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Abstract Book - 3rd International Symposium on Medicinal Plants ...

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2.22 The Ethnopharmacological Use of Polyherbals for Infectious Diseases<br />

in South Africa<br />

Van Vuuren Sandy 1 , Makunga Nokwanda 2 , De Wet Helene 3 , and Van Zyl<br />

Robyn 1<br />

1 Department of Pharmacy and Pharmacology, University of the Witwatersrand, 7 York Road,<br />

Parktown. 2 Department of Botany and Zoology, Stellenbosch University, Private Bag X1,<br />

Stellenbosch. 3 Department of Botany, University of Zululand, KwaDlangezwa, 3886, South Africa.<br />

<str<strong>on</strong>g>Abstract</str<strong>on</strong>g>: Traditi<strong>on</strong>al healing is widely practiced in South Africa, however, there has been very<br />

little documented research undertaken <strong>on</strong> the validati<strong>on</strong> of medicinal plant mixtures. This study<br />

presents a selecti<strong>on</strong> of highlights from our studies <strong>on</strong> the antimicrobial efficacies of plant<br />

combinati<strong>on</strong>s. Organic and aqueous extracts were prepared for all plants and their combinati<strong>on</strong>s<br />

which were then tested against pathogens relative to the traditi<strong>on</strong>al use of the plants. Antimicrobial<br />

activity was assessed using the minimum inhibitory c<strong>on</strong>centrati<strong>on</strong> micro-diluti<strong>on</strong> assay and activity<br />

of the combined plants were analysed using the ∑FIC index and isobolograms in order to<br />

determine antag<strong>on</strong>istic, indifferent, additive or synergistic interacti<strong>on</strong>s. For toxicity studies, the 3-<br />

(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide cell viability assay was performed <strong>on</strong><br />

human kidney epithelial cells. C<strong>on</strong>venti<strong>on</strong>al antimicrobials were tested in combinati<strong>on</strong> with<br />

commercially relevant indigenous medicinal plants. A study <strong>on</strong> plants used to treat sexually<br />

transmitted infecti<strong>on</strong>s in Maputaland emphasised the importance of performing tandem toxicity<br />

assays. When Sclerocarya birrea and Syzygium cordatum (aqueous extracts) were independently<br />

studied, they possessed no toxicity. However, when combined the toxicity levels increased.<br />

C<strong>on</strong>versely, multiple plants in a combinati<strong>on</strong> (Euphorbia hypericifolia, Hypoxis hemerocallidia,<br />

Senecio serratuloides and Ozoroa engleri) dem<strong>on</strong>strated synergy (∑FIC 0.4). The 1:1 mixtures<br />

within this selecti<strong>on</strong> displayed antag<strong>on</strong>ism (∑FIC 4.5) against Oligella ureolytica. Agathosma<br />

crenulata, Dod<strong>on</strong>aea viscosa and Eucalyptus globulus, a herbal mix frequently traded informally in<br />

Cape Town and used by herbalists descendent from the Khoi-San, dem<strong>on</strong>strated synergistic<br />

interacti<strong>on</strong>s as low as ∑FIC 0.05 (Staphylococcus aureus) when used in a multiple combinati<strong>on</strong>.<br />

<strong>Plants</strong> with allopathic antimicrobials dem<strong>on</strong>strated various interacti<strong>on</strong>s. Aspalathus linearis, for e.g.<br />

dem<strong>on</strong>strated interacti<strong>on</strong>s ranging from synergistic (∑FIC 0.15) to antag<strong>on</strong>istic (∑FIC 6.03) when<br />

combined with ciprofloxacin and gentamicin respectively. Whether interactive efficacies of<br />

medicinal plants yield synergistic or even antag<strong>on</strong>istic efficacies, the importance of combinati<strong>on</strong><br />

therapy cannot be ignored and further validati<strong>on</strong>s could <strong>on</strong>ly enhance the field of phytosynergy.<br />

Key words: Ethnopharmacological, infectious diseases, polyherbals, South Africa.<br />

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