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NIS - libdoc.who.int - World Health Organization

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Herba Bidentis<br />

ity in vivo against aspirin-induced ulcers, but the extracts were inactive<br />

against indomethacin-induced ulcers (50).<br />

Photoprotective activity<br />

Haemolysis induced in vitro by psoralen and UV-A radiation (PUVAhaemolysis)<br />

was inhibited by the presence of an extract of the aerial<br />

parts of the plant in the medium during irradiation, or by the addition<br />

of the extract to the medium after PUVA-treatment. The inhibition effect<br />

was more pronounced when the extract was added during irradiation<br />

(51).<br />

Toxicology<br />

An ethanol-aqueous extract (1:1) of the aerial parts administered <strong>int</strong>raperitoneally<br />

to mice had a median lethal dose of 750 mg/kg bw (52).<br />

Clinical pharmacology<br />

Aerial parts of the plant were used in an open clinical trial, without a control<br />

group, to treat 500 patients with dysentery, 65 with acute enteritis and<br />

248 with chronic enteritis. Several different dosage forms of the herb were<br />

used: 200 g of fresh <strong>who</strong>le herb and 100 g of dried herb in decoctions (in<br />

three divided doses per day); granules containing 5 g of dried aqueous<br />

extract, three times daily; 0.5 g tablets of dried aqueous extract, 10 tablets<br />

each time, three times daily; and injection, 2 ml per injection (dose not<br />

stated), 2–3 times daily. The herbal preparations were administered for<br />

3–10 days to patients <strong>who</strong> had already had diarrhoea for 7–15 days. Of<br />

the 500 patients with chronic dysentery, 387 were reported to have been<br />

cured; 13 had not responded within 3 days. All 313 patients with enteritis<br />

were reported to have been cured (12 of the patients with chronic enteritis<br />

relapsed later) (35).<br />

In an open clinical trial without a control group, a 70% ethanol extract<br />

of the aerial parts of the plant and an o<strong>int</strong>ment containing 2.5% of the<br />

extract were administered to 53 patients with psoriasis. After oral administration<br />

of the extract (20 drops three times daily) and simultaneous application<br />

of the o<strong>int</strong>ment to the affected areas of the skin once a day, the<br />

combination was found to have anti-inflammatory activity as well as an<br />

ability to stimulate adrenal functions. After one week of treatment, desquamation<br />

of the skin was decreased, and a decoloration of the psoriatic<br />

plaques was observed. A clinical recovery was recorded for 29 of the patients;<br />

an improvement in condition was recorded for 22 patients; and a<br />

failure of treatment for 2 patients (17).<br />

43

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