, BOUCOURT E, FUENTES V, 2002
Irritabilidad oftálmica de la decocción 30% de hojas secas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología. Facultad de Medicina “Dr. Salvador Allende”, La Habana, Cuba.

33 LOGARTO PARRA A, SILVA YHEBRA R, GUERRA SARDINAS I, IGLESIAS BUELA L, 2001
Comparative study of the assay of Artemia salina L. and the estimate of the medium lethal dose (LD50 value) in mice, to determine oral acute toxicity of plant extracts. Phytomedicine 8(5):395-400.

34 DUKE J, 1985
Handbook of medicinal herbs. Boca Raton, Florida: CRC Press.

35 KOSSMANN I, VICENTE C, 1992
Salud y Plantas Medicinales. Buenos Aires, Argentina: Ed. Planeta.

36 ALBORNOZ A, 1993
Medicina tradicional herbaria. Caracas, Venezuela: Instituto Farmacoterápico Latino S.A. p273.

Plantago major

(In territories with significant traditional TRAMIL use)

Dominican Republic:

  • llantén

Guadeloupe:

  • miyé
  • plantain

Martinique:

  • miyé
  • plantain

Trinidad and Tobago:

  • miyé
  • plantain

Haiti:

  • planten

Dominica:

  • planten
Significant uses found by the TRAMIL surveys

leaf, maceration, instillation43

Recommendations Preparation and Dosage References

Use against "bad blood" is a traditional cultural use and is not classified in the TRAMIL program.

According to published and other information:

Use for "malozie" (eye injuries) including conjunctivitis is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies and available published scientific information.

For application in the eyes, strict hygiene measures should be observed in order to avoid contamination or additional infection, and contact with conjunctiva-irritating substances should be avoided.

In the event of conjunctivitis, there is the risk of increasing irritation by applying the leaf juice.

To avoid eye irritation, the aqueous preparation should be filtered before application.

Should there be a notable worsening of the patient’s condition, or should eye injuries or conjunctivitis persist for more than 3 days, seek medical attention.

Use for inflammation and "nervous breakdown" is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies and available published scientific information.

Should there be a notable worsening of the patient’s condition, or should "nervous breakdown" persist for more than 7 days, seek medical attention.

Not for use during pregnancy, during lactation or by children under 5 years old.

For conjunctivitis:

Prepare a decoction or infusion with 20 grams (2-3 spoonfuls) of fresh leaf in 1/2 liter (2 cups) of water.  For decoction, boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to 20 grams (2-3 spoonfuls) of fresh leaf, cover pot and leave to settle during 5-10 minutes.  Filter, allow to cool and wash eye with the content of a dropper (3 mL) every 2 hours42.

All home-made preparations with medicinal herbs for eye use must be preserved cold and should be disposed of 24 hours after preparation.

For inflammation and nervous breakdown: There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

1 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

2 DELAIGUE J, 2005
TRAMIL survey. UAG & PRDI, Tobago House of Assembly, Scarborough, Tobago.

3 CHARLES C, 1988
TRAMIL survey. Movement for Cultural Awareness MCA, Roseau, Dominica.

4 LONGUEFOSSE JL, NOSSIN E, 1990-95
Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique.

5 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

6 EDOUARD JA, 1992
Enquête TRAMIL. Lycée agricole, Baie-Mahault, Guadeloupe.

7 LEBEDEV-KOSOV VI, 1980
Flavonoids and iridoids of Plantago major L. and P. asiatica L. Rast Resur 16(3):403-406.

8 MAKSYUTINA NP, 1971
Baicalein and scutellarein derivatives in Plantago major leaves. Khim Prir Soedin 7(3):374-375.

9 HARBORNE JB, WILLIAMS CA, 1971
Comparative biochemistry of flavonoids. XIII. 6-hydroxyluteolin and scutellarein as phyletic markers in higher plants. Phytochemistry 10(2):367-378.

10 ANDRZEJEWSKA-GOLEC E, SWIATEK L, 1984
Chemotaxonomic investigations on the genus plantago. I. Analysis of iridoid fraction. Herba Pol 30(1):9-16.

11 PAILER M, HASCHKE-HOFMEISTER E, 1969
Components of Plantago major. Planta Med 17(2):139-145.

12 MAKSYUTINA NP, 1971
Hydroxycinnamic acids from Plantago major and Plantago lanceolata. Khim Prir Soedin 7(6):824-825.

13 NORO Y, HISATA Y, OKUDA K, KAWAMURA T, KASAHARA Y, TANAKA T, SAKAI E, NISIBE S, SASAHARA M, 1991
Pharmacognostical studies of plantagins herba (VII) on the phenylethanoid contents of Plantago spp. Shoyakugaku Zasshi 45(1):24-28.

14 JANSSON O, 1974
Hylloquinone (vitamin k-1) levels in leaves of plant species differing in susceptibility to 2,4-dichlorophenoxyacetic acid. Physiol Plant 31:323.

15 OBOLENTSEVA GV, KHADZHAI YI, 1966
Pharmacological testing of plantaglucide. Farmakol Toksikol 29(4):469-472.

16 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Ratón, USA: CRC Press. p131.

17 SIDDIQUI M, HAKIM M, 1991
Crude drugs and their nutrient values. J of the National Integrated Med Assoc 33(1):8-10.

18 CARBALLO A, 1995
Plantas medicinales del Escambray cubano. Informe TRAMIL. Laboratorio provincial de producción de medicamentos, Sancti Spiritus, Cuba.

19 PAZOS L, COTO T, GONZALEZ S, QUIROS S, 2004
Actividad sedante-tranquilizante en ratón, dosis repetidas del extracto acuoso de hoja de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

20 LUCIANO-MONTALVO C, GAVILLAN-SUAREZ J, BOULOGNE I, 2013
A screening for antimicrobial activities of Caribbean herbal remedies. Informe TRAMIL. BMC Complementary and Alternative Medicine 13:126.

21 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de las hojas frescas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

22 CACERES A, GIRON LM, ALVARADO SR, TORRES MF, 1987
Screening of antimicrobial activity of plants popularly used in Guatemala for the treatment of dermatomucosal diseases. J Ethnopharmacol 20(3):223-237.

23 LAMBEV I, MARKOV M, PAVLOVA N, 1981
Study of the antiinflammatory and capillary restorative activity of a dispersed substance from Plantago major L. Probl Nutr Med 9(3):162-169.

24 NÚÑEZ ME, DA SILVA JA, SOUCCAR C, LAPA AJ, 1997
Analgesic and anti-inflammatory activities of the aqueous extract of Plantago major L.
Pharmaceutical Biology 35(2):99-104.

25 CAMBAR P, SANTOS A, COUSIN L, 1985
Efecto del extracto acuoso de Plantago major (Llantén) en el choque anafiláctico inducido por albúmina de huevo en el conejo. Memoria de la III Semana Científica de la Universidad Nacional Autónoma de Honduras.

26 DUCKETT S, 1980
Plantain leaf for poison ivy. N Engl J Med 303(10):583.

27 BETANCOURT J, MARTINEZ MJ, LOPEZ M, MOREJON Z, BOUCOURT E, MORON F, 2000
Actividad genotóxica in vitro de partes aéreas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias. Médicas “Dr. Salvador. Allende”, La Habana, Cuba.

28 CAMBAR P, 1989
Efecto antiinflamatorio del extracto acuoso de la hoja de llantén (Plantago major). Informe TRAMIL. Unidad de Farmacología, Facultad de Ciencias Médicas, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

29 BETANCOURT J, MARTINEZ MJ, LOPEZ M, MOREJON Z, BARCELO H, LAINEZ A, MONTES ME, REGO R, BOUCOURT E, MORON F, 2000
Toxicidad aguda clásica de partes aéreas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias. Médicas “Dr. Salvador. Allende”, La Habana, Cuba.

30 GARCIA GM, COTO MT, GONZALEZ CS, PAZOS L, 1996
Toxicidad por vía oral en ratón, del extracto acuoso de hojas frescas de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

31 GARCIA GM, COTO MT, GONZALEZ CS, PAZOS L, 1996
Irritabilidad ocular en conejos, del extracto acuoso de hojas frescas de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

32 GUERRA MJ, LOPEZ M, BOUCOURT E, FUENTES V, 2002
Irritabilidad oftálmica de la decocción 30% de hojas secas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología. Facultad de Medicina “Dr. Salvador Allende”, La Habana, Cuba.

33 LOGARTO PARRA A, SILVA YHEBRA R, GUERRA SARDINAS I, IGLESIAS BUELA L, 2001
Comparative study of the assay of Artemia salina L. and the estimate of the medium lethal dose (LD50 value) in mice, to determine oral acute toxicity of plant extracts. Phytomedicine 8(5):395-400.

34 DUKE J, 1985
Handbook of medicinal herbs. Boca Raton, Florida: CRC Press.

35 KOSSMANN I, VICENTE C, 1992
Salud y Plantas Medicinales. Buenos Aires, Argentina: Ed. Planeta.

36 ALBORNOZ A, 1993
Medicina tradicional herbaria. Caracas, Venezuela: Instituto Farmacoterápico Latino S.A. p273.

Plantago major

(In territories with significant traditional TRAMIL use)

Dominican Republic:

  • llantén

Guadeloupe:

  • miyé
  • plantain

Martinique:

  • miyé
  • plantain

Trinidad and Tobago:

  • miyé
  • plantain

Haiti:

  • planten

Dominica:

  • planten
Significant uses found by the TRAMIL surveys

leaf, infusion, eye baths2,43

Recommendations Preparation and Dosage References

Use against "bad blood" is a traditional cultural use and is not classified in the TRAMIL program.

According to published and other information:

Use for "malozie" (eye injuries) including conjunctivitis is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies and available published scientific information.

For application in the eyes, strict hygiene measures should be observed in order to avoid contamination or additional infection, and contact with conjunctiva-irritating substances should be avoided.

In the event of conjunctivitis, there is the risk of increasing irritation by applying the leaf juice.

To avoid eye irritation, the aqueous preparation should be filtered before application.

Should there be a notable worsening of the patient’s condition, or should eye injuries or conjunctivitis persist for more than 3 days, seek medical attention.

Use for inflammation and "nervous breakdown" is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies and available published scientific information.

Should there be a notable worsening of the patient’s condition, or should "nervous breakdown" persist for more than 7 days, seek medical attention.

Not for use during pregnancy, during lactation or by children under 5 years old.

For conjunctivitis:

Prepare a decoction or infusion with 20 grams (2-3 spoonfuls) of fresh leaf in 1/2 liter (2 cups) of water.  For decoction, boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to 20 grams (2-3 spoonfuls) of fresh leaf, cover pot and leave to settle during 5-10 minutes.  Filter, allow to cool and wash eye with the content of a dropper (3 mL) every 2 hours42.

All home-made preparations with medicinal herbs for eye use must be preserved cold and should be disposed of 24 hours after preparation.

For inflammation and nervous breakdown: There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

1 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

2 DELAIGUE J, 2005
TRAMIL survey. UAG & PRDI, Tobago House of Assembly, Scarborough, Tobago.

3 CHARLES C, 1988
TRAMIL survey. Movement for Cultural Awareness MCA, Roseau, Dominica.

4 LONGUEFOSSE JL, NOSSIN E, 1990-95
Enquête TRAMIL. Association pour la valorisation des plantes médicinales de la Caraïbe AVPMC, Fort de France, Martinique.

5 GERMOSEN-ROBINEAU L, GERONIMO M, AMPARO C, 1984
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

6 EDOUARD JA, 1992
Enquête TRAMIL. Lycée agricole, Baie-Mahault, Guadeloupe.

7 LEBEDEV-KOSOV VI, 1980
Flavonoids and iridoids of Plantago major L. and P. asiatica L. Rast Resur 16(3):403-406.

8 MAKSYUTINA NP, 1971
Baicalein and scutellarein derivatives in Plantago major leaves. Khim Prir Soedin 7(3):374-375.

9 HARBORNE JB, WILLIAMS CA, 1971
Comparative biochemistry of flavonoids. XIII. 6-hydroxyluteolin and scutellarein as phyletic markers in higher plants. Phytochemistry 10(2):367-378.

10 ANDRZEJEWSKA-GOLEC E, SWIATEK L, 1984
Chemotaxonomic investigations on the genus plantago. I. Analysis of iridoid fraction. Herba Pol 30(1):9-16.

11 PAILER M, HASCHKE-HOFMEISTER E, 1969
Components of Plantago major. Planta Med 17(2):139-145.

12 MAKSYUTINA NP, 1971
Hydroxycinnamic acids from Plantago major and Plantago lanceolata. Khim Prir Soedin 7(6):824-825.

13 NORO Y, HISATA Y, OKUDA K, KAWAMURA T, KASAHARA Y, TANAKA T, SAKAI E, NISIBE S, SASAHARA M, 1991
Pharmacognostical studies of plantagins herba (VII) on the phenylethanoid contents of Plantago spp. Shoyakugaku Zasshi 45(1):24-28.

14 JANSSON O, 1974
Hylloquinone (vitamin k-1) levels in leaves of plant species differing in susceptibility to 2,4-dichlorophenoxyacetic acid. Physiol Plant 31:323.

15 OBOLENTSEVA GV, KHADZHAI YI, 1966
Pharmacological testing of plantaglucide. Farmakol Toksikol 29(4):469-472.

16 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Ratón, USA: CRC Press. p131.

17 SIDDIQUI M, HAKIM M, 1991
Crude drugs and their nutrient values. J of the National Integrated Med Assoc 33(1):8-10.

18 CARBALLO A, 1995
Plantas medicinales del Escambray cubano. Informe TRAMIL. Laboratorio provincial de producción de medicamentos, Sancti Spiritus, Cuba.

19 PAZOS L, COTO T, GONZALEZ S, QUIROS S, 2004
Actividad sedante-tranquilizante en ratón, dosis repetidas del extracto acuoso de hoja de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

20 LUCIANO-MONTALVO C, GAVILLAN-SUAREZ J, BOULOGNE I, 2013
A screening for antimicrobial activities of Caribbean herbal remedies. Informe TRAMIL. BMC Complementary and Alternative Medicine 13:126.

21 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de las hojas frescas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

22 CACERES A, GIRON LM, ALVARADO SR, TORRES MF, 1987
Screening of antimicrobial activity of plants popularly used in Guatemala for the treatment of dermatomucosal diseases. J Ethnopharmacol 20(3):223-237.

23 LAMBEV I, MARKOV M, PAVLOVA N, 1981
Study of the antiinflammatory and capillary restorative activity of a dispersed substance from Plantago major L. Probl Nutr Med 9(3):162-169.

24 NÚÑEZ ME, DA SILVA JA, SOUCCAR C, LAPA AJ, 1997
Analgesic and anti-inflammatory activities of the aqueous extract of Plantago major L.
Pharmaceutical Biology 35(2):99-104.

25 CAMBAR P, SANTOS A, COUSIN L, 1985
Efecto del extracto acuoso de Plantago major (Llantén) en el choque anafiláctico inducido por albúmina de huevo en el conejo. Memoria de la III Semana Científica de la Universidad Nacional Autónoma de Honduras.

26 DUCKETT S, 1980
Plantain leaf for poison ivy. N Engl J Med 303(10):583.

27 BETANCOURT J, MARTINEZ MJ, LOPEZ M, MOREJON Z, BOUCOURT E, MORON F, 2000
Actividad genotóxica in vitro de partes aéreas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias. Médicas “Dr. Salvador. Allende”, La Habana, Cuba.

28 CAMBAR P, 1989
Efecto antiinflamatorio del extracto acuoso de la hoja de llantén (Plantago major). Informe TRAMIL. Unidad de Farmacología, Facultad de Ciencias Médicas, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

29 BETANCOURT J, MARTINEZ MJ, LOPEZ M, MOREJON Z, BARCELO H, LAINEZ A, MONTES ME, REGO R, BOUCOURT E, MORON F, 2000
Toxicidad aguda clásica de partes aéreas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias. Médicas “Dr. Salvador. Allende”, La Habana, Cuba.

30 GARCIA GM, COTO MT, GONZALEZ CS, PAZOS L, 1996
Toxicidad por vía oral en ratón, del extracto acuoso de hojas frescas de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

31 GARCIA GM, COTO MT, GONZALEZ CS, PAZOS L, 1996
Irritabilidad ocular en conejos, del extracto acuoso de hojas frescas de Plantago major. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

32 GUERRA MJ, LOPEZ M, BOUCOURT E, FUENTES V, 2002
Irritabilidad oftálmica de la decocción 30% de hojas secas de Plantago major L. Informe TRAMIL. Laboratorio Central de Farmacología. Facultad de Medicina “Dr. Salvador Allende”, La Habana, Cuba.

33 LOGARTO PARRA A, SILVA YHEBRA R, GUERRA SARDINAS I, IGLESIAS BUELA L, 2001
Comparative study of the assay of Artemia salina L. and the estimate of the medium lethal dose (LD50 value) in mice, to determine oral acute toxicity of plant extracts. Phytomedicine 8(5):395-400.

34 DUKE J, 1985
Handbook of medicinal herbs. Boca Raton, Florida: CRC Press.

35 KOSSMANN I, VICENTE C, 1992
Salud y Plantas Medicinales. Buenos Aires, Argentina: Ed. Planeta.

36 ALBORNOZ A, 1993
Medicina tradicional herbaria. Caracas, Venezuela: Instituto Farmacoterápico Latino S.A. p273.

Sida rhombifolia

(In territories with significant traditional TRAMIL use)

Haiti:

  • balé

Dominica:

  • balè onz euw
  • balier savanne

Guatemala:

  • escobillo

Belize:

  • maluba
Significant uses found by the TRAMIL surveys

leaf, aqueous maceration, ocular bath21

Recommendations Preparation and Dosage References

According to published and other information:

Use for twistings is classified as REC, based on the significant traditional use (OMS/WHO)3 documented in the TRAMIL surveys.

Use for urethritis is classified as REC, based on the significant traditional use documented in the TRAMIL surveys and toxicity studies.

Due to the health risks involved with urethritis, an initial medical evaluation is recommended.  The use of this resource can be considered complementary to medical treatment, unless it is contraindicated.

Should there be a notable worsening of the patient’s condition, or should urethritis or twisting persist for more than 3 days, seek medical attention.

Not for use during pregnancy or lactation.

For twisting and urethritis:

There is no available information establishing a means of preparation and dosage other than that referred to by traditional use.

Any medicinal preparation must be preserved cold and used within the 24 hours.

1 WENIGER B, ROUZIER M, 1986
Enquête TRAMIL. Service Oecuménique d'Entraide SOE, Port au Prince, Haïti.

2 HENDERSON C, KRISHNARAYAN V, CASTILLO J, 1996
TRAMIL survey. Belize Enterprise for Sustainable Technology BEST, Belmopan, Belize.

3 GIRON L, 1988
Encuesta TRAMIL (Costa atlántica). Centro Mesoamericano de Tecnología CEMAT, Guatemala, Guatemala.

4 CHARLES C, 1988
TRAMIL survey. Movement for Cultural Awareness MCA, Roseau, Dominica.

5 PRAKASH A, VARMA RK, GHOSAL S, 1981
Chemical constituents of the Malvaceae. Part III. Alkaloidal constituents of Sida acuta, S. humilis, S. rhombifolia and S. spinosa. Planta Med 43(12):384-388.

6 GUNATILAKA AA, SOTHEESWARAN S, BALASUBRAMANIAM S, CHANDRASEKARA AI, BADRA SRIYANI HT, 1980
Studies on medicinal plants of Sri Lanka. III. Pharmacologically important alkaloids of some Sida species. Planta Med 39(1):66-72.

7 GOYAL MM, RANI KK, 1989
Neutral constituents of the aerial parts of Sida rhombifolia var. rhomboidea. Fitoterapia 60(2):163-164.

8 FRIESE FW, 1934
Plantas medicinais brasileiras. Sao Paulo, Brazil: Inst Agro do Estado. p252-494.

9 ALTSCHUL SR, 1973
Drugs and food from little-known plants: Notes in Harvard University Herbaria. Cambridge, USA: Harvard Univ. Press.

10 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p149.

11 PAZOS L, COTO T, CAIZA F, 2010
Antiinflamatorio tópico, en ratones, del extracto acuoso de las partes aéreas frescas de Sida rhombifolia. Informe TRAMIL, Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

12 DUNSTAN CA, NOREEN Y, SERRANO G, COX PA, PERERA P, BOHLIN L, 1997
Evaluation of some Samoan and Peruvian medicinal plants by prostaglandin biosynthesis and rat ear oedema assays. J Ethnopharmacol 57(1):35-56.

13 CACERES A, MENENDEZ H, MENDEZ E, COHOBON E, SAMAYAO BE, JAUREGUI E, PERALTA E, CARRILLO G, 1992
Antigonorrhoeal activity of plants used in Guatemala for the treatment of sexually transmitted diseases. Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos, Guatemala, Guatemala.

14 Figueroa SL, 1992
Inhibición in vitro de Candida albicans por las plantas: Argemone mexicana, Bixa orellana, Lantana camara, Lippia alba, Sedum praealtum, Vicia fava, Chrysanthemum leucanthemum y Sida rhombifolia (Tesis). Facultad de Ciencias Químicas y Farmacia, Universidad de San Carlos, Guatemala, Guatemala.

15 BORTOLOZZI MAM, BITTENCOURT CF, CARDOSO SG, BORTOLOZZI, AV, 1988
Avaliacâo da atividade antibacteriana de Sida rhombifolia L.(Malvaceae). X Simpósio de Plantas Medicinais do Brasil, Panel 7/9. Abstr. No. 26. Sao Paulo, Brasil.

16 GOYAL MM, RANI KK, 1988
Effects of natural products isolated from three species of Sida on some Gram-positive and Gram-negative bacteria. J Indian Chem Soc 65(1):74-76.

17 HERRERA J, 1992
Determinación de parámetros farmacológicos usados en medicina tradicional popular en la Cuenca del Caribe. Informe TRAMIL. Dep. de Farmacología, Facultad de Salud, Universidad del Valle, Cali, Colombia.

18 PAZOS L, COTO T, CAIZA F, 2010
Irritación dérmica en piel sana de conejos, de las partes aéreas frescas de Sida rhombifolia. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

19 PAZOS L, COTO T, CAIZA F, 2010
Irritación ocular, en conejos, del macerado de hojas frescas de Sida rhombifolia. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.