diarrhoea

Psidium guajava

(In territories with significant traditional TRAMIL use)

Martinique:

  • goyav
  • gwayav

Guadeloupe:

  • goyav
  • goyav
  • gwayav
  • gwayav

Dominica:

  • goyav
  • gwayav

Haiti:

  • goyav
  • gwayav

Trinidad and Tobago:

  • guava

Grenada:

  • guava

Colombia:

  • guayaba

Guatemala:

  • guayaba

Panama:

  • guayaba

Mexico:

  • guayaba

Dominican Republic:

  • guayaba

Venezuela:

  • guayaba

Honduras:

  • guayabo
Significant uses found by the TRAMIL surveys

fruit, juice, with salt or sugar, orally7

Recommendations Preparation and Dosage References

According to published and other information:

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

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

Use for nervous breakdown and diarrhea is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies, scientific validation 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.

Should there be a notable worsening of the patient’s condition, or should diarrhea persist for more than 3 days in adult or 2 days in child, seek medical attention. The use of this resource can be considered complementary to oral rehydration therapy.

Use for rash and juma (dizziness) is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

There is no available information from scientific sources to validate the use of leaf juice together with Allium sativum and Bunchosia glandulosa.

Should there be a notable worsening of the patient’s condition, or should the rash and juma (dizziness) persist for more than 5 days, seek medical attention.

For topical application, strict hygiene measures should be observed in order to avoid contamination or additional infection.

Not for use during pregnancy, lactation, or by children under3 years old.

 

The fruit of Psidium guajavais widely used for human consumption.

For diarrhea and juma (dizziness):

Prepare a decoction or infusion with 5 grams of leaf (1-2 teaspoonfuls) in 250 mL (1 cup) of water.  For decoction boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to 5 grams of leaf and cover pot.  Filter, allow to cool and drink 1 cup 4-5 times a day59.

For nervous breakdown, vomiting, and rash:

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

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

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

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

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

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

7 DELENS M, 1990-92
Encuesta TRAMIL. Centro al Servicio de la Acción Popular CESAP, Caracas, Venezuela.

8 DELAIGUE J, 2005
TRAMIL survey. PRDI, Tobago House of Assembly, Scarborough, Tobago.

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

10 SOLLS PN, ESPINOSA A, DE GRACIA J, MARTINEZ L, GUPTA MP, 2003
Encuesta TRAMIL (Emberá-Wounaann). Centro de Investigaciones Farmacognósticas de la Flora Panameña, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

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

12 BOYER A, BURAUD M, 2007
Enquête TRAMIL à La Désirade. U. Paris XI Chatenay-Malabry, UAG, Guadeloupe.

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

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

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

16 MARTINEZ M, HERNANDEZ O, HERNANDEZ J, SARMIENTO E, 2003
Encuesta TRAMIL Guajiquiro, La Paz. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

17 MARTINEZ M, MEDINA D, SUANSIN G, SARMIENTO E, 2003
Encuesta TRAMIL Las Marías, Gracias a Dios. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

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

19 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, Cuba.

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

21 Solis PN, Olmedo D, Buitrago de Tello RE, Gupta MP, 2000
Estudio fitoquímico y toxicológico de algunas plantas TRAMIL. Informe TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

22 WILSON CW, SHAW PE, 1978
Terpene hydrocarbons from Psidium guajava. Phytochemistry 17:1435-1436.

23 MACLEOD AJ, DE TROCONIS NG, 1982
Volatile flavour components of guava. Phytochemistry 21(6):1339-1342.

24 MISRA K, SESHADRI TR, 1968
Chemical components of the fruits of Psidium guajava. Phytochemistry 7(4):641-645.

25 CHIANG H, LEE S, GUO S, 1986
Active principles of hypoglycemic effect from Psidium guajava. Part II. Asian J Pharm Suppl 6(8):58.

26 VARSHNEY I, BADHWAR G, KHAN A, SHRIVASTAVA A, 1971
Saponins and sapogenins of Sesbania grandiflora seeds, Albizzia lebbek pods and Psidium guajava fruits. Indian J Appl Chem 34(5):214-216.

27 BASSOLS F, DEMOLE EP, 1994
The occurrence of pentane-2-thiol in guava fruit. J Essent Oil Res 6(5):481-483.

28 LOWRY JB, 1968
The distribution and potential taxonomic value of alkylated ellagic acids. Phytochemistry 7(10):1803-1813.

29 DAVIS P, MUNROE K, SELHIME A, 1976
Laboratory Proc Fla State Hort Soc bioassay of volatile naturally occurring compounds against the Caribbean fruit fly. p174.

30 MAIR AGR, PANDIYAN M, VENKASUBRAMANIAN H, 1987
Polyphenolic compounds from flowers of Psidium guajava. Fitoterapia 58(3):204-205.

31 SESHADRI TR, VASISHTA K, 1965
Polyphenols of the leaves of Psidium guava-quercetin, guaijaverin, leucocyanidin and amritoside. Phytochemistry 4(6):989-992.

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

33 KAKIUCHI N, HATTORI M, NAMBA T, NISHIZAWA M, YAMAGISHI T, OKUDA T, 1985
Inhibitory effect of tannins on reverse transcriptase from RNA tumor virus. J Nat Prod 48(4):614-621.

34 LOZOYA X, MECKES M, ABOU-AAID M, TORTORIELLO J, NOZZOLILLO C, ARNASON J, 1994
Quercetin glycosides in Psidium guajava L. leaves and determination of a spasmolytic principle. Arch Med Res 25(1):11-15.

35 OKUDA T, HATANO T, YAZAKI K, 1984
Guavin B, an ellagitannin of novel type. Chem Pharm Bull 32(9):3787-3788.

36 LUTTERODT GD, 1989
Inhibition of gastrointestinal release of acetylcholine by quercetin as a possible mode of action of Psidium guajava leaf extracts in the treatment of acute diarrhoeal disease. J Ethnopharmacol 25(3):235-247.

37 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, ASHIDA M, 1982
Tannins and related compounds in Myrtaceae. Ellagitannins of the Casuarinaceae, Stachyuraceae and Myrtaceae. Phytochemistry 21:2871-2874.

38 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, IKEGAMI Y, SHINGU T, 1987
Guavins A, C and D, complex tannins from Psidium guajava. Chem Pharm Bull 35(1):443-446.

39 OSMAN AM, YOUNES ME, SHETA AE, 1974
Triterpenoids of the leaves of Psidium guajava. Phytochemistry 13(9):2015-2016.

40 OSMAN A, EL-GARBY Y, SHETA A, 1975
Chemical examination of local plants part. VII. Psidium guajava leaf extracts. Egypt J Chem 18:347.

41 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p136.

42 ECHEMENDIA C, MORON F, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

43 ECHEMENDIA C, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud (Tesis de Maestría). Universidad Médica de La Habana, Cuba.

44 GUPTA M, ESPOSITO AVELLA M, 1988
Evaluación química y farmacológica de algunas plantas medicinales de TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

45 MORON F, MARTINEZ MC, MORON D, 1999
Disminución del tránsito intestinal en ratones por tintura de guayaba (Psidium guajava L.) oral. Rev Cubana Planta Med 4(2):54-56.

46 PAZOS L, QUIROS S, GONZALEZ S, 2006
Transito intestinal, en ratón, del extracto de la corteza fresca de Psidium guajava. Trabajo TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

47 WEI-WEI ZHANG, YAN LI, XUE-QING WANG, FENG TIAN, HONG CAO, MIN-WEI WANG, QI-SHI SUN, 2005
Effects of magnolol and honokiol derived from traditional Chinese herbal remedies on gastrointestinal movement. World J Gastroenterol 11(28):4414-4418.

48 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, MORON F, 2000
Actividad antimicrobiana in vitro de hoja de Psidium guajava L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

49 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de la corteza del tallo fresco Psidium guajava L.Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

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

51 BIRDI T, DASWANI P, BRIJESH S, TETALI P, NATU A, ANTIA1 N, 2010
Newer insights into the mechanism of action of Psidium guajava L. leaves in infectious diarrhoea. BMC Complementary and Alternative Medicine 10:33 www.biomedcentral.com/1472-6882/10/33

52 MISA C, HERNANDEZ N, ABRAHAM A, 1979
Contribution to the biological evaluation of Cuban plants. I. Rev Cubana Med Trop 31:5-12.

53 CACERES A, JAUREGUI E, HERRERA D, LOGEMANN H, 1991
Plants used in Guatemala for the treatment of dermatomucosal infections. 1: Screening of 38 plant extracts for anticandidal activity. J Ethnopharmacol 33(3):277-283.

54 GNAN SO, DEMELLO MT, 1999
Inhibition of Staphylococcus aureus by aqueous goiaba extracts. J Ethnopharmacology 68(1-3):103-108.

55 LOZOYA X, BECERRIL G, MARTINEZ M, 1990
Intraluminal perfusion model of in vitro guinea pig ileum as a model of study of the antidiarrheic properties of guava (Psidium guajava). Arch Invest Med (Mex) 21:155-162.

56 LUTTERODT G, 1992
Inhibition of microlax-induced experimental diarrhea with narcotic-like extracts of Psidium guajava leaf in rats. J Ethnopharmacol 37(2):151-157.

57 OJEWOLE JA, AWE EO, CHIWORORO WD, 2008
Antidiarrhoeal activity of Psidium guajava Linn. (Myrtaceae) leaf aqueous extract in rodents. J Smooth Muscle Res 44(6):195-207.

58 WEI L, LI Z, CHEN B, 2000
Clinical study on treatment of infantile rotaviral enteritis with Psidium guajava L. Zhongguo Zhong Xi Yi Jie He Za Zhi 20(12):893-895.

59 LOZOYA X, REYES H, CHAVEZ MA, MARTINEZ MC, SOTO Y, DOUBOVA SV, 2002
Intestinal anti-spasmodic effect of a phytodrug of Psidium guajava folia in the treatment of acute diarrheic disease. J Ethnopharmacol 83(1-2):19-24.

60 ABDELRAHIM SI, ALMAGBOUL AZ, OMER ME, ELEGAMI A, 2002
Antimicrobial activity of Psidium guajava L. Fitoterapia 73(7-8):713-715.

61 TONA L, KAMBU K, NGIMBI N, MESIA K, PENGE O, LUSAKIBANZA M, CIMANGA K, DE BRUYNE T, APERS S, TOTTE J, PIETERS L, VLIETINCK AJ, 2000
Antiamoebic and spasmolytic activities of extracts from some antidiarrhoeal traditional preparations used in Kinshasa, Congo. Phytomedicine 7(1):31-38.

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

63 BETANCOURT J, RAMOS A, VIZOSO A, MARTÍNEZ MJ, LOPEZ M, 2000
Ausencia de actividad genotóxica del extracto fluido de Psidium guajava L (guayaba) evaluada en un sistema de ensayo de Aspergillus nidulans. Rev Cubana Planta Med 5(2):38-40.

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

65 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BARCELO H, LAINEZ A, MONTES ME, REGO R, BOUCOURT E, MORON F, 2000
Toxicidad aguda de hoja de Psidium guajava L. en el modelo de clases tóxicas agudas. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

66 LOPEZ M, MOREJON Z, MARTINEZ MJ, BACALLAO Y, FUENTES V, 2009
Toxicidad aguda oral a dosis repetidas de decocción al 50% de hojas frescas de Psidium guajava L. Investigación TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

67 PAZOS L, COTO T, GONZALEZ S, 2006
Toxicidad oral aguda dosis repetida, en ratón, del extracto de la corteza fresca de Psidium guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

68 PAZOS L, COTO T, GONZALEZ S, 2006
Irritabilidad dérmica, piel sana en conejos, de hoja por decocción de Psidum guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

69 PEREZ GUTIERREZ RM, MITCHELL S, VARGAS SOLIS R, 2008
Psidium guajava: A review of its traditional uses, phytochemistry and pharmacology. J Ethnopharmacol 117(1):1-27.

Psidium guajava

(In territories with significant traditional TRAMIL use)

Martinique:

  • goyav
  • gwayav

Guadeloupe:

  • goyav
  • goyav
  • gwayav
  • gwayav

Dominica:

  • goyav
  • gwayav

Haiti:

  • goyav
  • gwayav

Trinidad and Tobago:

  • guava

Grenada:

  • guava

Colombia:

  • guayaba

Guatemala:

  • guayaba

Panama:

  • guayaba

Mexico:

  • guayaba

Dominican Republic:

  • guayaba

Venezuela:

  • guayaba

Honduras:

  • guayabo
Significant uses found by the TRAMIL surveys

leaf, decoction or infusion (sometimes with salt or sugar), orally1-2,6-7,9

Recommendations Preparation and Dosage References

According to published and other information:

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

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

Use for nervous breakdown and diarrhea is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies, scientific validation 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.

Should there be a notable worsening of the patient’s condition, or should diarrhea persist for more than 3 days in adult or 2 days in child, seek medical attention. The use of this resource can be considered complementary to oral rehydration therapy.

Use for rash and juma (dizziness) is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

There is no available information from scientific sources to validate the use of leaf juice together with Allium sativum and Bunchosia glandulosa.

Should there be a notable worsening of the patient’s condition, or should the rash and juma (dizziness) persist for more than 5 days, seek medical attention.

For topical application, strict hygiene measures should be observed in order to avoid contamination or additional infection.

Not for use during pregnancy, lactation, or by children under3 years old.

 

The fruit of Psidium guajavais widely used for human consumption.

For diarrhea and juma (dizziness):

Prepare a decoction or infusion with 5 grams of leaf (1-2 teaspoonfuls) in 250 mL (1 cup) of water.  For decoction boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to 5 grams of leaf and cover pot.  Filter, allow to cool and drink 1 cup 4-5 times a day59.

For nervous breakdown, vomiting, and rash:

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

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

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

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

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

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

7 DELENS M, 1990-92
Encuesta TRAMIL. Centro al Servicio de la Acción Popular CESAP, Caracas, Venezuela.

8 DELAIGUE J, 2005
TRAMIL survey. PRDI, Tobago House of Assembly, Scarborough, Tobago.

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

10 SOLLS PN, ESPINOSA A, DE GRACIA J, MARTINEZ L, GUPTA MP, 2003
Encuesta TRAMIL (Emberá-Wounaann). Centro de Investigaciones Farmacognósticas de la Flora Panameña, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

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

12 BOYER A, BURAUD M, 2007
Enquête TRAMIL à La Désirade. U. Paris XI Chatenay-Malabry, UAG, Guadeloupe.

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

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

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

16 MARTINEZ M, HERNANDEZ O, HERNANDEZ J, SARMIENTO E, 2003
Encuesta TRAMIL Guajiquiro, La Paz. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

17 MARTINEZ M, MEDINA D, SUANSIN G, SARMIENTO E, 2003
Encuesta TRAMIL Las Marías, Gracias a Dios. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

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

19 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, Cuba.

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

21 Solis PN, Olmedo D, Buitrago de Tello RE, Gupta MP, 2000
Estudio fitoquímico y toxicológico de algunas plantas TRAMIL. Informe TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

22 WILSON CW, SHAW PE, 1978
Terpene hydrocarbons from Psidium guajava. Phytochemistry 17:1435-1436.

23 MACLEOD AJ, DE TROCONIS NG, 1982
Volatile flavour components of guava. Phytochemistry 21(6):1339-1342.

24 MISRA K, SESHADRI TR, 1968
Chemical components of the fruits of Psidium guajava. Phytochemistry 7(4):641-645.

25 CHIANG H, LEE S, GUO S, 1986
Active principles of hypoglycemic effect from Psidium guajava. Part II. Asian J Pharm Suppl 6(8):58.

26 VARSHNEY I, BADHWAR G, KHAN A, SHRIVASTAVA A, 1971
Saponins and sapogenins of Sesbania grandiflora seeds, Albizzia lebbek pods and Psidium guajava fruits. Indian J Appl Chem 34(5):214-216.

27 BASSOLS F, DEMOLE EP, 1994
The occurrence of pentane-2-thiol in guava fruit. J Essent Oil Res 6(5):481-483.

28 LOWRY JB, 1968
The distribution and potential taxonomic value of alkylated ellagic acids. Phytochemistry 7(10):1803-1813.

29 DAVIS P, MUNROE K, SELHIME A, 1976
Laboratory Proc Fla State Hort Soc bioassay of volatile naturally occurring compounds against the Caribbean fruit fly. p174.

30 MAIR AGR, PANDIYAN M, VENKASUBRAMANIAN H, 1987
Polyphenolic compounds from flowers of Psidium guajava. Fitoterapia 58(3):204-205.

31 SESHADRI TR, VASISHTA K, 1965
Polyphenols of the leaves of Psidium guava-quercetin, guaijaverin, leucocyanidin and amritoside. Phytochemistry 4(6):989-992.

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

33 KAKIUCHI N, HATTORI M, NAMBA T, NISHIZAWA M, YAMAGISHI T, OKUDA T, 1985
Inhibitory effect of tannins on reverse transcriptase from RNA tumor virus. J Nat Prod 48(4):614-621.

34 LOZOYA X, MECKES M, ABOU-AAID M, TORTORIELLO J, NOZZOLILLO C, ARNASON J, 1994
Quercetin glycosides in Psidium guajava L. leaves and determination of a spasmolytic principle. Arch Med Res 25(1):11-15.

35 OKUDA T, HATANO T, YAZAKI K, 1984
Guavin B, an ellagitannin of novel type. Chem Pharm Bull 32(9):3787-3788.

36 LUTTERODT GD, 1989
Inhibition of gastrointestinal release of acetylcholine by quercetin as a possible mode of action of Psidium guajava leaf extracts in the treatment of acute diarrhoeal disease. J Ethnopharmacol 25(3):235-247.

37 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, ASHIDA M, 1982
Tannins and related compounds in Myrtaceae. Ellagitannins of the Casuarinaceae, Stachyuraceae and Myrtaceae. Phytochemistry 21:2871-2874.

38 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, IKEGAMI Y, SHINGU T, 1987
Guavins A, C and D, complex tannins from Psidium guajava. Chem Pharm Bull 35(1):443-446.

39 OSMAN AM, YOUNES ME, SHETA AE, 1974
Triterpenoids of the leaves of Psidium guajava. Phytochemistry 13(9):2015-2016.

40 OSMAN A, EL-GARBY Y, SHETA A, 1975
Chemical examination of local plants part. VII. Psidium guajava leaf extracts. Egypt J Chem 18:347.

41 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p136.

42 ECHEMENDIA C, MORON F, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

43 ECHEMENDIA C, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud (Tesis de Maestría). Universidad Médica de La Habana, Cuba.

44 GUPTA M, ESPOSITO AVELLA M, 1988
Evaluación química y farmacológica de algunas plantas medicinales de TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

45 MORON F, MARTINEZ MC, MORON D, 1999
Disminución del tránsito intestinal en ratones por tintura de guayaba (Psidium guajava L.) oral. Rev Cubana Planta Med 4(2):54-56.

46 PAZOS L, QUIROS S, GONZALEZ S, 2006
Transito intestinal, en ratón, del extracto de la corteza fresca de Psidium guajava. Trabajo TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

47 WEI-WEI ZHANG, YAN LI, XUE-QING WANG, FENG TIAN, HONG CAO, MIN-WEI WANG, QI-SHI SUN, 2005
Effects of magnolol and honokiol derived from traditional Chinese herbal remedies on gastrointestinal movement. World J Gastroenterol 11(28):4414-4418.

48 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, MORON F, 2000
Actividad antimicrobiana in vitro de hoja de Psidium guajava L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

49 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de la corteza del tallo fresco Psidium guajava L.Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

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

51 BIRDI T, DASWANI P, BRIJESH S, TETALI P, NATU A, ANTIA1 N, 2010
Newer insights into the mechanism of action of Psidium guajava L. leaves in infectious diarrhoea. BMC Complementary and Alternative Medicine 10:33 www.biomedcentral.com/1472-6882/10/33

52 MISA C, HERNANDEZ N, ABRAHAM A, 1979
Contribution to the biological evaluation of Cuban plants. I. Rev Cubana Med Trop 31:5-12.

53 CACERES A, JAUREGUI E, HERRERA D, LOGEMANN H, 1991
Plants used in Guatemala for the treatment of dermatomucosal infections. 1: Screening of 38 plant extracts for anticandidal activity. J Ethnopharmacol 33(3):277-283.

54 GNAN SO, DEMELLO MT, 1999
Inhibition of Staphylococcus aureus by aqueous goiaba extracts. J Ethnopharmacology 68(1-3):103-108.

55 LOZOYA X, BECERRIL G, MARTINEZ M, 1990
Intraluminal perfusion model of in vitro guinea pig ileum as a model of study of the antidiarrheic properties of guava (Psidium guajava). Arch Invest Med (Mex) 21:155-162.

56 LUTTERODT G, 1992
Inhibition of microlax-induced experimental diarrhea with narcotic-like extracts of Psidium guajava leaf in rats. J Ethnopharmacol 37(2):151-157.

57 OJEWOLE JA, AWE EO, CHIWORORO WD, 2008
Antidiarrhoeal activity of Psidium guajava Linn. (Myrtaceae) leaf aqueous extract in rodents. J Smooth Muscle Res 44(6):195-207.

58 WEI L, LI Z, CHEN B, 2000
Clinical study on treatment of infantile rotaviral enteritis with Psidium guajava L. Zhongguo Zhong Xi Yi Jie He Za Zhi 20(12):893-895.

59 LOZOYA X, REYES H, CHAVEZ MA, MARTINEZ MC, SOTO Y, DOUBOVA SV, 2002
Intestinal anti-spasmodic effect of a phytodrug of Psidium guajava folia in the treatment of acute diarrheic disease. J Ethnopharmacol 83(1-2):19-24.

60 ABDELRAHIM SI, ALMAGBOUL AZ, OMER ME, ELEGAMI A, 2002
Antimicrobial activity of Psidium guajava L. Fitoterapia 73(7-8):713-715.

61 TONA L, KAMBU K, NGIMBI N, MESIA K, PENGE O, LUSAKIBANZA M, CIMANGA K, DE BRUYNE T, APERS S, TOTTE J, PIETERS L, VLIETINCK AJ, 2000
Antiamoebic and spasmolytic activities of extracts from some antidiarrhoeal traditional preparations used in Kinshasa, Congo. Phytomedicine 7(1):31-38.

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

63 BETANCOURT J, RAMOS A, VIZOSO A, MARTÍNEZ MJ, LOPEZ M, 2000
Ausencia de actividad genotóxica del extracto fluido de Psidium guajava L (guayaba) evaluada en un sistema de ensayo de Aspergillus nidulans. Rev Cubana Planta Med 5(2):38-40.

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

65 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BARCELO H, LAINEZ A, MONTES ME, REGO R, BOUCOURT E, MORON F, 2000
Toxicidad aguda de hoja de Psidium guajava L. en el modelo de clases tóxicas agudas. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

66 LOPEZ M, MOREJON Z, MARTINEZ MJ, BACALLAO Y, FUENTES V, 2009
Toxicidad aguda oral a dosis repetidas de decocción al 50% de hojas frescas de Psidium guajava L. Investigación TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

67 PAZOS L, COTO T, GONZALEZ S, 2006
Toxicidad oral aguda dosis repetida, en ratón, del extracto de la corteza fresca de Psidium guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

68 PAZOS L, COTO T, GONZALEZ S, 2006
Irritabilidad dérmica, piel sana en conejos, de hoja por decocción de Psidum guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

69 PEREZ GUTIERREZ RM, MITCHELL S, VARGAS SOLIS R, 2008
Psidium guajava: A review of its traditional uses, phytochemistry and pharmacology. J Ethnopharmacol 117(1):1-27.

Psidium guajava

(In territories with significant traditional TRAMIL use)

Martinique:

  • goyav
  • gwayav

Guadeloupe:

  • goyav
  • goyav
  • gwayav
  • gwayav

Dominica:

  • goyav
  • gwayav

Haiti:

  • goyav
  • gwayav

Trinidad and Tobago:

  • guava

Grenada:

  • guava

Colombia:

  • guayaba

Guatemala:

  • guayaba

Panama:

  • guayaba

Mexico:

  • guayaba

Dominican Republic:

  • guayaba

Venezuela:

  • guayaba

Honduras:

  • guayabo
Significant uses found by the TRAMIL surveys

flower buds and leaf shoots, infusion, orally4,12,60,71-72

Recommendations Preparation and Dosage References

According to published and other information:

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

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

Use for nervous breakdown and diarrhea is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies, scientific validation 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.

Should there be a notable worsening of the patient’s condition, or should diarrhea persist for more than 3 days in adult or 2 days in child, seek medical attention. The use of this resource can be considered complementary to oral rehydration therapy.

Use for rash and juma (dizziness) is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

There is no available information from scientific sources to validate the use of leaf juice together with Allium sativum and Bunchosia glandulosa.

Should there be a notable worsening of the patient’s condition, or should the rash and juma (dizziness) persist for more than 5 days, seek medical attention.

For topical application, strict hygiene measures should be observed in order to avoid contamination or additional infection.

Not for use during pregnancy, lactation, or by children under3 years old.

 

The fruit of Psidium guajavais widely used for human consumption.

For diarrhea and juma (dizziness):

Prepare a decoction or infusion with 5 grams of leaf (1-2 teaspoonfuls) in 250 mL (1 cup) of water.  For decoction boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to 5 grams of leaf and cover pot.  Filter, allow to cool and drink 1 cup 4-5 times a day59.

For nervous breakdown, vomiting, and rash:

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

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

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

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

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

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

7 DELENS M, 1990-92
Encuesta TRAMIL. Centro al Servicio de la Acción Popular CESAP, Caracas, Venezuela.

8 DELAIGUE J, 2005
TRAMIL survey. PRDI, Tobago House of Assembly, Scarborough, Tobago.

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

10 SOLLS PN, ESPINOSA A, DE GRACIA J, MARTINEZ L, GUPTA MP, 2003
Encuesta TRAMIL (Emberá-Wounaann). Centro de Investigaciones Farmacognósticas de la Flora Panameña, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

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

12 BOYER A, BURAUD M, 2007
Enquête TRAMIL à La Désirade. U. Paris XI Chatenay-Malabry, UAG, Guadeloupe.

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

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

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

16 MARTINEZ M, HERNANDEZ O, HERNANDEZ J, SARMIENTO E, 2003
Encuesta TRAMIL Guajiquiro, La Paz. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

17 MARTINEZ M, MEDINA D, SUANSIN G, SARMIENTO E, 2003
Encuesta TRAMIL Las Marías, Gracias a Dios. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

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

19 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, Cuba.

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

21 Solis PN, Olmedo D, Buitrago de Tello RE, Gupta MP, 2000
Estudio fitoquímico y toxicológico de algunas plantas TRAMIL. Informe TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

22 WILSON CW, SHAW PE, 1978
Terpene hydrocarbons from Psidium guajava. Phytochemistry 17:1435-1436.

23 MACLEOD AJ, DE TROCONIS NG, 1982
Volatile flavour components of guava. Phytochemistry 21(6):1339-1342.

24 MISRA K, SESHADRI TR, 1968
Chemical components of the fruits of Psidium guajava. Phytochemistry 7(4):641-645.

25 CHIANG H, LEE S, GUO S, 1986
Active principles of hypoglycemic effect from Psidium guajava. Part II. Asian J Pharm Suppl 6(8):58.

26 VARSHNEY I, BADHWAR G, KHAN A, SHRIVASTAVA A, 1971
Saponins and sapogenins of Sesbania grandiflora seeds, Albizzia lebbek pods and Psidium guajava fruits. Indian J Appl Chem 34(5):214-216.

27 BASSOLS F, DEMOLE EP, 1994
The occurrence of pentane-2-thiol in guava fruit. J Essent Oil Res 6(5):481-483.

28 LOWRY JB, 1968
The distribution and potential taxonomic value of alkylated ellagic acids. Phytochemistry 7(10):1803-1813.

29 DAVIS P, MUNROE K, SELHIME A, 1976
Laboratory Proc Fla State Hort Soc bioassay of volatile naturally occurring compounds against the Caribbean fruit fly. p174.

30 MAIR AGR, PANDIYAN M, VENKASUBRAMANIAN H, 1987
Polyphenolic compounds from flowers of Psidium guajava. Fitoterapia 58(3):204-205.

31 SESHADRI TR, VASISHTA K, 1965
Polyphenols of the leaves of Psidium guava-quercetin, guaijaverin, leucocyanidin and amritoside. Phytochemistry 4(6):989-992.

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

33 KAKIUCHI N, HATTORI M, NAMBA T, NISHIZAWA M, YAMAGISHI T, OKUDA T, 1985
Inhibitory effect of tannins on reverse transcriptase from RNA tumor virus. J Nat Prod 48(4):614-621.

34 LOZOYA X, MECKES M, ABOU-AAID M, TORTORIELLO J, NOZZOLILLO C, ARNASON J, 1994
Quercetin glycosides in Psidium guajava L. leaves and determination of a spasmolytic principle. Arch Med Res 25(1):11-15.

35 OKUDA T, HATANO T, YAZAKI K, 1984
Guavin B, an ellagitannin of novel type. Chem Pharm Bull 32(9):3787-3788.

36 LUTTERODT GD, 1989
Inhibition of gastrointestinal release of acetylcholine by quercetin as a possible mode of action of Psidium guajava leaf extracts in the treatment of acute diarrhoeal disease. J Ethnopharmacol 25(3):235-247.

37 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, ASHIDA M, 1982
Tannins and related compounds in Myrtaceae. Ellagitannins of the Casuarinaceae, Stachyuraceae and Myrtaceae. Phytochemistry 21:2871-2874.

38 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, IKEGAMI Y, SHINGU T, 1987
Guavins A, C and D, complex tannins from Psidium guajava. Chem Pharm Bull 35(1):443-446.

39 OSMAN AM, YOUNES ME, SHETA AE, 1974
Triterpenoids of the leaves of Psidium guajava. Phytochemistry 13(9):2015-2016.

40 OSMAN A, EL-GARBY Y, SHETA A, 1975
Chemical examination of local plants part. VII. Psidium guajava leaf extracts. Egypt J Chem 18:347.

41 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p136.

42 ECHEMENDIA C, MORON F, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

43 ECHEMENDIA C, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud (Tesis de Maestría). Universidad Médica de La Habana, Cuba.

44 GUPTA M, ESPOSITO AVELLA M, 1988
Evaluación química y farmacológica de algunas plantas medicinales de TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

45 MORON F, MARTINEZ MC, MORON D, 1999
Disminución del tránsito intestinal en ratones por tintura de guayaba (Psidium guajava L.) oral. Rev Cubana Planta Med 4(2):54-56.

46 PAZOS L, QUIROS S, GONZALEZ S, 2006
Transito intestinal, en ratón, del extracto de la corteza fresca de Psidium guajava. Trabajo TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

47 WEI-WEI ZHANG, YAN LI, XUE-QING WANG, FENG TIAN, HONG CAO, MIN-WEI WANG, QI-SHI SUN, 2005
Effects of magnolol and honokiol derived from traditional Chinese herbal remedies on gastrointestinal movement. World J Gastroenterol 11(28):4414-4418.

48 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, MORON F, 2000
Actividad antimicrobiana in vitro de hoja de Psidium guajava L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

49 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de la corteza del tallo fresco Psidium guajava L.Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

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

51 BIRDI T, DASWANI P, BRIJESH S, TETALI P, NATU A, ANTIA1 N, 2010
Newer insights into the mechanism of action of Psidium guajava L. leaves in infectious diarrhoea. BMC Complementary and Alternative Medicine 10:33 www.biomedcentral.com/1472-6882/10/33

52 MISA C, HERNANDEZ N, ABRAHAM A, 1979
Contribution to the biological evaluation of Cuban plants. I. Rev Cubana Med Trop 31:5-12.

53 CACERES A, JAUREGUI E, HERRERA D, LOGEMANN H, 1991
Plants used in Guatemala for the treatment of dermatomucosal infections. 1: Screening of 38 plant extracts for anticandidal activity. J Ethnopharmacol 33(3):277-283.

54 GNAN SO, DEMELLO MT, 1999
Inhibition of Staphylococcus aureus by aqueous goiaba extracts. J Ethnopharmacology 68(1-3):103-108.

55 LOZOYA X, BECERRIL G, MARTINEZ M, 1990
Intraluminal perfusion model of in vitro guinea pig ileum as a model of study of the antidiarrheic properties of guava (Psidium guajava). Arch Invest Med (Mex) 21:155-162.

56 LUTTERODT G, 1992
Inhibition of microlax-induced experimental diarrhea with narcotic-like extracts of Psidium guajava leaf in rats. J Ethnopharmacol 37(2):151-157.

57 OJEWOLE JA, AWE EO, CHIWORORO WD, 2008
Antidiarrhoeal activity of Psidium guajava Linn. (Myrtaceae) leaf aqueous extract in rodents. J Smooth Muscle Res 44(6):195-207.

58 WEI L, LI Z, CHEN B, 2000
Clinical study on treatment of infantile rotaviral enteritis with Psidium guajava L. Zhongguo Zhong Xi Yi Jie He Za Zhi 20(12):893-895.

59 LOZOYA X, REYES H, CHAVEZ MA, MARTINEZ MC, SOTO Y, DOUBOVA SV, 2002
Intestinal anti-spasmodic effect of a phytodrug of Psidium guajava folia in the treatment of acute diarrheic disease. J Ethnopharmacol 83(1-2):19-24.

60 ABDELRAHIM SI, ALMAGBOUL AZ, OMER ME, ELEGAMI A, 2002
Antimicrobial activity of Psidium guajava L. Fitoterapia 73(7-8):713-715.

61 TONA L, KAMBU K, NGIMBI N, MESIA K, PENGE O, LUSAKIBANZA M, CIMANGA K, DE BRUYNE T, APERS S, TOTTE J, PIETERS L, VLIETINCK AJ, 2000
Antiamoebic and spasmolytic activities of extracts from some antidiarrhoeal traditional preparations used in Kinshasa, Congo. Phytomedicine 7(1):31-38.

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

63 BETANCOURT J, RAMOS A, VIZOSO A, MARTÍNEZ MJ, LOPEZ M, 2000
Ausencia de actividad genotóxica del extracto fluido de Psidium guajava L (guayaba) evaluada en un sistema de ensayo de Aspergillus nidulans. Rev Cubana Planta Med 5(2):38-40.

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

65 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BARCELO H, LAINEZ A, MONTES ME, REGO R, BOUCOURT E, MORON F, 2000
Toxicidad aguda de hoja de Psidium guajava L. en el modelo de clases tóxicas agudas. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

66 LOPEZ M, MOREJON Z, MARTINEZ MJ, BACALLAO Y, FUENTES V, 2009
Toxicidad aguda oral a dosis repetidas de decocción al 50% de hojas frescas de Psidium guajava L. Investigación TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

67 PAZOS L, COTO T, GONZALEZ S, 2006
Toxicidad oral aguda dosis repetida, en ratón, del extracto de la corteza fresca de Psidium guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

68 PAZOS L, COTO T, GONZALEZ S, 2006
Irritabilidad dérmica, piel sana en conejos, de hoja por decocción de Psidum guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

69 PEREZ GUTIERREZ RM, MITCHELL S, VARGAS SOLIS R, 2008
Psidium guajava: A review of its traditional uses, phytochemistry and pharmacology. J Ethnopharmacol 117(1):1-27.

Psidium guajava

(In territories with significant traditional TRAMIL use)

Martinique:

  • goyav
  • gwayav

Guadeloupe:

  • goyav
  • goyav
  • gwayav
  • gwayav

Dominica:

  • goyav
  • gwayav

Haiti:

  • goyav
  • gwayav

Trinidad and Tobago:

  • guava

Grenada:

  • guava

Colombia:

  • guayaba

Guatemala:

  • guayaba

Panama:

  • guayaba

Mexico:

  • guayaba

Dominican Republic:

  • guayaba

Venezuela:

  • guayaba

Honduras:

  • guayabo
Significant uses found by the TRAMIL surveys

flower and apical bud, decoction or infusion, orally5,8,10

Recommendations Preparation and Dosage References

According to published and other information:

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

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

Use for nervous breakdown and diarrhea is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies, scientific validation 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.

Should there be a notable worsening of the patient’s condition, or should diarrhea persist for more than 3 days in adult or 2 days in child, seek medical attention. The use of this resource can be considered complementary to oral rehydration therapy.

Use for rash and juma (dizziness) is classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys.

There is no available information from scientific sources to validate the use of leaf juice together with Allium sativum and Bunchosia glandulosa.

Should there be a notable worsening of the patient’s condition, or should the rash and juma (dizziness) persist for more than 5 days, seek medical attention.

For topical application, strict hygiene measures should be observed in order to avoid contamination or additional infection.

Not for use during pregnancy, lactation, or by children under3 years old.

 

The fruit of Psidium guajavais widely used for human consumption.

For diarrhea and juma (dizziness):

Prepare a decoction or infusion with 5 grams of leaf (1-2 teaspoonfuls) in 250 mL (1 cup) of water.  For decoction boil for at least 10 minutes in a covered pot.  For infusion, add boiling water to 5 grams of leaf and cover pot.  Filter, allow to cool and drink 1 cup 4-5 times a day59.

For nervous breakdown, vomiting, and rash:

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

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

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

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

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

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

7 DELENS M, 1990-92
Encuesta TRAMIL. Centro al Servicio de la Acción Popular CESAP, Caracas, Venezuela.

8 DELAIGUE J, 2005
TRAMIL survey. PRDI, Tobago House of Assembly, Scarborough, Tobago.

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

10 SOLLS PN, ESPINOSA A, DE GRACIA J, MARTINEZ L, GUPTA MP, 2003
Encuesta TRAMIL (Emberá-Wounaann). Centro de Investigaciones Farmacognósticas de la Flora Panameña, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

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

12 BOYER A, BURAUD M, 2007
Enquête TRAMIL à La Désirade. U. Paris XI Chatenay-Malabry, UAG, Guadeloupe.

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

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

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

16 MARTINEZ M, HERNANDEZ O, HERNANDEZ J, SARMIENTO E, 2003
Encuesta TRAMIL Guajiquiro, La Paz. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

17 MARTINEZ M, MEDINA D, SUANSIN G, SARMIENTO E, 2003
Encuesta TRAMIL Las Marías, Gracias a Dios. Laboratorio de Histolología Vegetal y Etnobotánica, Dep. de Biología, Universidad Nacional Autónoma de Honduras UNAH, Tegucigalpa, Honduras.

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

19 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, Cuba.

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

21 Solis PN, Olmedo D, Buitrago de Tello RE, Gupta MP, 2000
Estudio fitoquímico y toxicológico de algunas plantas TRAMIL. Informe TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

22 WILSON CW, SHAW PE, 1978
Terpene hydrocarbons from Psidium guajava. Phytochemistry 17:1435-1436.

23 MACLEOD AJ, DE TROCONIS NG, 1982
Volatile flavour components of guava. Phytochemistry 21(6):1339-1342.

24 MISRA K, SESHADRI TR, 1968
Chemical components of the fruits of Psidium guajava. Phytochemistry 7(4):641-645.

25 CHIANG H, LEE S, GUO S, 1986
Active principles of hypoglycemic effect from Psidium guajava. Part II. Asian J Pharm Suppl 6(8):58.

26 VARSHNEY I, BADHWAR G, KHAN A, SHRIVASTAVA A, 1971
Saponins and sapogenins of Sesbania grandiflora seeds, Albizzia lebbek pods and Psidium guajava fruits. Indian J Appl Chem 34(5):214-216.

27 BASSOLS F, DEMOLE EP, 1994
The occurrence of pentane-2-thiol in guava fruit. J Essent Oil Res 6(5):481-483.

28 LOWRY JB, 1968
The distribution and potential taxonomic value of alkylated ellagic acids. Phytochemistry 7(10):1803-1813.

29 DAVIS P, MUNROE K, SELHIME A, 1976
Laboratory Proc Fla State Hort Soc bioassay of volatile naturally occurring compounds against the Caribbean fruit fly. p174.

30 MAIR AGR, PANDIYAN M, VENKASUBRAMANIAN H, 1987
Polyphenolic compounds from flowers of Psidium guajava. Fitoterapia 58(3):204-205.

31 SESHADRI TR, VASISHTA K, 1965
Polyphenols of the leaves of Psidium guava-quercetin, guaijaverin, leucocyanidin and amritoside. Phytochemistry 4(6):989-992.

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

33 KAKIUCHI N, HATTORI M, NAMBA T, NISHIZAWA M, YAMAGISHI T, OKUDA T, 1985
Inhibitory effect of tannins on reverse transcriptase from RNA tumor virus. J Nat Prod 48(4):614-621.

34 LOZOYA X, MECKES M, ABOU-AAID M, TORTORIELLO J, NOZZOLILLO C, ARNASON J, 1994
Quercetin glycosides in Psidium guajava L. leaves and determination of a spasmolytic principle. Arch Med Res 25(1):11-15.

35 OKUDA T, HATANO T, YAZAKI K, 1984
Guavin B, an ellagitannin of novel type. Chem Pharm Bull 32(9):3787-3788.

36 LUTTERODT GD, 1989
Inhibition of gastrointestinal release of acetylcholine by quercetin as a possible mode of action of Psidium guajava leaf extracts in the treatment of acute diarrhoeal disease. J Ethnopharmacol 25(3):235-247.

37 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, ASHIDA M, 1982
Tannins and related compounds in Myrtaceae. Ellagitannins of the Casuarinaceae, Stachyuraceae and Myrtaceae. Phytochemistry 21:2871-2874.

38 OKUDA T, YOSHIDA T, HATANO T, YAZAKI K, IKEGAMI Y, SHINGU T, 1987
Guavins A, C and D, complex tannins from Psidium guajava. Chem Pharm Bull 35(1):443-446.

39 OSMAN AM, YOUNES ME, SHETA AE, 1974
Triterpenoids of the leaves of Psidium guajava. Phytochemistry 13(9):2015-2016.

40 OSMAN A, EL-GARBY Y, SHETA A, 1975
Chemical examination of local plants part. VII. Psidium guajava leaf extracts. Egypt J Chem 18:347.

41 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p136.

42 ECHEMENDIA C, MORON F, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

43 ECHEMENDIA C, 1997
Efecto antidiarreico de la tintura al 20% de hojas de Psidium guajava (guayaba), en pacientes con diarrea aguda simple en atención primaria de salud (Tesis de Maestría). Universidad Médica de La Habana, Cuba.

44 GUPTA M, ESPOSITO AVELLA M, 1988
Evaluación química y farmacológica de algunas plantas medicinales de TRAMIL. Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

45 MORON F, MARTINEZ MC, MORON D, 1999
Disminución del tránsito intestinal en ratones por tintura de guayaba (Psidium guajava L.) oral. Rev Cubana Planta Med 4(2):54-56.

46 PAZOS L, QUIROS S, GONZALEZ S, 2006
Transito intestinal, en ratón, del extracto de la corteza fresca de Psidium guajava. Trabajo TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

47 WEI-WEI ZHANG, YAN LI, XUE-QING WANG, FENG TIAN, HONG CAO, MIN-WEI WANG, QI-SHI SUN, 2005
Effects of magnolol and honokiol derived from traditional Chinese herbal remedies on gastrointestinal movement. World J Gastroenterol 11(28):4414-4418.

48 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, MORON F, 2000
Actividad antimicrobiana in vitro de hoja de Psidium guajava L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

49 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de la corteza del tallo fresco Psidium guajava L.Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

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

51 BIRDI T, DASWANI P, BRIJESH S, TETALI P, NATU A, ANTIA1 N, 2010
Newer insights into the mechanism of action of Psidium guajava L. leaves in infectious diarrhoea. BMC Complementary and Alternative Medicine 10:33 www.biomedcentral.com/1472-6882/10/33

52 MISA C, HERNANDEZ N, ABRAHAM A, 1979
Contribution to the biological evaluation of Cuban plants. I. Rev Cubana Med Trop 31:5-12.

53 CACERES A, JAUREGUI E, HERRERA D, LOGEMANN H, 1991
Plants used in Guatemala for the treatment of dermatomucosal infections. 1: Screening of 38 plant extracts for anticandidal activity. J Ethnopharmacol 33(3):277-283.

54 GNAN SO, DEMELLO MT, 1999
Inhibition of Staphylococcus aureus by aqueous goiaba extracts. J Ethnopharmacology 68(1-3):103-108.

55 LOZOYA X, BECERRIL G, MARTINEZ M, 1990
Intraluminal perfusion model of in vitro guinea pig ileum as a model of study of the antidiarrheic properties of guava (Psidium guajava). Arch Invest Med (Mex) 21:155-162.

56 LUTTERODT G, 1992
Inhibition of microlax-induced experimental diarrhea with narcotic-like extracts of Psidium guajava leaf in rats. J Ethnopharmacol 37(2):151-157.

57 OJEWOLE JA, AWE EO, CHIWORORO WD, 2008
Antidiarrhoeal activity of Psidium guajava Linn. (Myrtaceae) leaf aqueous extract in rodents. J Smooth Muscle Res 44(6):195-207.

58 WEI L, LI Z, CHEN B, 2000
Clinical study on treatment of infantile rotaviral enteritis with Psidium guajava L. Zhongguo Zhong Xi Yi Jie He Za Zhi 20(12):893-895.

59 LOZOYA X, REYES H, CHAVEZ MA, MARTINEZ MC, SOTO Y, DOUBOVA SV, 2002
Intestinal anti-spasmodic effect of a phytodrug of Psidium guajava folia in the treatment of acute diarrheic disease. J Ethnopharmacol 83(1-2):19-24.

60 ABDELRAHIM SI, ALMAGBOUL AZ, OMER ME, ELEGAMI A, 2002
Antimicrobial activity of Psidium guajava L. Fitoterapia 73(7-8):713-715.

61 TONA L, KAMBU K, NGIMBI N, MESIA K, PENGE O, LUSAKIBANZA M, CIMANGA K, DE BRUYNE T, APERS S, TOTTE J, PIETERS L, VLIETINCK AJ, 2000
Antiamoebic and spasmolytic activities of extracts from some antidiarrhoeal traditional preparations used in Kinshasa, Congo. Phytomedicine 7(1):31-38.

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

63 BETANCOURT J, RAMOS A, VIZOSO A, MARTÍNEZ MJ, LOPEZ M, 2000
Ausencia de actividad genotóxica del extracto fluido de Psidium guajava L (guayaba) evaluada en un sistema de ensayo de Aspergillus nidulans. Rev Cubana Planta Med 5(2):38-40.

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

65 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BARCELO H, LAINEZ A, MONTES ME, REGO R, BOUCOURT E, MORON F, 2000
Toxicidad aguda de hoja de Psidium guajava L. en el modelo de clases tóxicas agudas. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

66 LOPEZ M, MOREJON Z, MARTINEZ MJ, BACALLAO Y, FUENTES V, 2009
Toxicidad aguda oral a dosis repetidas de decocción al 50% de hojas frescas de Psidium guajava L. Investigación TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

67 PAZOS L, COTO T, GONZALEZ S, 2006
Toxicidad oral aguda dosis repetida, en ratón, del extracto de la corteza fresca de Psidium guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

68 PAZOS L, COTO T, GONZALEZ S, 2006
Irritabilidad dérmica, piel sana en conejos, de hoja por decocción de Psidum guajava. Informe TRAMIL. Laboratorio de Ensayos Biológicos, LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

69 PEREZ GUTIERREZ RM, MITCHELL S, VARGAS SOLIS R, 2008
Psidium guajava: A review of its traditional uses, phytochemistry and pharmacology. J Ethnopharmacol 117(1):1-27.

Zingiber officinale

(In territories with significant traditional TRAMIL use)

Saint Lucia:

  • ginger

Antigua and Barbuda:

  • ginger

Barbados:

  • ginger

Dominica:

  • ginger

Puerto Rico:

  • ginger
  • jengibre

St Vincent and Grenadines:

  • ginger

Guatemala:

  • jengibre

Honduras:

  • jengibre

Venezuela:

  • jengibre

Costa Rica:

  • jengibre
Significant uses found by the TRAMIL surveys

rhizome, decoction, orally6

Recommendations Preparation and Dosage References

According to published and other information:

Uses for catarrh, flu, cold, fever, vomiting, diarrhea, stomach pain, flatulence and indigestion are classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies and available published scientific information.

Uses for asthma, cough and whooping cough are classified as REC, based on the significant traditional use (OMS/WHO)13 documented in the TRAMIL surveys.

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

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

Not for use during lactation or by children under 6 years old14.

Ginger may increase bioavailability of sulfaguanidine by maximizing its absorption.

Patients who are receiving oral anticoagulants or anti-platelet aggregation treatments should seek the advice of their physician before taking any ginger preparations, due to increased risks of hemorrhage.

It is recommended that patients with gallstones seek the advice of their physician before taking any ginger preparations15.

The rhizome of Zingiber officinale is widely used for human consumption and is an industrial source of essential oil.

According to ESCOP, ginger rhizome has been prescribed for the prevention of nausea and vomiting resulting from motion sickness (sea sickness) and as a post-surgical anti-emetic in minor surgeries.  The effectiveness of both indications has been confirmed by clinical assays.  The indications approved by Commission E are: dyspepsia and prevention of the gastrointestinal symptoms of motion sickness68.

For asthma, catarrh, flu, cold, stomach pain, fever, indigestion, cough, whooping cough, vomiting and flatulence:

Prepare a decoction with 5 grams of fresh rhizome in 250 mL (1 cup) of water. Boil for at least 10 minutes in a covered pot, leave to cool down and drink 2 to 4 times a day.

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

1 DELENS M, 1990
Encuesta TRAMIL en Barlovento, Edo. Miranda de Venezuela. Centro al Servicio de la Acción Popular CESAP, Caracas, Venezuela.

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

3 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.

4 DELENS M, 1992
Encuesta TRAMIL en los Estados Lara y Sucre de Venezuela. Centro al Servicio de la Acción Popular CESAP, Caracas, Venezuela.

5 OCAMPO R, 1988
Encuesta TRAMIL (Costa atlántica), Instituto de Desarrollo Agrario, Universidad de Costa Rica, San José, Costa Rica.

6 O'REILLY A, WILSON V, PHILLIP M, JOSEPH O, 1992
TRAMIL survey. Chemistry and Food Technology Division, Ministry of Agriculture, Dunbars, Antigua and Barbuda.

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

8 PICKING D, MITCHELL S, DELGODA R, YOUNGER N, 2011
TRAMIL survey. Natural Products Institute, The Biotechnology Centre & Tropical Metabolic Research Institute, University of the West Indies, Mona, Jamaica.

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

10 JEAN-PIERRE L, 1988
TRAMIL survey. St. Lucia national herbarium, Castries, St. Lucia.

11 FAUJOUR A, MURREY D, CHELTENHAM B, CARRINGTON S, 2003
TRAMIL survey. enda-caribbean, IICA & UAG, Saint Thomas, Barbados.

12 BALLAND V, GLASGOW A, SPRINGER F, GAYMES G, 2004
TRAMIL survey. enda-caribbean, IICA, UAG & U.PARIS XI, Saint Vincent.

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

14 QUILEZ AM, GARCIA D, SAENZ T, 2009
Uso racional de medicamentos a base de plantas. Guía de interacciones entre fitomedicamentos y fármacos de síntesis. Sevilla, España: 1a Edición Fundación Farmacéutica Avenzoar.

15 CANIGUERAL S, 2003
Zingiber officinalis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul. 30, 2003. URL: www.masson.es/book/fitoterapia.html

16 WHO, 1999
Rhizoma zingiberis. WHO monographs on selected medicinal plants, Volume I. WHO: Geneva, Switzerland. p284.

17 TANABE M, YASUDA M, ADACHI Y, KANOY, 1991
Capillary GC-MS analysis of volatile components in Japanese gingers. Shoyakugaku Zasshi 45(4):321-326.

18 NISHIMURA O, 1995
Identification of the characteristic odorants in fresh rhizomes of ginger (Zingiber oficinale Roscoe) using aroma extract dilution analysis and modified multidimensional gas chromatography-mass spectroscopy. J Agric Food Chem 43(11):2941-2945.

19 SAKAMURA F, OGIHARA K, SUGA T, TANIGUCHI K, TANAKA R, 1986
Volatile constituents of Zingiber officinale rhizomes produced by in vitro shoot tip culture. Phytochemistry 25(6):1333-1335.

20 WU P, KUO MC, HO CT, 1990
Glycosidically bound aroma compounds in ginger (Zingiber officinale Roscoe). J Agric Food Chem 38(7):1553-1555.

21 HAGINIWA J, HARADA M, MORISHITA I, 1963
Pharmacological studies on crude drugs. VII. Properties of essential oil components of aromatics and their pharmacological effect on mouse intestine. Yakugaku Zasshi 83:624.

22 VAN BEEK TA, LELYVELD GP, 1991
Isolation and identification of the five major sesquiterpene hydrocarbons of ginger. Phytochem Anal 2(1):26-34.

23 SHIBA M, MYATA A, OKADA M, WATANABE K, 1986
Antiulcer furanogermenone extraction from ginger. Patent-Japan Kokai Tokkyo Koho-61 227,523.

24 YOSHIKAWA M, HATAKEYAMA S, CHATANI N, NISHINO Y, YAMAHARA J, 1993
Qualitative and quantitative analysis of bioactive principles in Zingiberis Rhizoma by means of high performance liquid chromatography and gas liquid chromatography. On the evaluation of Zingiberis Rhizoma and chemical change of constituents during Zingiberis Rhizoma processing. Yakugaku Zasshi 113(4):307-315.

25 TANABE M, CHEN YD, SAITO KI, KANO Y, 1993
Cholesterol biosynthesis inhibitory component from Zingiber officinale Roscoe. Chem Pharm Bull 41(4):710-713.

26 KANO Y, TANABE M, YASUDA M, 1990
On the evaluation of the preparation of Chinese medicinal prescriptions (V) diterpenes from Japanese ginger "kintoki". Shoyakugaku Zasshi 44(1):55-57.

27 KAWAKISHI S, MORIMITSU Y, OSAWA T, 1994
Chemistry of ginger components and inhibitory factors of the arachidonic acid cascade. Asc Symp Ser 547:244-250.

28 KIKUZAKI H, NAKATANI N, 1993
Antioxidant effects of some ginger constituents. J Food Sci 58(6):1407-1410.

29 KIUCHI F, IWAKAMI S, SHIBUYA M, HANAOKA F, SANKAWA U, 1992
Inhibition of prostaglandin and leukotriene biosynthesis by gingerols and diarylheptanoids. Chem Pharm Bull 40(2):387-391.

30 HARVEY DJ, 1981
Gas chromatographic and mass spectrometric studies of ginger constituents. identification of gingerdiones and new hexahydrocurcumin analogues. J Chromatogr 211(1):75-84.

31 YUSUFOGLU H, ALQASOUMI SI, 2008
High performance thin layer chromatographic analysis of 10-gingerol in Zingiber officinale extract and ginger-containing dietary supplements, teas and commercial creams. FABAD J Pharm Sci 33:199–204.

32 MASADA Y, INOUE T, HASHIMOTO K, FUJIOKA M, UCHINO C, 1974
Studies on the constituents of ginger (Zingiber officinale Roscoe) by GC-MS. Yakugaku Zasshi 94(6):735-738.

33 ANON, 1982
Analgesic formulations containing shogaol and gingerol. Patent-Japan Kokai Tokkyo Koho-82 46,914.

34 CHEN CC, ROSEN RT, HO CT, 1986
Chromatographic analyses of isomeric shogaol compounds derived from isolated gingerol compounds of ginger (Zingiber officinale Roscoe). J Chromatogr 360:175-184.

35 SCHWERTNER HA, RIOS DC, 2007
High-performance liquid chromatographic analysis of 6-gingerol, 8-gingerol, 10-gingerol, and 6-shogaol in ginger-containing dietary supplements, spices, teas, and beverages. J of Chromatography B856(1-2):41-47.

36 HARTMAN M, 1971
Chemical composition of certain products from ginger (Zingiber officinale). Zivocisna Vyroba 16(10/11):805-812.

37 SCHULTZ JM, HERRMANN K, 1980
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