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Creation Date :11/1/2010
Last Update :2/6/2017
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Andrographis Paniculata 'Indian Echinacea'
Create Date : 18/3/2010        View Time : 265 ครั้ง   

Andrographis Paniculata Herb Description

Andrographis is an herbal medicine derived from the Andrographis Paniculata shrub grown the moist, shady areas of India, China and throughout Southeast Asia. It is commonly referred to as 'Indian Echinacea' and is a popular Ayervedic and Chinese household remedy for the common cold, digestive issues, upper respiratory tract infections, flu and other sicknesses typified by fever. Although its use dates back easily a thousand years in these ancient medical traditions, there is a more recent historical reference to its potency. In the Indian flu epidemic of 1919, the herb Andrographis is credited with the reversal of its onslaught. More recently, it popularity has spread to Scandinavia, where its dosages have been standardized and it has been widely recommended by doctors for two decades as a common remedy in treating these same winter ailments.

As research increases, so is our understanding of Andrographis' many activities and indications are that it may even play a role in cardiovascular and cancer treatments.

Andrographis Paniculata Benefits & Key Uses

  • Colds, Flu & Sinusitis
  • Digestive problems
  • Cardiovascular
  • Anti-tumor

Clinical Applications

Andrographis and its various components have demonstrated a variety of effects in the body. Aspects stimulate the general immune activities, others inhibit the body's inflammatory mechanism and still others demonstrate not only anti-microbial abilities, but also are instrumental in killing certain tumor cells. Studies have also indicated that the active chemical, Andrographolide, helps to stop the clumping of blood platelets which is the clotting process that can lead to heart attacks.

How It Works

Colds, Flu, Sinusitis

It also has a major effect activating the general defense functions of the immune system by stimulating the production of antibodies as well as non-specific immune responses such as increased macrophage phagocytosis, rather than by any direct anti-microbial activity.

Clinical studies have demonstrated it's efficacy fighting colds, flu, sinusitis, pharyngotonsillitis, familial mediterranean fever and upper respiratory tract infections. It also has been demonstrated to reduce the risk of colds by 2.1 time and prevent flu and complications.

Anti-inflammatory:

Anti-tumor:

Andrographis Paniculata Side Effects & Safety

Andrographis Paniculata has been widely tested and is considered safe with few if any minor side effects at commonly prescribed levels. In clinical trials with children between 4 and 11 Andrographis was effective and safe. Side effects occurred in HIV trials at a dose of 10 mg of andrographolides per kg of body weight or roughly 12 time the recommended dosage.

Precautions

Pregnant women or those trying to conceive should avoid Andrographis animal studies have shown the possibility of contraceptive effects at high dosages. Safety during lactation is not known. Andrographis may increase glucose metabolisation which could unduly enhance blood sugar lowering medication. Use cautiously in patients taking anticoagulant agents such as warfarin (Coumadin?) or heparin, or with anti-platelet agents such as ibuprofen (Motrin?, Advil?) due to possible platelet aggregation inhibition by Andrographis

Research

1) Kulichenko LL, Kireyeva LV, Malyshkina EN, et al. A randomized, controlled study of Kan Jang versus amantadine in the treatment of influenza in Volgograd. J Herb Pharmacother 2003;3(1):77-93.

2) Gabrielian ES, Shukarian AK, Goukasova GI, et al. A double blind, placebo-controlled study of Andrographis paniculata fixed combination Kan Jang in the treatment of acute upper respiratory tract infections including sinusitis. Phytomedicine 2002;9(7):589-597.

3) Caceres DD, Hancke JL, Burgos RA, Sandberg F, Wikman GK. Use of visual analogue scale measurements (VAS) to asses the effectiveness of standardized Andrographis paniculata extract SHA-10 in reducing the symptoms of common cold. A randomized double blind-placebo study. Phytomedicine. 1999 Oct;6(4):217-23.

4) Caceres DD, Hancke JL, Burgos RA, et al. Prevention of common colds with Andrographis paniculata dried extract: A pilot double blind trial. Phytomedicine 1997;4:101-104.

5) Amroyan E, Gabrielian E, Panossian A, et al. Inhibitory effect of andrographolide from Andrographis paniculata on PAF-induced platelet aggregation. Phytomedicine 1999;6(1):27-31

6) Raj RK. Screening of indigenous plants for anthelmintic action against human Ascaris lumbricoides: Part--II. Indian J Physiol Pharmacol 1975;19(1):

7) Chen JH, Hsiao G, Lee AR, et al. Andrographolide suppresses endothelial cell apoptosis via activation of phosphatidyl inositol-3-kinase/Akt pathway. Biochem Pharmacol 2004;67(7):1337-1345.

8) Kumar RA, Sridevi K, Kumar NV, et al. Anticancer and immunostimulatory compounds from Andrographis paniculata. J Ethnopharmacol 2004;92(2-3):291-295.

9) Rajagopal S, Kumar RA, Deevi DS, et al. Andrographolide, a potential cancer therapeutic agent isolated from Andrographis paniculata. J Exp Ther Oncol 2003;3(3):147-158.

10) Borhanuddin M, Shamsuzzoha M, Hussain AH. Hypoglycaemic effects of Andrographis paniculata Nees on non-diabetic rabbits. Bangladesh Med Res Counc Bull 1994;20(1):24-26.

11) Husen R, Pihie AH, Nallappan M. Screening for antihyperglycaemic activity in several local herbs of Malaysia. J Ethnopharmacol 2004;95(2-3):205-208.

12) Choudhury BR, Poddar MK. Andrographolide and kalmegh (Andrographis paniculata) extract: in vivo and in vitro effect on hepatic lipid peroxidation. Methods Find Exp Clin Pharmacol 1984;6(9):481-485.

13) Handa SS, Sharma A. Hepatoprotective activity of andrographolide against galactosamine & paracetamol intoxication in rats. Indian J Med Res 1990;92:284-292.

14) Handa SS, Sharma A. Hepatoprotective activity of andrographolide from Andrographis paniculata against carbontetrachloride. Indian J Med Res 1990;92:276-283.

15) Shukla B, Visen PK, Patnaik GK, et al. Choleretic effect of andrographolide in rats and guinea pigs. Planta Med 1992;58(2):146-149.

16) Kapil A, Koul IB, Banerjee SK, et al. Antihepatotoxic effects of major diterpenoid constituents of Andrographis paniculata. Biochem Pharmacol 1993;46(1):182-185.

17) Calabrese C, Berman SH, Babish JG, et al. A phase I trial of andrographolide in HIV positive patients and normal volunteers. Phytother Res 2000;14(5):333-338.

18) Najib Nik AR, Furuta T, Kojima S, et al. Antimalarial activity of extracts of Malaysian medicinal plants. J Ethnopharmacol 1999;64(3):249-254.

19) Dua VK, Ojha VP, Roy R, et al. Anti-malarial activity of some xanthones isolated from the roots of Andrographis paniculata. J Ethnopharmacol 2004;95(2-3):247-251.

20) Akbarsha MA, Murugaian P. Aspects of the male reproductive toxicity/male antifertility property of andrographolide in albino rats: effect on the testis and the cauda epididymidal spermatozoa. Phytother Res 2000;14(6):432-435.

21) Iruretagoyena MI, Tobar JA, Gonzalez PA, et al. Andrographolide interferes with T cell activation and reduces experimental autoimmune encephalomyelitis in the mouse. J Pharmacol Exp Ther 2005;312(1):366-372.

22) Guo Z, Zhao H, Fu L. Protective effects of API0134 on myocardial ischemia and reperfusion injury. J Tongji Med Univ 1996;16(4):193-197.

23) Wang DW, Zhao HY. Prevention of atherosclerotic arterial stenosis and restenosis after angioplasty with Andrographis paniculata nees and fish oil. Experimental studies of effects and mechanisms. Chin Med J (Engl ) 1994;107(6):464-470.

24) Chiou WF, Lin JJ, Chen CF. Andrographolide suppresses the expression of inducible nitric oxide synthase in macrophage and restores the vasoconstriction in rat aorta treated with lipopolysaccharide. Br J Pharmacol 1998;125(2):327-334. .

25) Muangman V, Viseshsindh V, Ratana-Olarn K, et al. The usage of Andrographis paniculata following Extracorporeal Shock Wave Lithotripsy (ESWL). J Med Assoc Thai 1995;78(6):310-313.

26) Melchior J, Spasov AA, Ostrovskij OV, et al. Double-blind, placebo-controlled pilot and phase III study of activity of standardized Andrographis paniculata Herba Nees extract fixed combination (Kan jang) in the treatment of uncomplicated upper-respiratory tract infection. Phytomedicine 2000;7(5):341-350.

27) Hancke J, Burgos R, Caceres D, et al. A double-blind study with a new monodrug Kan Jang: decrease of symptoms and improvement in the recovery from common colds. Phytother Res 1995;9:559-562.

28) Caceres DD, Hancke JL, Burgos RA, et al. Use of visual analogue scale measurements (VAS) to asses the effectiveness of standardized Andrographis paniculata extract SHA-10 in reducing the symptoms of common cold. A randomized double blind-placebo study. Phytomedicine 1999;6(4):217-223.

29) Amaryan G, Astvatsatryan V, Gabrielyan E, et al. Double-blind, placebo-controlled, randomized, pilot clinical trial of ImmunoGuard--a standardized fixed combination of Andrographis paniculata Nees, with Eleutherococcus senticosus Maxim, Schizandra chinensis Bail. and Glycyrrhiza glabra L. extracts in patients with Familial Mediterranean Fever. Phytomedicine 2003;10(4):271-285.

30) Melchior J, Palm S, Wikman G. Controlled clinical study of standardized Andrographis paniculata extract in common cold-a pilot trial. Phytomedicine 1996;34:315-318.

31) Spasov AA, Ostrovskij OV, Chernikov MV, et al. Comparative controlled study of Andrographis paniculata fixed combination, Kan Jang and an Echinacea preparation as adjuvant, in the treatment of uncomplicated respiratory disease in children. Phytother Res 2004;18(1):47-53.

32) Coon JT, Ernst E. Andrographis paniculata in the treatment of upper respiratory tract infections: a systematic review of safety and efficacy. Planta Med 2004;70(4):293-298.

33) Thamlikitkul V, Dechatiwongse T, Theerapong S, et al. Efficacy of Andrographis paniculata, Nees for pharyngotonsillitis in adults. J Med Assoc Thai 1991;74(10):437-442.

34.) Zhang CY, Tan BK. Hypotensive activity of aqueous extract of Andrographis paniculata in rats. Clin Exp Pharmacol Physiol 1996;23(8):675-678.

35.) Choudhury BR, Poddar MK. Andrographolide and kalmegh (Andrographis paniculata) extract: effect on intestinal brush-border membrane-bound hydrolases. Methods Find Exp Clin Pharmacol 1985;7(12):617-621.

36) Yu BC, Hung CR, Chen WC, et al. Antihyperglycemic effect of andrographolide in streptozotocin-induced diabetic rats. Planta Med 2003;69(12):1075-1079

37) Guo ZL, Zhao HY, Zheng XH. An experimental study of the mechanism of andrographis paniculata nees (APN) in alleviating the Ca(2+)-overloading in the process of myocardial ischemic reperfusion. J Tongji Med Univ 1995;15(4):205-208.

38) Hidalgo MA, Romero A, Figueroa J, et al. Andrographolide interferes with binding of nuclear factor-kappaB to DNA in HL-60-derived neutrophilic cells. Br J Pharmacol 2005;144(5):680-686.

39) Shen YC, Chen CF, Chiou WF. Andrographolide prevents oxygen radical production by human neutrophils: possible mechanism(s) involved in its anti-inflammatory effect. Br J Pharmacol 2002;135(2):399-406.

40) Chiou WF, Chen CF, Lin JJ. Mechanisms of suppression of inducible nitric oxide synthase (iNOS) expression in RAW 264.7 cells by andrographolide. Br J Pharmacol 2000;129(8):1553-1560.

41) Batkhuu J, Hattori K, Takano F, et al. Suppression of NO production in activated macrophages in vitro and ex vivo by neoandrographolide isolated from Andrographis paniculata. Biol Pharm Bull 2002;25(9):1169-1174

42) Panossian A, Davtyan T, Gukassyan N, et al. Effect of andrographolide and Kan Jang--fixed combination of extract SHA-10 and extract SHE-3--on proliferation of human lymphocytes, production of cytokines and immune activation markers in the whole blood cells culture. Phytomedicine 2002;9(7):598-605.

43) Basak A, Cooper S, Roberge AG, et al. Inhibition of proprotein convertases-1, -7 and furin by diterpines of Andrographis paniculata and their succinoyl esters. Biochem J 1999;338 ( Pt 1):107-113

44) Panossian A, Hovhannisyan A, Mamikonyan G, et al. Pharmacokinetic and oral bioavailability of andrographolide from Andrographis paniculata fixed combination Kan Jang in rats and human. Phytomedicine 2000;7(5):351-364

45) Poolsup N, Suthisisang C, Prathanturarug S, et al. Andrographis paniculata in the symptomatic treatment of uncomplicated upper respiratory tract infection: systematic review of randomized controlled trials. J Clin Pharm Ther 2004;29(1):37-45.

46) Prajjal K. Singha, S. Roy and S. Dey, Antimicrobial activity of Andrographis paniculata, Fitoterapia Volume 74, Issues 7-8, December 2003, Pages 692-694

47) Limsong J, Benjavongkulchai E, Kuvatanasuchati J. Inhibitory effect of some herbal extracts on adherence of Streptococcus mutans. J Ethnopharmacol. 2004 Jun;92(2-3):281-9.

48) Puri A, Saxena R, Saxena RP, Saxena KC, Srivastava V, Tandon JS. Immunostimulant agents from Andrographis paniculata. J Nat Prod. 1993 Jul;56(7):995-9.

There appears to be a significant presence of flavanoids in the Andrographis Paniculata herb, which always have an anti-inflammatory affect. In vitro studies have shown that the flavinoid activities supressed the genetic expression of neutrofils, an inflammatory agent. Similarly, studies have indicated that a variety of inflammatory proteins, including COX-2, are reduced by the presence of Andrographoloid.: Andrographis compounds have shown antivirus properties which appear to inhibit glycoprotein's in the virus. This impedes the viruses ability to invade cells in the body and replicate. It's andrographolide are currently being studied for the antiviral effects they have on avian bird flu virus, ebola virus and HIV.





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