scholarly journals The Ethics of Traditional Chinese and Western Herbal Medicine Research: Views of Researchers and Human Ethics Committees in Australia

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Caroline A. Smith ◽  
Ros Priest ◽  
Bridget Carmady ◽  
Suzannah Bourchier ◽  
Alan Bensoussan

Despite the growth of traditional Chinese medicine (TCM) and western herbal medicine (WHM) research in Australia, little is known about how ethics committees (HRECs) assess the ethics of TCM or WHM research. The objectives of this study were to examine the experiences of TCM and WHM researchers and HRECs with the evaluation of ethics applications. Two cross-sectional surveys were undertaken of HRECs and TCM and WHM researchers in Australia. Anonymous self-completion questionnaires were administered to 224 HRECs and 117 researchers. A response confirming involvement in TCM or WHM research applications was received from 20 HRECs and 42 researchers. The most frequent ethical issues identified by HRECs related to herbal products including information gaps relating to mode of action of herbal medicines and safety when combining herbal ingredients. Researchers concurred that they were frequently requested to provide additional information on multiple aspects including safety relating to the side effects of herbs and herb-drug interactions. Overall adherence with the principles of ethical conduct was high among TCM and WHM researchers although our study did identify the need for additional information regarding assessment of risk and risk management.

Author(s):  
Aneisha Moore ◽  
Tamica Daniels-Williams

Objective: To investigative the prevalence of herbal products used among Diabetic patients of Enmore Polyclinic and correlate with socio - demographic data and to find out the various types of herbal medicines used. Methods: A cross sectional study conducted at Enmore Polyclinic from April to June, 2019. Data were collected using a preset data collection sheet and analyzed using Microsoft Excel. Results: From a sample size of three hundred and eleven (311) participants, two hundred and thirty (230) - 74.2% used herbal medicine to control Diabetes; which was used predominantly by females. East Indians used more herbal products. The 51 – 60 years age group recorded the highest use of herbal medicine, with corilla being the most widely used herbal product was corilla. Conclusion: The Use of Herbal Medicine in the control of Diabetic patients at Enmore Polyclinic is similar to that of the United States and Dubai, but slightly higher than that of tropical Sub-Saharan Africa and Trinidad. Recommendation: Similar studies should be carried out in other areas of Guyana so as to ascertain the country’s prevalence of the use of Herbal Medicine in the control of Diabetes. Additionally, the adherence to prescribed medication should be enforced: while the effects of these herbal products should be investigated.


PEDIATRICS ◽  
2003 ◽  
Vol 112 (Supplement_1) ◽  
pp. 240-246 ◽  
Author(s):  
Alan D. Woolf

More parents are considering the use of herbal remedies to maintain their children’s good health and to treat their illnesses. They look to pediatricians and other primary care clinicians for advice concerning the safety and efficacy of herbal products for children. This article reviews principles for the clinician to keep in mind while investigating the literature on herbal medicine and addressing the use of herbal medicines with parents.


2020 ◽  
Vol 80 (2) ◽  
pp. 410-423 ◽  
Author(s):  
J. C. Lima Melro ◽  
S. A. Fonseca ◽  
J. M. Silva Júnior ◽  
S. P. B. Franco ◽  
M. A. Souza ◽  
...  

Abstract This study aimed to assess diagnosis of Unique Health System (SUS) users profile with regard to herbal medicine. This is a cross-sectional study with observational data collection conducted in the city of Marechal Deodoro, through a semi-structured questionnaire with questions related to socioeconomic data, use, and knowledge of medicinal plants and herbal medicines and satisfaction with the use of medicinal herbs (MH) and interactions of phytotherapeutic drugs (PD). Among the topics, 86.89% of users used herbal medicines often, especially lemon balm (Melissa officinalis L.). It was also observed that the plants are generally used as a sedative (21.74%) and as tea (87.84%). 82.32% of respondents claim to have acquired the knowledge of herbal medicine through a family member and 85.36% make use of medicinal plants without having received any information on the use of MH and PD. 61% of the plants described that coincided with the form of use and therapeutic properties found in the literature. With regard to satisfaction by treatment with MH and PD, it was found that 56.67% are satisfied. Therefore, it is necessary to pay attention to this aspect of usage, in order to avoid possible drug interactions or adverse reactions resulting from the incorrect use.


2016 ◽  
Vol 2016 ◽  
pp. 1-15 ◽  
Author(s):  
Dennis Chang ◽  
Jianxun Liu ◽  
Kellie Bilinski ◽  
Li Xu ◽  
Genevieve Z. Steiner ◽  
...  

Dementia is a leading cause of mental and physical disability. Vascular dementia (VaD) is the second most common cause of dementia after Alzheimer’s disease (AD) constituting 10–15% of the dementia population. Currently there are no approved pharmaceutical options for VaD and the conventional anti-AD therapies provide only modest, short-term relief of symptoms associated with VaD. Herbal medicines have been used for the management of dementia-like symptoms for centuries and may provide viable therapies for VaD due to their multicomponent and multitarget approach. This review is designed to provide an updated overview on the current status of herbal medicine research, with an emphasis on Chinese herbal medicine, for the treatment of VaD or dementia. A case study is also provided to demonstrate the development process of a novel standardized complex herbal formulation for VaD. The article reveals some preliminary evidence to support the use of single and complex herbal preparations for VaD and dementia. Multiple issues in relation to clinical and preclinical research have been identified and future research directions are discussed.


2021 ◽  
Vol 15 (5) ◽  
pp. 1589-1598
Author(s):  
Z. Poursaleh ◽  
M. Khodadoost ◽  
E. Vahedi ◽  
M. M. A. Attari ◽  
M. Jafari ◽  
...  

Background: Insomnia is a universal health problem that affects the health and quality of life of people worldwide. During the last decade treatment of insomnia with herbal has been introduced to be effective but unfortunately, the safety and efficacy of these medicines are currently uncertain. However, the administration of various herbal medicines for insomnia is increasing mainly due to the diversity of various adverse effects of western medication. Objective: The present study is aimed to investigate available herbal medicine options for the treatment of chronic insomnia. Method: All demanded data were retrieved from electronic databases, Natural Medicines, TCMID, Natural Medicines Comprehensive Database, MedlinePlus, PubMed, EMBASE, and Google Scholar. Among them, randomized clinical trials were chosen precisely to be investigated more for seeking any additional information related to the treatment of chronic insomnia. All related papers in English and Persian languages included in the study criteria. At first, 162 articles were chosen to be investigated, then after screening all articles based on the PRISMA method, 83 qualified articles remained to be investigated carefully. Results: Herbal plants with medical properties as sedative agents are obtaining more and more attention because they contain various types of natural bioactive metabolites with the lowest rate of adverse effects. Moreover, these novel medicines are highly economic, with high efficacy while could be available easily. Conclusion: The data from this study demonstrated that medical plants could yield sedative activity and some of them are effective for insomnia, but we must not forget that further clinical trials are demanded to approve this. Keywords: Sleep disorders, Chronic insomnia, Herbal medicine, Alternative medication, Treatment.


2021 ◽  
Author(s):  
Sevinç Polat ◽  
Ayşe Gürol

Herbal medicine is used by individuals of all ages, including children. Herbal medicine includes herbs, herbal materials and preparations, and finished herbal products. Herbal medicine or herbal products’ use for all ages have increased in recent years. Based on the data of the World Health Organization, almost 80% of the population in developing countries trust herbal medicines to meet their health needs. Herbal medicines use unconsciously as though these products are harmless. The use of herbal products in children is a concern because little information is available concerning the benefits and risks of these products in the pediatric population. This creates a serious problem in the treatment of children, and reveals a serious and under-recognized hazard in clinical care. The safety of most herbal medicinal products is absent since lack of suitable quality controls and not available of appropriate patient information. Owing to the possibility of serious health complications arising from the use of herbal products, it is mandatory to understand their use in the general population in order for appropriate measures to be put into place.


2020 ◽  
Vol 35 (1) ◽  
pp. 59-66
Author(s):  
Arebu Issa Bilal ◽  
Bruck Messele ◽  
Dawit Teshome ◽  
Zelalem Tilahun ◽  
Teferi Gedif Fenta

In spite of an increase in the health service coverage of the country, studies reported that significant proportion of the Ethiopian population still relies on traditional medicine, particularly on the herbal aspect, for their healthcare. The aim of the present study was to determine the extent of the concomitant use of herbal medicines with modern antiretroviral medicines and identify the commonly used herbs among patients with human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in Ethiopia. A cross-sectional study was conducted from May to June, 2017 among HIV/AIDS patients in five hospitals selected from four regions and one city Administration (Addis Ababa). A total of 768 HIV/AIDS patients were successfully interviewed and included in the analysis. Most 480 (62.5%) of them were on tenofovir-disoproxil fumarate (TDF) plus lamivudine (3TC)and efavirenz (EFV) regimen. Two hundred nineteen (28.5%) patients reported that they had used herbal medicines to treat their illness; of these 145 (66.2%) used herbal products along with modern medicine. Of those who reported to have used herbal medicine with modern medicine, 53 (40.8%) claimed that they took the herbal medicines for the treatment of HIV/AIDS, while 51(39.2%) used for treating co-morbid diseases. Only 33 (15.0%) of those who used herbal medicines along with modern drugs discussed the issue either with their physicians or pharmacists. A total of 31 plant species were reported to be used for the treatment as well as alleviation of symptoms associated with the disease. The most commonly cited herbal medicines that  have been used by HIV/AIDS patients to treat their comorbid diseases were Moringa stenopetala (Baker f.) Cufod. (Moringaceae) (35.6%) followed by Ocimum lamiifolium Hochst. (Lamiaceae) (18.0%), Zheneria scabra Sond. (Cucurbitaceae) (7.2%), Allium sativum L. (Alliaceae) (5.7%), and Ruta chalapensis L. (Rutaceae) (5.7%). The study revealed that close to one-third of HIV/AIDS patients interviewed reported use of herbal medicine and almost two-thirds of them did so concomitantly with modern medicine. Only small percentage of the patients who used herbal medicines along with modern drugs disclose the use either to their treating physicians or to counselling pharmacists. Practitioners involved in antiretroviral therapy (ART) clinics, therefore, need to inquire information related to the use of herbal medicines and accordingly advise the patients. Keywords: HIV/AIDS, medicinal plant, cross-sectional study, concomitant use, Ethiopia  


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Peter Bai James ◽  
Lexina Taidy-Leigh ◽  
Abdulai Jawo Bah ◽  
Joseph Sam Kanu ◽  
Jia Bainga Kangbai ◽  
...  

In resource-poor countries where access to infertility care is limited, women may turn to traditional medicine to achieve motherhood. It is unknown whether Sierra Leonean women with such condition use herbal medicine. This study investigates the prevalence and factors associated with herbal medicine use among women seeking care for infertility. This was a questionnaire-based cross-sectional study conducted among women seeking care for infertility at various clinics within Freetown, Sierra Leone. Data analysis included Chi-square tests and logistic regression. Out of the 167 women that participated, 36.5% used herbal medicine for infertility treatment. Women with no formal (AOR 4.03, CL: 1.38–11.76, p=0.011), primary education (AOR: 6.23, CL: 2.02–19.23, p=0.001) and those that visited a traditional medicine practitioner (AOR: 20.05, CL: 2.10–192.28, p=0.009) as well as women suffering from other reproductive health problems (AOR: 2.57, CL: 1.13–5.83, p=0.024) were more likely to use herbal medicines. Friends and family (n=57, 96.7%) were the main influencers of herbal medicine use. Only (n=12) 19.7% of users disclosed their status to their healthcare provider. Over half (n=32, 52.5%) could not remember the name of the herb they used. Luffa acutangula (n=29, 100%) was the herbal medicinal plant users could recall. Herbal medicine use among women seeking care for infertility in Freetown is common. Healthcare providers should be aware of the potential dyadic use of herbal and allopathic medicines by their patients and be knowledgeable about commonly used herbal remedies as well as being proactive in communicating the potential risks and benefits associated with their use.


2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Dessalegn Asmelashe Gelayee ◽  
Gashaw Binega Mekonnen ◽  
Seyfe Asrade Atnafe ◽  
Mequanent Kassa Birarra ◽  
Assefa Belay Asrie

Background. Herbal medicine use is increasing and the global market is estimated to be US$107 billion by the year 2017. Objectives. This study aimed at assessing community pharmacists’ personal use, knowledge, attitude, dispensing practice, and the barriers regarding herbal medicines. Methods. Institution based cross-sectional study was conducted among 47 community pharmacists in Gondar, Northwest Ethiopia, using a structured interviewing questionnaire. Results. Nearly half of the respondents (n=22, 46.8%) sometimes use herbal medicines. Although knowledge related to such preparations was self-rated as poor/acceptable (n=34, 72.4%), majority (n=44, 93.7%) of community pharmacists agree/strongly agree that herbal medicines have beneficial effects. Only 6 (12.7%) of them are sometimes/often engaged in dispensing herbal medicines and most of them (n=34, 72.3%) rarely/never counseled clients regarding these preparations. Limited knowledge on and access to information regarding herbal medicines are the main barriers to the pharmacists’ practice. Conclusion. Although community pharmacists in Gondar, Northwest Ethiopia, commonly use and demonstrated good attitude towards herbal medicines, they are less involved in dispensing such products. They are also challenged with limited knowledge on and access to herbal medicine information. Thus, pharmacy educators, professional organizations, and the government shall pay more attention to solve the problem. Regulatory provisions on herbal medicine dispensing must be enacted and communicated very well.


Author(s):  
Mohsen Meybodi ◽  
Neda Arbab Tafti ◽  
Vahid Ramezani ◽  
Mahsa Tavakolian Ardakani ◽  
Maryam Akrami ◽  
...  

Introduction: Herbal medicines are one of the most widely used complementary therapies in the world. Therefore, it is necessary to perform exact studies on the status of herbal medicines in communities. The aim of this study was surveying the prescription amount of herbal medicines prescribed by physicians and the effect of variables such as gender, degree of education, age, type of specialization of physicians, different seasons, source of drug production, price and the rate of insurance coverage on it. Methods: The current study was a descriptive-analytical and cross-sectional one. This research was conducted in the period of April 1 to March 20, 2016 in a public pharmacy in Yazd. 1824 prescriptions were obtained using Cochran's statistical formula and the amount of prescription containing herbal medicines was evaluated using the prepared lists. The collected data in three general categories, including physicians' demographic characteristics, prescriptions and their containing drugs specification were analyzed using SPSS (version 16) software and using the Chi-square statistical test. Results: Among the 1824 prescription examined, only 120 prescriptions contained herbal medicines with the average number of 1.05 ± 0.22 herbal medicine items in each prescription. 114 prescriptions (95%) and 6 prescriptions (5%) included one and two herbal items, respectively. There was a significant relationship between the amount of herbal medicine and the degree (P=0.041), type of specialization (P=0.04) and gender of the doctors (P=0.009), however, there was no significant relationship between the amount of prescription containing herbal medicines, the seasons of prescription (P=0.866) and the age of the physicians (P=0.089). Conclusion: Considering the results of this study, the amount of herbal medicines prescribed by physician in Yazd city is low.


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