toothache

Allium sativum

(In territories with significant traditional TRAMIL use)

Guadeloupe:

ail
lay

Guatemala:

ajo

Dominican Republic:

ajo

Barbados:

garlic

Haiti:

lay

Saint Lucia:

lay

Significant uses found by the TRAMIL surveys

bulb, applied locally^1-2

Recommendations Preparation and Dosage References

Use for “bad blood” is a traditional cultural use of our communities and is not classified in the TRAMIL Program.

According to published and other information:

Use for skin conditions, pruritus, candidiasis, gastric bloating, nausea, flatulence, and intestinal parasites is classified as REC, based on significant traditional use documented in the TRAMIL surveys and published scientific information.

Use for toothaches, earaches, and fever is classified as REC, based on significant traditional uses (OMS/WHO)⁷ documented by TRAMIL surveys.

The bulb can cause reactions of hypersensitivity. For topical application, strict hygiene measures should be observed in order to avoid contamination or additional infection.

Due to the possibility that an earache could signal a middle or inner ear infection, immediate medical evaluation is recommended. Do not use if there are secretions from the ear and/or possible perforation of the eardrum. If the patient’s condition worsens or if the earache persists for more than 2 days, seek medical attention.

Contraindicated for use in hyperthyroidism⁸. The extracts from garlic interact with anticoagulant, antihypertensive and antidiabetic treatments.

The bulb of Allium sativum is widely used for human consumption.

The garlic bulb for medicinal purposes should be taken together with meals, so as to prevent gastro-intestinal problems⁷¹.

For fever, gastric bloating, nausea, flatulence and intestinal parasites:

Prepare a decoction with 2 to 5 grams of fresh garlic⁷¹ (1 to 2.5 cloves) or 2 to 4 grams of dried garlic⁷¹ in 1 cup of water (250 mL), boil for at least 10 minutes in a covered pot. Cool and drink 1 cup 3 times a day.

For other forms of administration of garlic bulb, the daily consumption doses recommended by OMS⁷¹ are: for oil: 2 to 5 mg; for extracts, 300 to 1000 mg (as solid material). Other type of pharmaceutical preparations should meet alliine values of 4-12 mg or allicine values of 2-5 mg⁷¹.

For treatment of skin conditions, pruritus, candidiasis, toothache, and earache:

2 to 5 g (1 to 2.5 cloves) of peeled fresh garlic; wash thoroughly and crush, then apply to the affected area twice a day.

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

2 GERMOSÉN-ROBINEAU L, GERÓNIMO M, AMPARO C, 1984
Encuesta TRAMIL. enda-caribe, Santo Domingo, Rep. Dominicana.

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

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

5 JEAN-PIERRE L, 1988
TRAMIL survey. St. Lucia National Herbarium, Castries, St Lucia.

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

7 BOULOGNE I, 2008
Enquête TRAMIL, Les Saintes, UAG, Guadeloupe (FWI).

8 NATURAL STANDARD, 2010
Garlic (Allium sativum L.). Foods, Herbs & Supplements. www.naturalstandard.com/monographs/herbssupplements/garlic. Last updated 5/17/2010.

9 GRUENWALD J, BRENDLER T, JAENICKE C, 2004
Physicians’ Desk Reference for Herbal Medicines, Third Edition. Montvale, NJ, USA: Thomson Healthcare, Inc. 988pp.

10 BRINKER FND, 2001
Herb contraindications and drug interactions. 3° edition. Sandy, Oregon, USA: Eclectic Medical Publications.

11 ARTECHI A (Ed.), 1998
Fitoterapia Vademécum de prescripción de Plantas Medicinales. Barcelona, España: Masson. p63.

12 ALONSO JR, 1998
Tratado de fitomedicina. Bases clínicas et farmacológicas. Buenos Aires, Argentina: Ed. ISIS S.R.L. p208.

13 QUILEZ AM, GARCÍA D, SÁENZ T, 2009
Uso racional de medicamentos a base de plantas. Guía de interacciones entre fitomedicamentos et fármacos de síntesis. Sevilla, España: 1a Edición Fundación Farmacéutica Avenzoar.

14 MEDLINE PLUS, 2009
Ajo (Allium sativum L.). Biblioteca Nacional de Medecina de EE.UU et los Institutos Nacionales de la Salud. URL: www.nlm.nih.gov/medlineplus/spanish/druginfo/natural/patient-garlic.htm….

15 CAPORASO N, SMITH S, ENG R, 1983
Antifungal activity in human urine and serum after ingestion of garlic. Antimicob Agents Chemother 23(5):700-702.

16 PISCITELLI SC, BURSTEIN AH, WELDEN N, GALLICANO KD, FALLOON J, 2002
The effect of garlic supplements on the pharmacokinetics of saquinavir. Clinical infectious diseases 34(2):234-238.

17 GALLICANO K, FOSTER B, CHOUDHRI S, 2003
Effect of short-term administration of garlic supplements on single-dose ritonavir pharmacokinetics in healthy volunteers. British J of Clinical Pharmacology 55(2):199-202.

18 MARKOWITZ JS, DEVANE CL, CHAVIN KD, TAYLOR RM, RUAN Y, DONOVAN JL, 2003
Effects of garlic (Allium sativum L.) supplementation on cytochrome P450 2D6 and 3A4 activity in healthy volunteers. Clin Pharmacol Ther 74(2):170-177.

19 AL-NAGDY SA, ABDEL-RAHMAN MO, HEIBA HI, 1988
Evidence for some prostaglandins in Allium sativum extracts. Phytother Res 2:4196-4197.

20 ROLLERI F, 1943
Occurrence of nicotinic acid and nicotinamide in curative plants. Arch Pharm (Weinheim) 281:118.

21 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Ratón, USA: CRC Press. p13.

22 DR. DUKE’S PHYTOCHEMICAL AND ETHNOBOTANICAL DATABASES, 2009
www.ars-grin.gov/duke/

23 KOCH HP, JAGER W, GROH U, HOVIE JE, PLANK G, SEDLAK U, PRAZNIK W, 1993
Carbohydrates from garlic bulbs (Allium sativum L.) as inhibitors of adenosine deaminase enzyme activity. Phytother Res 7(5):387-389.

24 BAUMGARTNER S, DAX TG, PRAZNIK W, FALK H, 2000
Characterisation of the high-molecular weight fructan isolated from garlic (Allium sativum L.). Carbohydr Res 328(2):177-183.

25 RAKHIMBAEV IR, OL’SHANSKAYA RV, 1981
Preliminary identification of natural gibberellins of garlic. Izv Akad Nauk Kaz Ssr Ser Biol 2:17-22.

26 INAGAKI M, HARADA Y, YAMADA K, ISOBE R, HIGUCHI R, MATSUURA H, ITAKURA Y, 1998
Isolation and structure determination of cerebrosides from garlic, the bulbs of Allium sativum L. Chem Pharm Bull 46(7):1153-1156.

27 SENDL A, ELBL G, STEINKE B, REDL K, BREU W, WAGNER H, 1992
Comparative pharmacological investigations of Allium ursinum and Allium sativum. Planta Med 58(1):1-7.

28 MOCHIZUKI E, YAMAMOTO T, KOMIYAMA Y, NAKAZAWA H, 1998
Identification of Allium products using flame photometric detection gas chromatography and distribution patterns of volatile sulfur compounds. J Agr Food Chem 46(12):5170-5176.

29 UEDA Y, SAKAGUCHI M, HIRAYAMA K, MIYAJIMA R, KIMIZUKA A, 1990
Characteristic flavor constituents in water extract of garlic. Agr Biol Chem 54(1):163-169.

30 LAWSON LD, WOOD SG, HUGHES BG, 1991
hplc analysis of allicin and other thiosulfinates in garlic clove homogenates. Planta Med 57(3):263-270.

31 MUTSCH-ECKNER M, ERDELMEIER CAJ, STICHER O, REUTER HD, 1993
A novel amino acid glycoside and three amino acids from Allium sativum. J Nat Prod 56(6):864-869.

32 PENG JP, CHEN H, QIAO YQ, MA LR, NARUI T, SUZUKI H, OKUYAMA T, KOBAYASHI H, 1996
Two new steroidal saponins from Allium sativum and their inhibitory effects on blood coagulability. Yao Hsueh Hsueh Pao 31(8):607-612.

33 MATSUURA H, USHIROGUCHI T, ITAKURA Y, FUWA T, 1989
Further studies on steroidal glycosides from bulbs, roots and leaves of Allium sativum L. Chem Pharm Bull 37(10):2741-2743.

34 VICTORIA MdC, MORÓN FJ, MARTÍNEZ I, BRITO G, FUENTES V, 2011
Efecto antipirético de la decocción 30% de bulbo fresco machacado de Allium sativum (ajo) en ratas. Informe TRAMIL. Facultad de Ciencias Médicas “Dr. Salvador Allende”, Laboratorio Central de Farmacología, La Habana, Cuba.

35 SHARMA V, SETHI M, KUMAR A, RAROTRA JR, 1977
Antibacterial property of Allium sativum in vivo & in vitro studies. Indian J Exp Biol 15:466.

36 SHAMS M, SHOKOOHAMIRI MR, AMIRRAJAB N, MOGHADASI B, GHAJARI A, ZEINI F, SADEGHI G, RAZZAGHI M, 2006
In vitro antifungal activities of Allium cepa, Allium sativum and ketoconazole against some pathogenic yeasts and dermatophytes. Fitoterapia 77:321-323.

37 MOLINA NM, 1992
Actividad antimicrobiana de extractos de Allium sativum. Evaluación preclínica, farmacológica et toxicológica (Tesis de graduación). Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

38 EL-TANBOULY ND, ABDEL-MEGID RM, 1994
HPLC determination of alliin in garlic and garlic products and their antimicrobal activity. Zagazig J Pharm Sci 3(3A):120-124.

39 CÁCERES A, GIRÓN 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.

40 KABELIK J, 1970
Antimicrobial properties of garlic. Pharmazie 25(4):266-270.

41 ADETUMBI M, JAVOR GT, LAU BH, 1986
Allium sativum (garlic) inhibits lipid synthesis by Candida albicans. Antimicrob Agents Chemother 30(3):499-501.

42 APPLETON JA, TANSEY MR, 1975
Inhibition of growth of zoopathogenic fungi by garlic extract. Mycologia 67:882-885.

43 PLODDEE A, PALAKORNKOL R, 1977
Antifungal activity of garlic. Undergraduate Special Project Report 1977:23.

44 DELAHA EC, GARAGUSI VF, 1985
Inhibition of mycobacteria by garlic extract (Allium sativum ). Antimicrob Agents Chemother 27(4):485-486.

45 FERNÁNDEZ EJ, 1995
Efecto de dos formulaciones hidroalcohólicas de Allium sativum en el tratamiento de patients con dermatofitosis (Tesis de especialidad en farmacología). Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

46 PRASAD G, SHARMA VD, RAO VN, KUMAR A, 1983
Efficacy of garlic (Allium sativum) treatment against dermatophytosis in man and animals. Indian Vet Med J 7(3):161-163.

47 MARTÍNEZ CROVETTO R, 1981
Plantas utilizadas en medicina en el Noroeste de Corrientes. Miscelanea (Fund Miguel Lillo) 69:7-139.

48 ABDEL-GHAFFAR F, SEMMLER M, AL-RASHEID KA, STRASSEN B, FISCHER K, AKSU G, KLIMPEL S, MEHLHORN H, 2011
The effects of different plant extracts on intestinal cestodes and on trematodes. Parasitol Res 108(4):979-984.

49 SOFFAR SA, MOKHTAR GM, 1991
Evaluation of the antiparasitic effect of aqueous garlic (Allium sativum) extract in Hymenolepiasis nana and giardiasis. J Egypt Soc Parasitol 21(2):497-502.

50 NAHED HA, HODA AT, YOMNA IM, 2009
Effects of garlic on albino mice experimentally infected with Schistosoma mansoni: a parasitological and ultrastructural study. Trop Biomed 26(1):40-50.

51 GAAFAR MR, 2012
Efficacy of Allium sativum (garlic) against experimental cryptosporidiosis, Alexandria J of Medicine 48:59–66.

52 DAMRAU F, FERGUSON E, 1949
The modus vivendi of carminative. The therapeutic value of garlic in functional gastrointestinal disorders. Rev Med J 2:757-758.

53 DEBLASI V, DEBROT S, MENOUD A, GENDRE L, SCHOWING J, 1990
Amoebicidal effect of essential oils in vitro. J Toxicol Clin Exp 10:361-373.

54 MARTÍNEZ MJ, MOREJÓN Z, LÓPEZ M, BOUCOURT E, FUENTES V, MORÓN F, 2005
Irritabilidad dérmica primaria de bulbo fresco machacado de Allium sativum L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Medicina “Dr. Salvador Allende”, Cerro, C. Habana, Cuba.

55 MARTÍNEZ MJ, MOREJÓN Z, LÓPEZ M, BOUCOURT E, FUENTES V, MORÓN F, 2005
Clases tóxicas agudas (CTA) de una decocción de bulbo de Allium sativum L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

56 GARNIER G, BEZANGER-BEAUQUESNE L, 1961
Ressources médicinales de la flore française. Paris, France: Ed. Vigot Frères.

57 BOJS G, SVENSSON A, 1988
Contact allergy to garlic used for wound healing. Contact Derm 18(3):179-181.

58 PAPAGEORGION C, CORBET JP, BRANDAO FM, PECEGUEIRO M, BENEZIA C, 1983.
Allergic contact dermatitis to Garlic (Allium sativum L.). Identification of the allergens: the role of mono-di and trisulfides present in garlic. A comparative study in man and animal (guinea pig). Arch Dermatol Res 275(4):229-234.

59 KANEZAWA A, NAKAGAWA S, SUMIYOSHI H, MASAMOTO K, HARADA H, NAKAGAMI S, DATE S, YOKOTA A, NISHIKAWA M, FUWA T, 1984
General toxicity tests of garlic extract preparation contained vitamins (Kyoleopin). Pharmacometrics 27(5):909-929.

60 SUMIYOSHI H, KANEZAWA A, MASAMOTO K, HARADA H, NAKAGAMI S, YOKOTA A, NISHIKAWA M, NAKAGAWA S, 1984
Chronic toxicity test of garlic extract in rats. J Toxicol Sci 9(1):61-75.

61 AL-BEKAIRI AM, SHAH AH, QURESHI S, 1990
Effect of Allium sativum on epididymal spermatozoa, estradiol-treated mice and general toxicity. J Ethnopharmacol 29(2):117-125.

62 HUH K, PARK JM, LEE S-IL, 1985
Effect of garlic on the therapeutic glutathione S-transferase and glutathione peroxidase activity in rat. Arch Pharm Res 8(4):197-203.

63 SITPRIJA S, PLENGVIDHYA C, KANGKAYA V, BHUVAPANICH S, TUNKAYOON M, 1987
Garlic and diabetes mellitus phase III clinical trial. J Med Assoc 70(2):223-227.

64 MC CRINDLE BW, HELDEN E, CONNER WT, 1998
Garlic extract therapy in children with hypercholesterolemia. Arch Pediatr Adolesc Med 152(11):1089-1094.

65 CHUTANI SK, BORDIA A, 1981
The effect of fried versus raw garlic on fibrinolytic activity in man. Therosclerosis 38:417-421.

66 SHARAF A, 1969
Food plant as a possible factor in fertility contrôle. Qual Plant MaterVeg 17:153.

67 CHAUHAN LS, GARG J, BEDI HK, GUPTA RC, BOMB BS, AGARWAL MP, 1982
Effect of onion, garlic and clofibrate on coagulation and fibrinolytic activity of blood in cholesterol fed rabbits. Indian Med J 76(10):126-127.

68 WHO, 2004
Allium sativum. WHO Monographs on selected medicinal plants. Volume 1. Bulbis Alii Sativi. Ginebra, Suiza, Oct.28,2004. URL: www.who.int/medicines/library/trm/medicinalplants/monograph_volume_one…

Petiveria alliacea

(In territories with significant traditional TRAMIL use)

Dominican Republic:

anamú

Colombia:

anamú

Panama:

anamú

Guatemala:

apacín

Haiti:

ave

Honduras:

ipacina

Dominica:

koujourouk

Significant uses found by the TRAMIL surveys

leaf, macerated, mouth wash²

Recommendations Preparation and Dosage References

According to published and other information:

Use for digestive conditions (stomach pain, bad or slow digestion and intestinal gas) toothache, muscle pain, skin diseases, rheumatism and common cold 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 stomach pain persist for more than 3 days, seek medical attention.

Use for headache, flatulence, flu and nasal congestion (sinusitis) is classified as REC, based on the significant traditional use (OMS/WHO)¹¹ documented in the TRAMIL surveys.

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

Considering the risks of documented interactions with insulin or oral hypoglycemiants, the decoction of the leaf and stem should not be ingested by patients taking or using these medicines due to the risk of magnifying their effects.

The root and the stem can cause reactions of hypersensitivity.

Not for use during lactation or by children under 12 years old.

Not for use during pregnancy because it may be abortifacient.

For digestive conditions and common cold:

Prepare a decoction with 30 grams (3 spoonfuls) of ground leaf in 1 liter of water (4 cups). Boil for at least 10 minutes in a covered pot. Filter, allow to cool and drink 2-3 cups a day³⁷.

For rheumatism:

Prepare a decoction with 30 grams (3 spoonfuls) of ground leaf and root in 1 liter of water (4 cups) for at least 10 minutes in a covered pot. Filter, leave to cool down and drink 2-3 cups a day³⁷.

For nasal congestion (sinusitis):

Prepare a fine powder of the root and stem from dried and sieved material, inhale 0.2 to 0.5 grams through each nostril, 2 times a day³⁸.

For headache, toothache, muscle pain, flatulence, flu and skin diseases:

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

2 SOLIS P, CORREA M, GUPTA M, 1995
Encuesta TRAMIL (Comunidades afro-caribeñas). Centro de Investigaciones Farmacognósticas de la Flora Panameña CIFLORPAN, Facultad de Farmacia, Universidad de Panamá, Panamá, Panamá.

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

4 GOMEZ H, GAITAN R, DIAZ F, 2003
Encuesta TRAMIL (Norte del departamento de Bolívar). Grupo de Productos Naturales, Facultad de Ciencias Químicas y Farmacéuticas. Universidad de Cartagena, Cartagena de Indias, Colombia.

5 CASTILLO D, RODRIGUEZ S, DE LOS SANTOS C, BELEN A, 2003
Encuesta TRAMIL (región Este). Dep. de Botánica, Jardín Botánico Nacional, Santo Domingo, Rep. Dominicana.

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

7 CASTILLO D, RODRIGUEZ S, DE LOS SANTOS C, BELEN A, 2003
Encuesta TRAMIL (Zambrana, Cotuí). Dep. de Botánica, Jardin Botánico Nacional, Santo Domingo, Rep. Dominicana.

8 LEMUS Z, GARCÍA M, BATISTA A, DE LA GUARDIA O, CASTILLO A, 2004
La tableta de anamú: un medicamento herbario inmunoestimulante. MEDISAN 8(3), 57-64.

9 WENIGER B, SAVARY H, DAGUIHL R, 1984
Tri phytochimique de plantes de la liste TRAMIL. Laboratoire de chimie des substances naturelles, Faculté de Médecine et de Pharmacie, Université d'Etat d'Haïti, Port au Prince, Haïti.

10 HEGNAUER R, 1973
Chemotaxonomy der Pflanzen. Basel, Schweiz: Birkhauser Verlag. 6:882.

11 SEGELMAN F, SEGELMAN A, 1975
Constituents of Petiveria alliacea. Lloydia 38(6):537.

12 DE SOUSA JR, DEMUNER AJ, PINHEIRO JA, BREITMAIER E, CASSELS BK, 1990
Dibenzyl trisulphide and trans-N-methyl-4-methoxyproline from Petiveria alliacea. Phytochemistry 29(11):3653-3655.

13 BOUCOURT E, MARTINEZ M J, MOREJON Z, 2010
Evaluación de la actividad antimicrobiana del extracto acuoso de la raíz fresca de Petiveria alliacea L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

14 FURONES JA, MORON F, PINEDO Z, 1996
Ausencia de la acción analgésica de la Petiveria alliacea (anamu) en ratones. Rev Cubana Planta Med 1(1):16-18.

15 DEL CARMEN RIVAS C, JIMENEZ M, AYALA L, CARILLO C, CABRERA Y, 1988
Actividad anti-inflamatoria y analgésica de Petiveria alliaceae. Informe TRAMIL. Centro de Investigación y Desarrollo de Medicamentos (CIDEM), La Habana, Cuba.

16 FURONES JA, MORON F, PINEDO Z, 1996
Ausencia de actividad antiinflamatoria del extracto acuoso liofilizado de Petiveria alliacea (anamú) en ratas. Informe TRAMIL. Rev Cubana Planta Med 1(2):34-37.

17 MARTINEZ MJ, BETANCOURT J, LOPEZ M, MOREJON Z, FUENTES V, MORON F, PINEDO Z, BOUCOURT E, 2001
Actividad antimicrobiana y sobre varias preparaciones de músculo liso, in vitro, de la decocción liofilizada de hoja de Petiveria alliacea. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

18 GARCIA GM, COMO MT, GONZALEZ CS, PAZOS L, 1995
Velocidad del tránsito intestinal en ratones, del extracto acuoso de hoja fresca de Petiveria alliacea. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Escuela de Medicina, Universidad de Costa Rica, San Pedro, Costa Rica.

19 ECHEVARRIA A, TORRES D, 2001
Efecto de un extracto de Petiveria alliacea Lin sobre el crecimiento de Giardia lamblia in vitro. Rev Cubana Med Mil 30(3):161-165.

20 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 of Ethnopharm 20(3):223-237.

21 CACERES A, LOPEZ BR, GIRON MA, LOGEMANN H, 1991
Plants used in Guatemala for the treatment of dermatophytic infections. 1. Screening for the antimicotic activity of 44 plant extracts. J of Ethnopharm 31(3):263-276.

22 RUFFA MJ, PERUSINA M, ALFONSO V, WAGNER ML, SURIANO M, VICENTE C, CAMPOS R, CAVALLARO L, 2002
Antiviral activity of Petiveria alliacea against the bovine viral diarrhea virus. Chemotherapy 48(3):144-147.

23 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 of Ethnopharm 33(3):277-283.

24 GERMANO DH, CALDEIRA TT, MAZELLA AA, SERTIE JA, BACCHI EM, 1993
Topical anti-inflammatory activity and toxicity of Petiveria alliacea. Fitoterapia 64(5):459-467.

25 ANDERSSON DUNSTAN C, 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 of Ethnopharmacol 57(1):35-56.

26 LIMA TCM, MORATO GS, TAKAHASHI RN, 1991
Evaluation of antinociceptive effect of Petiveria alliacea (guiné) in animals. Mem Inst Oswaldo Cruz 86(suppl.2):153-158.

27 FERRAZ MB, PEREIRA RB, IWATA NM, ATRA E, 1991
Tipi. A popular analgesic tea. A double blind cross-over trial in osteoarthritis. Clin Exp Rheumatol 9(2):205-206.

28 GARCIA GM, COTO MT, GONZALEZ CS, PAZOS L, 1996
Toxicidad sub-crónica en ratones, del extracto acuoso de hojas frescas de Petiveria alliacea. Informe TRAMIL. Laboratorio de Ensayos Biológicos LEBi, Universidad de Costa Rica, San Pedro, Costa Rica.

29 GUERRA MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2001
Toxicidad aguda (DL₅₀) oral de la decocción de hojas jóvenes frescas de Petiveria alliacea L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

30 GUERRA MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, 2001
Toxicidad aguda (DL₅₀) intraperitoneal de la decocción liofilizada de hojas frescas de Petiveria alliacea L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

31 GUERRA MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, 2001
Genotoxicidad in vivo: ensayo de morfología de la cabeza del espermatozoide en ratones de decocción liofilizada de hojas frescas de Petiveria alliacea L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

32 GUERRA MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V. 2001
Genotoxicidad in vivo: ensayo de micronúcleos en médula ósea de decocción liofilizada de hoja fresca de Petiveria alliacea L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, C. Habana, Cuba.

33 GUERRA MJ, BETANCOURT J, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, 2001
Genotoxicidad in vitro: mediante el sistema de ensayo con Aspergillus nidulans de decocción liofilizada de hoja fresca Petiveria alliacea L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

34 CACERES A, LOPEZ B, GONZALEZ S, BERGER I, TADA I, MAKI J, 1998
Plants used in Guatemala for the treatment of protozoal infections. I. Screening of activity to bacteria, fungi and American trypanosomes of 13 native plants. J of Ethnopharmacol 62(3):195-202.

35 GUERRA MO, OLIVEIRA AB, MAIA JGS, PETERS VM, 1989
Alteraçäo do desenvolvimento embrionário de ratos após tratamento com extratos aquosos de diferentes orgäos de Petiveria alliacea. Bol Centro Biol Reprod 8:17-22.

36 GERMANO DHP, SERTIE JAA, BACCHI EM, 1995
Pharmacological assay of Petiveria alliacea. II. Oral anti-inflammatory activity and gastrotoxicity of a hydroalcoholic root extract. Fitoterapia 66(3):195-202.

37 REYNOLDS J Ed., 1996
Martindale: The extra pharmacopoeia. Evaluated information on the world’s drugs and medicines. 31^st ed. London, England: The Royal Pharmaceutical Society. p1678.

38 BUDAVARI S Ed., 2001
The Merck Index: an encyclopedia of chemical, drugs, and biologicals. 30^th ed. Whitehouse Station, USA: Merck & Co., Inc. p181.

39 ALBORNOZ A, 1993
Medicina tradicional herbaria. Caracas, Venezuela: Editorial Instituto Farmacoterápico Latino S.A. p298.

Pimenta racemosa

(In territories with significant traditional TRAMIL use)

Dominican Republic:

bay run, berrón

Dominica:

bay-run
bwaden

Significant uses found by the TRAMIL surveys

leaf crushed, applied locally, jointly with Allium sativum and Syzygium aromaticum¹

Recommendations Preparation and Dosage References

According to published and other information:

Use for toothache 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 hygienic measures should be observed in order to avoid contamination or additional infection.

The use of this resource for toothache can be considered complementary to dental treatment.

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

Contact with handling leaf can cause reactions of hypersensitivity.

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

The leaf of Pimenta racemosa is an industrial source essential oil.

For toothache:

Wash leaf and crush it together with an unopened and dried floral bud of Syzygium aromaticum (clove) and a clove of Allium sativum (garlic). Apply 5-10 grams of preparation on affected tooth 2-3 times a day¹⁷.

For rheumatism:

Wash and crush leaf. Separate 30 grams of vegetal matter and rub it for 2 to 5 minutes on affected area of skin 2 times a day¹⁷.

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

3 BOURGEOIS P, 1986
Rapport concernant Pimenta racemosa (Myrtacées). Rapport TRAMIL. Laboratoire de phytochimie, Faculté des Sciences, UAG, Guadeloupe.

4 FURIA T, BELLANCA N, 1971
Fenaroli's handbook of flavour ingredients. Cleveland, USA: The Chemical Rubber Co.

5 GARCIA D, ALVAREZ A, TORNOS P, FERNANDEZ A, SÁENZ T, 2002
Gas chromatographic-mass spectrometry study of the essential oils of Pimenta racemosa var. terebinthina and P. racemosa var grisea. Z Naturforsch C 57(5-6):449-451.

6 LEYVA M, TARACONTE J, MARQUETTI MdC, 2007
Composición química y efecto letal del aceite esencial de Pimenta racemosa (Myrtales: Myrtaceae) sobre Blattella germanica (Dictyoptera: Blattellidae). Rev Cubana Med Trop 59(2):154-158.

7 LEUNG AY, FOSTER S, 1980
Encyclopedia of common natural ingredients used in food, drugs and cosmetics. New York, USA: Wiley Interscience.

8 NEGWER M, 1987
Organic chemical drugs and their synonyms (an international survey), 6^th ed. Berlin, Germany: Akademie Verlag.

9 DUKE JA, 1992
Handbook of biologically active phytochemicals and their bioactivities. Boca Raton, USA: CRC Press.

10 DE SOUSA M, Matos ME, Matos FJ, MACHADO MI, CRAVEIRO AA, 1991
Constituintes químicos ativos de plantas medicinais Brasileiras. Fortaleza, Brasil: Ceará Edições UFC Laboratorio de produtos naturais.

11 MAC GREGOR JT, LAYTON LL, BUTTERY RG, 1974
California bay oil. II. Biological effects of constituents. J Agric Food Chem 22(5):777-780.

12 UNGSURUNGSIE M, SUTHIENKUL O, PAOVALO C, 1982
Mutagenicity screening of popular Thai spices. Food Chem Toxicol 20(5):527-530.

13 HERRERA J, 1988
Determinación de actividades biológicas de vegetales utilizados en medicina tradicional. Informe tramil. Dep. de Farmacología, Facultad de Salud, Universidad del Valle, Cali, Colombia.

14 BUDAVARI S (Ed.), 2001
The Merck Index: an encyclopedia of chemicals, drugs, and biologicals. 30^th ed. Whitehouse Station, USA: Merck & Co., Inc. p690.

15 REYNOLDS J (Ed.), 1996
Martindale: The extra pharmacopoeia. 31^st ed. London, England: The Royal Pharmaceutical Society. p1705.

16 CARBALLO A, 1995
Cálculo de concentración y dosis de las drogas vegetales TRAMIL: Mensuraciones farmacognósticas y aproximaciones técnico-clínicas. Laboratorio provincial de producción de medicamentos, Sancti Spiritus, Cuba.

Ricinus communis

(In territories with significant traditional TRAMIL use)

Guadeloupe:

carapate
karapat
karapat blanc

Barbados:

castor oil

Dominica:

cawapat

Saint Lucia:

cawapat

Dominican Republic:

higuera

Haiti:

maskèti

Martinique:

palma Kristi
ricin

Significant uses found by the TRAMIL surveys

leaf, decoction, mouthwash and applied locally⁴

Recommendations Preparation and Dosage References

According to published and other information: Use for constipation is classified as REC, based on the significant traditional use documented in the TRAMIL surveys, toxicity studies, scientific validation and available published scientific information. Uses for ganglionar disorder, headache, toothache, earache, pneumonia, asthma, burns, rheumatism, twisting and trauma are classified as REC, based on the significant traditional use (OMS/WHO)4 documented in the TRAMIL surveys, and, when the leaf is topically applied, based on toxicity studies. When the seed oil is taken orally, a single dose should be used. For topical application to burns, strict hygiene measures should be observed in order to avoid contamination or additional infection. Limit traditional use only to superficial burns (skin injuries) that are not extensive (covering less than 10% of body surface) and are located away from high risk areas such as face, hands, feet and genitals. Due to the health risks involved with pneumonia, asthma, earache and ganglionar disorder, an initial medical evaluation is recommended. The use of this resource can be considered complementary to medical treatment, unless it is contraindicated. Due to the possibility that an earache could signal a middle or inner ear infection, immediate medical evaluation is recommended. Do not use if there are secretions from the ear and/or possible perforation of the eardrum. The seed can cause reactions of hypersensitivity. Should there be a notable worsening of the patient’s condition, the asthma persisting for more than 2 days, the headache and the twisting lasting more than 3 days or the pneumonia 5 days, seek medical attention. Only the oil that has been hand-made following traditional procedures, or the oil purchased in a pharmacy or authorized center should be used. Industrially-produced ricin oil has not been subject to albumin detoxification through vaporization, and is a highly toxic product whose ingestion may lead to an imminently life-threatening situation.

For constipation: Take the seed oil - purchased in a pharmacy or authorized health center- at doses of: 1-3 spoonfuls (15-45 mL) for adults, 1-3 teaspoonfuls (5-15 mL) for children older than 2 years, and 1-5 mL for children younger than 2 years. Take orally in a single dose away from meals. Can be taken with milk, tea or fruit juice28. For other uses: There is no available information establishing a means of preparation and dosage other than the documented traditional uses. 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 JEAN-PIERRE L, 1988
TRAMIL survey. St Lucia national herbarium, Castries, St Lucia.

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

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

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

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

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

8 BOULOGNE I, 2008
Enquête TRAMIL à Terre-de-Haut, Les Saintes, UAG, Guadeloupe (FWI).

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

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

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

12 HEGNAUER R, 1973
Chemotaxonomy der Pflanzen. Basel, Schweiz: Birkhauser Verlag.

13 CHONKEL A, 1985
A propos de quelques graines toxiques existant à la Guadeloupe. Thèse Pharmacie, Montpellier, France.

14 DUKE JA, 1992
Handbook of phytochemical constituents of GRAS herbs and other economic plants. Boca Raton, USA: CRC Press.

15 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p140.

16 DE SOUSA M, Matos ME, Matos FJ, MACHADO MI, CRAVEIRO AA, 1991
Constituintes químicos ativos de plantas medicinais Brasileiras. Laboratorio de produtos naturais, Fortaleza, Brasil: Ceará Edições UFC.

17 TSUPRIENKOVA T, 1982
Patente de autor de champú para el lavado del cabello (título original en ruso). URSS, A61K 7/06(53).

18 WENIGER B, 1992
Activités biologiques (cytotoxicité, effet sur la croissance, effet immunomodulateur) de drogues végétales de la Caraïbe utilisées par voie locale contre les brûlures, dans des systèmes de cellules animales et humaines en culture. Faculté de Pharmacie, Université de Strasbourg, Illkirch, France.

19 FRIAS AI, CABRERA H, GARCIA N, MORON F, VICTORIA MC, GERMOSEN-ROBINEAU, 2011
Efecto antiinflamatorio tópico del aceite de semilla de Ricinus communis (aceite de ricino) 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, Cuba.

20 VERPOORTE R, DIHAL PP, 1987
Medicinal plants of Surinam IV. Antimicrobial activity of some medicinal plants. J Etnopharmacol 21(3):315-318.

21 MISAS CA, HERNANDEZ NM, ABRAHAM AM, 1979
Contribution to the biological evaluation of Cuban plants. I. Rev Cub Med Trop 31:5-12.

22 TANIRA MO, AGEEL AM, AL-SAID MS, 1989
A study on some Saudi medicinal plants used as diuretics in traditional medicine. Fitoterapia 60(5):443-447.

23 CECIL, RUSELL LA FAYETTE, 1987
Compendio de Medicina Interna. Madrid, España: Ed. Interamericana.

24 MARTINEZ MJ, LOPEZ M, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2005
Irritabilidad dérmica primaria de semillas frescas peladas y machacadas de Ricinus communis L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Ciencias Médicas “Dr. Salvador Allende”, La Habana, Cuba.

25 MARTINEZ MJ, MOREJON Z, BOUCOURT E, FUENTES V, MORON F, 2003
Irritabilidad dérmica primaria de hoja seca y de hoja fresca de Ricinus communis L. Informe TRAMIL. Laboratorio Central de Farmacología, Facultad de Medicina “Dr. Salvador Allende”, La Habana, Cuba.

26 ROCHA E SILVA M, 1943
Studies on poisonous plants in the state of Sao Paulo. Toxicological expts on 27 plants which have been suspected of toxicity. Arq Inst Biol (Sao Paulo) 14:15.

27 CANELLA CFC, TOKARNIA CH, DOBEREINER J, 1966
Experiments with plants supposedly toxic to cattle in Northeastern Brazil, with negative results. Pesqui Agropecu Brasil Ser Vet 1:345-352.

28 KHOLKUTE SD, MUDGAL V, DESHPANDE PJ, 1976
Screening of indigenous medicinal plants for antifertility potentiality. Planta Med 29(2):150-155.

29 KANERVA L, ESTLANDER T, JOLANKI R, 1990
Long-lasting contact urticaria from castor bean. J Amer Acad Dermatol 23(2):351-355.

30 GOWANLOCH JN, BROWN CA, 1943
Poisonous snakes, plants and black widow spider of Louisiana, Dept. Conservation, New Orleans,Louisiana. Book.

31 OZTEKIN-MAT A, 1994
Plant poisoning in Turkey. Ann Pharm Fr 52(5):260-265.

32 KOPFERSCHMITT J, FLESCH F, LUGNIER A, SAUDER P, JAEGER A, MANTZ JM, 1983
Acute voluntary intoxication by ricin. Human Toxicol 2(2):239-242.

33 CANIGUERAL S, 2003
Ricinus comunis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.30,2003. URL: www.masson.es/book/fitoterapia.html

34 IRWIN R, 1992
Toxicity studies of castor oil in F344/N rats and B6C3F1 mice (dosed feed studies). Natl Toxicol Program Tech Rep SER 1992:25.

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

36 ALONSO J, 1998
Tratado de fitomedicina. Bases clínicas y farmacológicas. Buenos Aires, Argentina: ISIS ediciones SRL. p840.

37 FERNANDO R, 1988
Plant poisoning in Sri Lanka. Toxicon 26(1):20.

38 PERIS JB, STUBING G, 2003
Ricinus comunis. Vademecum de Fitoterapia, Editorial Masson, Barcelona, España, Jul.30,2003. URL: www.masson.es/book/fitoterapia.html

Syzygium aromaticum

(In territories with significant traditional TRAMIL use)

Dominican Republic:

clavo dulce, clavo de olor

Significant uses found by the TRAMIL surveys

flower bud*, mashed, applied locally¹*Flower buds or "sweet cloves" are imported in the Dominican Republic.

Recommendations Preparation and Dosage References

According to published and other information:

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

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

The clove of Syzygium aromaticum is widely used for human consumption.

For toothache:

It is locally applied and chewed. The dose should be 1 to 3 cloves (120-300 mg) -the usual ration as food¹²—no more than 3 times a day.

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

2 ZHENG G, KENNEY P, LAM L, 1992
Sesquiterpenes from clove (Eugenia caryophyllata) as potential anticarcinogenic agents. J Nat Prod 55(7):999-1003.

3 NEWALL C, ANDERSON L, PHILLIPSON J, 1996
Herbal medicines: A guide for health-care professionals. Syzygium aromaticum. London, Great Britain. Pharmaceutical Press, p79.

4 NONAKA GI, HARADA M, NISHIOKA I, 1980
Eugeniin, a new ellagitannin from the cloves. Chem Pharm Bull 28:685-687.

5 DUKE JA, ATCHLEY AA, 1986
Handbook of proximate analysis tables of higher plants. Boca Raton, USA: CRC Press. p367.

6 NES F, SKJELKVALE R, OLSVIK O, BERDAL BP, 1984
The effect of natural spices and oleoresins on Lactobacillus plantarum and Staphylococcus aureus. 12^th Int. IUMS-ICFMH Sym, Norway, Microb. Assoc. Interact. Food, 435-440.

7 NAMBA T, TSUNEZUKA M, BAE KH, HATTORI M, 1981
Studies of dental caries prevention by traditional Chinese medicines (Part I). Screening of crude drugs for antibacterial action against Streptococcus mutans. Shoyagaku Zasshi 35(4):295-302.

8 GIRON LM, AGUILAR GA, CACERES A, ARROYO GL, 1988
Anticandidal activity of plants used for the treatment of vaginitis in Guatemala and clinical trial of a Solanum nigrescens preparation. J Ethnopharmacol 22(3):307-313.

9 SHUKIA B, KHANNA NK, GODHWANI JL, 1987
Effect of Brahmi Rasayan on the central nervous system. J Ethnopharmacol 21(1):65-74.

10 NEGWER M, 1987
Organic chemical drugs and their synonyms (an international survey). 6^th ed. Berlin, Germany: Akademie Verlag, 1 & 2.

11 REYNOLDS JEF, 1993
Martindale the extra pharmacopoeia, 30^th ed. London, Great Britain: The Pharmaceutical Press.

12 KUMARI M, 1991
Modulatory influences of clove (Caryophyllus aromaticus, L.) on hepatic detoxification systems and bone marrow genotoxicity in male Swiss albino mice. Cancer Lett 60(1):67-73.

13 SANCHEZ-PALOMERA E, 1951
Concept of the mucous barrier and its significance. II. Changes in the gastric mucosa produced by the local actions of spices and other irritative agents. Gastroenterology 18(2):269-286.

14 OHSUMI T, KUROKI K, KIMURA T, MURAKAMI Y, 1984
Study on acute toxicities of essential oils used in endodontic treatment. J. Kyushu Dental Soc. 38(6):1064-1071.

15 LANE BW, ELLENHORN MJ, HULBERT TV, McCARRON M, 1991
Clove oil ingestion in an infant. Human Exp Toxicol 10(4):291-294.

16 SEETHARAM VA, PASRICHA JS, 1987
Condiments and contact dermatitis of the finger-tips. Indian J Dermatol Venereol Leprol 53(5):325-328.

17 Code of Federal Regulations, 2002
Food and drugs. Chapter I - Food and drug administration, department of health and human services. Part 182 - Substances generally recognized as safe. Sec. 182.10. Spices and other natural seasonings and flavorings. U.S. Government Printing Office via GPO Access, USA. 21(3):451-452. Feb.24,2003, URL: www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=…

Syzygium aromaticum

(In territories with significant traditional TRAMIL use)

Dominican Republic:

clavo dulce, clavo de olor

Significant uses found by the TRAMIL surveys

flower bud, applied locally, frequently used jointly with garlic¹