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NIS - libdoc.who.int - World Health Organization

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Folium Salviae<br />

ments. The content of mineral matter not more than 0.5% (2); not more<br />

than 3% of foreign matter (29).<br />

Chemical assays<br />

Contains not less than 1.5% (v/w) of essential oil for the <strong>who</strong>le drug and<br />

not less than 1.0% (v/w) of essential oil for the cut drug (1). Not less than<br />

0.8% of essential oil (2). High-performance liquid chromatography<br />

method for determination of the thujone content (36). Hexane extract is<br />

coloured red by sodium hydroxide (thujone) (37).<br />

Major chemical constituents<br />

Dried leaves contain 1–3.5% essential oil (fresh leaves contain about<br />

3 times less), mostly monoterpenoids of which 18–60% are α-thujone,<br />

3–21% β-thujone, 4.5–24.5% camphor (both (R)-(+)-camphor and (S)<br />

(–)-camphor may be found), 5.5–13% cineole, 0–12% humulene, 1–6.5%<br />

α-pinene, 1.5–7% camphene, 0.5–3% limonene, up to 1% linalool, and<br />

up to 2.5% bornyl acetate. Sesquiterpenoids such as veridiflorol (11%)<br />

and humulene (0–12%), a diterpenoid, manool (9%), and a linear aliphatic<br />

alcohol 1-octen-3-ol (8.5%) are present among the main constituents of<br />

the essential oil. Sage leaves of Dalmatian origin consist mainly of<br />

α-thujone and β-thujone (share 20–60%), 1,8-cineole (6–16%) and camphor<br />

(14–37%) (3, 5, 7, 23, 27, 36, 38, 39, 40). Also, apianane terpenoids,<br />

3–8% condensed catechin-type tannins (salviatannin); phenolic acids<br />

(rosmarinic, chlorogenic, ferulic and gallic acids; caffeic acid monomers,<br />

dimers, trimers and tetramers); 1–3% flavonoids (apigenin and luteolin<br />

7-O-glucosides, genkwanin, genkwanin-6-methyl ether, 5-methoxysalvigenin,<br />

hispidulin); diterpenes (carnosol, carnosic acid, rosmanol, safficinolide);<br />

triterpenes (oleanolic acid, ursolic acid, α-amyrin, β-amyrin (about<br />

5%)); and resin are present (3, 5, 7, 23, 38, 39, 41–51). The structures of<br />

the characteristic constituents are presented below.<br />

Medicinal uses<br />

Uses supported by clinical data<br />

The management of mild to moderate Alzheimer disease (52).<br />

Uses described in pharmacopoeias and well established documents<br />

Salvia officinalis is used <strong>int</strong>ernally for treatment of influenza, bronchitis,<br />

sinusitis, meningitis and neuritis (53). The European Scientific Cooperative<br />

on Phytotherapy supports the use of S. officinalis leaves for stomatitis<br />

and gingivitis (27). The German Standard Licence for S. officinalis infu-<br />

347

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