Limite si indicatii ale fitoterapiei

in pediatrie, sarcina si alaptare

Dr.Carmen Nonn, Dr. Dalia Faur

medic specialist MF, competen
apifitoterapie, formator apifitoterapie
Laboratoarele Fares Page
Bio Vital
1

INTRODUCERE
GRAVIDITATEA este o stare de normalitate, prin
care trece organismul femeii, din momentul
conceptiei si pina la momentul nasterii.
In decursul sarcinii, gravida se poate confrunta
cu o serie de stari patologice, asupra carora
trebuie sa se intervina medicamentos.
STAREA PATOLOGICA dar si MEDICATIA
recomandata , poate avea efect teratogen
asupra fatului , sau poate influenta negativ
starea de sanatate a gravidei.
Page 2

INTRODUCERE
In aceasta situatie, este de preferat sa
recomandam gravidei - atunci cind se poate - un
TRATAMENT APIFITOTERAPIC, decit unul alopat.
Trebuie insa sa tinem cont ca substantele active din
plante trec
prin bariera feto-placentara si in
laptele matern si pot inflenta atat gustul laptelui, cat
si fatul, de aceea unele plante trebuie evitate in
perioada de sarcina si alaptare.
Evidentele din tratatele de fitoterapie, despre
efectul produselor fitoterapice asupra sarcinii si in
timpul alaptarii, sunt INCOMPLETE si uneori cu
rezultate CONTRADICTORII.
Page 3

Plante contraindicate in sarcina, alaptare si la sugari

Produse vegetale

Denumirea latina

Substante active
CI in sarcina, alaptare

Aciuni farmacologice
CI in sarcina, alaptare

Pelin partea aeriana

Artemisia absinthium

Substante amare

emenagog, abortiv

Obligeana -radacina

Acorus Calamus

Substante amare

emenogog, stimuleaza
contractiile uterine

Rostopasca partea
aeriana

Chelidonium majus

Alcaloizi, substante
amare

emenagog

Ienupar fructe

Juniperus communis

ulei esential si substante

amare

emenagog

Crusinul scoarta

Rhamnus sp

derivati antracenici

emnagog, abortiv

Coada soricelului
-partea aeriana

Achillea millefolium

Ulei esential, substante

amare

emenagog

Vasc ramuri cu
frunze

Viscum album

alcaloizi

stimuleaza contractiile
uterine, emenagog

Levantica flori

Lavandula officinalis

ulei esential si substante

amare

emenagog

Salvie partea
aeriana

Salvia officinalis

Ulei esential, substante

amare

Stimulent uterin , estrogenic

In seminte

Linum usitatissimum

Substante estrogenice

Stimuleaza contractiile
uterine.

Revent radacina

Rheum sp.

derivati antracenici si
substante amare

emenagog, stimulent uterin

salicin

Poate produce sindrom Reye

Salcie- scoarta

Salix alba

Page 4

Plante contraindicate in sarcina, alaptare si la sugari

Uleiurile volatile cu cetone: abortive (cind. copii i
gravide, epilepsie)

Aeth. Absinthii (35 45 % tuion),

aeth. Artemisiae annuae (22 34 % artemisia ceton),
aeth. Anethi graveolens (28 41 % carvon),
aeth. Carvi (48 58 % carvon),
aeth. Cedri atlanticae (20 % atalantone),
Uleiuri cu proporii mai mici de cetone: cimbru, rozmarin, salvie,
eucalipt

Uleiurile cu lactone - abortive (cind. copii i gravide,

epilepsie)
Aeth. Inulae helenii (alantolactona, izoalantolactona) cind. n
epilepsie, scleroz multipl neurotoxic; utilizare dermic
alergizant).
Page 5

Aciuni farmacologice

Produse vegetale care se pot administra la sugari

i copii mici ( 0-3 ani)
Plantago pss.- Ptlagin

demulcent, expectorant

Sambucus nigra - Soc

demulcent, expectorant

Lichen islandicus - Lichen de piatr

demulcent, expectorant, antimicrobian, antiinflamatoare

Althea officinalis - Nalb mare

demulcent, expectorant

Echinaceea spp. - Echinacea

imunostimulatoare, antimicrobian, antiinflamatoare

Tilia pss. - Tei

demulcent, expectorant

Primula officinalis (veris) Ciuboica cucului

demulcent, expectorant

Matricaria chamomilla - Mueel

antimicrobian, antiinflamatoare, antispastic

Pulmonaria officinalis - Plmnric

demulcent, expectorant

Pinus silvestris - Muguri de pin

expectorant

Robinia pseudoacacia - Salcm

demulcent, expectorant

Thymus serpillus - Cimbrior

antimicrobian, antiinflamatoare, antispastic

Thymus vulgaris - Cimbru

antimicrobian, antiinflamatoare, antispastic

Viola odorata - Toporai

demulcent, expectorant

Verbascum tapsus - Lumnric

demulcent, expectorant

Rosa canina - Mcee

vitaminizant

Melissa officinalis - Roini

antimicrobian, antiinflamatoare, antispastic

Coriandrum sativum - Coriandru

Antispastic, carminativ

Page 6

Fitoterapia la sugari
Extern pentru:
Eritem fesier si iritatii ale pielii
-Viola tricolor (Trei frati patati) infuzie
-Matricaria chamomilla (Musetel) infuzie
-Calendula officinalis (galbenele)- unguent, ulei
-Hypericum perforatum- ulei obtinut prin macerarea in ulei de migdale
Dermatita seboreica
-Rp/ urzica frunze 40 g
brusture radacina 30g
infuzie 4% cu care se spala capul
Viola tricolor (Trei frati patati) 30g
Dermatita atopica
-gel de Aloe
-ulei de Hypericum perforatum obtinut prin macerarea in ulei de migdale
Intern: gemoterapice: Ribes nigrum 10 pic. diluate in apa 1/zi
Ficus carica 10 pic. diluate in apa 1-2/zi

Page 7

Fitoterapia la sugari
Intern pentru:
Colici abdominale
-Melissa officinalis (roini)infuzie
-Matricaria chamomilla (musetel) infuzie
-Foeniculum vulgare (fenicul) infuzie
-Mentha piperita (menta) infuzie
-Carum carvi (chimen) infuzie
Enterocolita
-Geum urbanum (cerentel)
-Mentha piperita (menta) infuzie
Constipatia
- Althea officinalis (nalb mare)
-Convolvulus arvensis (volbura)
sub forma de sirop
-Plantago ovata (psyllium)

Page 8

PLANTE SIGURE IN SARCINA si

ALAPTARE

Herbal Medicines in Pregnancies and Lactation

MERISOR
VACCINIUM MACROCARPON
ECHINACEEA
ECHINACEA ANGUSTIFOLIA
MASLIN
OLEA EUROPAEA
GHIMBIR
ZINGIBER OFFICINALIS
CASTAN SALBATIC AESCULUS HIPPOCASTANUM
GINSENG COREEAN
PANAX GINGSENG
ARMURARIU
SYLIBUM MARIANUM
MENTA
MENTHA PIPERITA
ZMEUR
RUBUS IDEAUS
GINSENG SIBERIAN
ELEUTHEROCOCCUS SENTICOSUS
SUNATOARE
HYPERICUM PERFORATUM
LICHEN DE PIATRA
LICHEN ISLANDICUS
TURMERIC
CURCUMA LONGA

Page 9

PLANTE SIGURE IN SARCINA si

ALAPTARE
PDR FOR HERBAL MEDICINES

USTUROI
CEAPA
TURITA MARE
CASTAN SALBATIC
PIR
BRUSTURE
NALBA MARE
ANANAS
ASPARAGUS
OVAZ
VARZA
SMOCHIN
FAG
MESTEACAN

ALLIUM SATIVUM
ALLIUM CEPA
AGRIMONIA EUPATORIA
AESCULUS HIPPOCASTANUM
AGROPYRON REPENS
ARCTIUM LAPPA
ALTHEA OFFICINALIS
ANANAS COMOSUS
ASPARAGUS OFFICINALIS
AVENA SATIVA
BRASICA SPP
FICUS CARICA
FAGOPYRUM ESCULENTUM
BETULA SPECIES
Page 10

PLANTE SIGURE IN SARCINA si

ALAPTARE
PDR FOR HERBAL MEDICINES

CEAI VERDE
CHIMION
ALBASTREA
CICOARE
PORTOCAL
LAMAI
GRAPEFRUIT
COADA CALULUI
EUCALIPT
CRETUSCA
FRAGUTA
LIPICIOASA
HIBISCUS

CAMELIA SINENSIS
CARUM CARVI
CENTAUREA CYANUS
CICHORIUM INTHYBUS
CITRUS AURANTIUM
CITRUS LIMONUM
CITRUS PARADISI
EQUISETUM ARVENSE
EUCALYPTUS GLOBULUS
FILIPENDULA ULMARIA
FRAGARIA VESCA
GALIUM APARINE
HIBISCUS SUBDARIFA
Page 11

PLANTE SIGURE IN SARCINA si

ALAPTARE
PDR FOR HERBAL MEDICINES

CATINA
HIPPOPHAE RHAMNOIDES
SALATA VERDE
LACTUCA VIROSA
LEMON VERBENA LYPPIA CITRIODORA
ALGE BRUNE
MACROCYSTIS PYRIFERA
ALGE BRUNE
CHONDRUS CRYSPUS
ROINITA
MELISSA OFFICINALIS
MENTA
MENTHA PIPERITA
OSUL IEPURELUI
ONONIS SPINOSA
ORTOSIPHON
ORTOSIPHON SPICATUM
DUD
MORUS ALBA/NIGRA
PASIFLORA PASSIFLORA INCARNATA
PIN PINUS SPECIES
PATLAGINA PLANTAGO SPP

Page 12

PLANTE SIGURE IN SARCINA si

ALAPTARE

PDR FOR HERBAL MEDICINES

FASOLE
TROSCOT
PLOP
MOLID
CIUBOTICA CUCULUI
PLAMINARICA
MACES
STEJAR
ZMEUR
MUR
GHIMPE
SOC

PHASEOLUS VULGARIS
POLYGONUM AVICULARAE
POPULUS SPECIES
PICEA SPECIES
PRIMULA VERIS
PULMONARIA OFFICINALIS
ROSA CANINA
QUERCUS SPP
RUBUS IDEUS
RUBUS FRUTICOSUS
RUSCUS ACULEATUS
SAMBUCUS NIGRA

Page 13

PLANTE SIGURE IN SARCINA si

ALAPTARE
PDR FOR HERBAL MEDICINES

ARMURARIU
PAPADIA
CIMBRU
CIMBRISOR
TEI
URZICA
VALERIANA
AFIN
VIOREA
PORUMB
GHIMBIR

SILYBUM MARIANUM
TARAXACUM OFFICINALIS
THYMUS VULGARIS
THYMUS SERPYLLUM
TILIA SPECIES
URTICA DIOICA
VALERIANA OFFICINALIS
VACCINIUM MYRTILLUS
VIOLA ODORATA
ZEA MAYS
ZINGIBER OFFICINALIS

Page 14

PRODUSE APICOLE SIGURE

IN SARCINA si ALAPTARE

MIERE
POLEN
PASTURA
PROPOLIS

Page 15

STARI PATOLOGICE MAI FRECVENTE IN

SARCINA

1.GRETURI/VARSATURI
2.ACIDITATE GASTRICA
3.METEORISM ABDOMINAL
4.CONSTIPATIA
5.HEMOROIZI
5.INSOMNIE
6.EDEME
7.HTA DE SARCINA

8.VARICE ALE MEMBRELOR

INFERIOARE
9.HIPERGLICEMIE
10.INFECTII RESPIRATORII
11.INFECTII URINARE
12.ANEMIE FERIPRIVA
13.HIPOVITAMINOZE/
DEMINERALIZARI

Page 16

GRETURI/VARSATURI
MENTHA PIPERITA

antispastic
stim hepatobiliar

esteri
mentol

CICHORIUM
INTHYBUS

antianorexigene
colecistokinetice

principii amare

MELISSA
OFFICINALIS

sedativ-echil snc
stimul hepatobiliar

ulei volatil

TARAXACUM
OFICINALIS

antianorexigen

principii amare

antispastic
stim motricit
esofagiene/gastrice

ulei volatil cu
alcool/fenol/fenolmetil eteri

ZINGIBER
OFFICINALIS

Page 17

HIPERACIDITATE GASTRICA

PANSAMENTE
GASTRICE

ALTHEA OFFICINALS
MALVA SILVESTRIS
TILLIA SPP
CHONDRUS CRYSPUS
ARGILA

poliholozide
poliholozide
poliholozide
carrageenine

ECHILIBRARE
SNC
SEDATIVE

VALERIANA OFF
MELISSA OFF

valepotriati
uleiuri volatile

ANTISPASTICE

MENTHA PIPERITA
CITRUS AURANTIUS
CICHORIUM
INTHYBUS
TARAXACUM OFF

acetat mentil
acetat linalil
principii amare
principii amare
Page 18

METEORISM ABDOMINAL

ANTISPASTICE

MELISSA OFF
ZINGIBER OFF

aldehide
ul.vol alc,fenol

STOMAHICE

TARAXACUM OFF
CICHORIUM INTH

principii amare
principii amare

STIMULATOARE
HEPATOBILIARE

MENTHA PIPERITA
MELISSA OFF

ul.vol menthol
aldehide

STIMULAREA
MOTILITATII TUB DIG

ZINGIBER OFF

ul.vol alc,fenol

STIMULAREA
ENZIMELOR DIGESTIVE

ANANAS COMOSUS
FICUS CARICA

enzime(papaina,
bromelaina,ficina)

ECHILIBRAREA SNCSEDATIVE

VALERIANA OFF
MELISSA OFF

valepotriati
uleiuri volatile

Page 19

CONSTIPATIE

LAXATIVE DE
VOLUM

CHONDRUS
CRYSPUS
TARITE DE GRAU
PSYLLIUM
MERE,PERE,PRUNE

carrageenine
fibre insolubile

LAXATIVE
OSMOTICE

MEL DEPURATUM
PRUNE USCATE
SMOCHINE USCATE

oze

COLERETICE/
COLAGOGE

CICHORIUM
INTHYBUS

principii amare

Page 20

HEMOROIZI

LAXATIVE
OSMOTICE
LAXATIVE DE
VOLUM

MIERE
CHONDRUS CRISPUS carageen
PSYLLIUM
fibre insolubile

ANTIIMFLAMATOARE

AESCULUS
HIPPOCASTANUM

saponozide

CAPILAROPROTECT

CITRUS AURANTIUM

flavonoide,vit c

CICATRIZANTE

RUSCUS ACULEATUS
PROPOLIS

flavone,
ruscozida

VENO/LIMFOTONE

AESCULUS
HIPPOCASTANUM

esculetozida

Page 21

INSOMNIE

LYPPIA
CITRIODORA

sedativ

uleiuri volatile

VALERIANA
OFFICINALIS

sedativ

valepotriati

MELISSA
OFFICINALIS

sedativ usor

uleiuri volatile

TILIA SPECIES

sedativ

uleiuri volatile

Page 22

EDEME

BETULA SPP

diuretica
eliminare ac uric

saponozide
triterpenice (betulinol)

EQUISETUM
ARVENSE

diuretica
antiedematoasa

saponozide
(equisetonina)

URTICA DIOICA

diuretica
eliminare ac uric

saponozide
flavonoide

ONONIS
SPINOSA

diuretica
elim calculi renali

saponozide
triterpenice (alfa,betaonocerina)

Page 23

HIPERTENSIUNEA DE SARCINA

VASODILATATOAR MELISSA
E
OFFICINALIS
PERIFERICE
MENTHA PIPERITA

acid rosmarinic
acid rozmarinic

DIURETICE

BETULA SPP
EQUISETUM
ARVENSE
URTICA DIOICA
ONONIS SPINOSA

saponozide
triterpenice
saponozide
saponozide
saponozide
triterpenice

SEDATIVE

LYPPIA CITRIODORA
VALERIANA OFF
MELISSA OFF

ulei volatil
valepotriati
ulei volatil
Page 24

VARICE ALE MEMBRELOR INFERIOARE

AESULUS
HIPPOCASTANU
M
CITRUS
AURANTIUM
CITRUS
LIMONUM
CITRUS
PARADISI

venotone
vasoprotectoare

esculozida

venotone
vasoprotectoare

citroflavonoide
Vit P

venotone
vasoprotectoare

citroflavonoide
vit P

venotone
vasoprotectoare

citroflavonoide
vit P

Page 25

HIPERGLICEMIE DE SARCINA

INSULINOMIMETIC
E DIRECTE

INSULINOMIMETIC
E INDIRECTE

MORUS ALBA
PANAX GINGSENG
ALTHEA OFFICINALIS
PLANTAGO LANCEOLATA
TILIIA SPP

glican(morusan
glican(panaxan a,b)
poliholozide
poliholozide
taninuri catehice

AESCULUS HIPPOCASTANUM
VACCINIUM MYRTILLUS
CAMELLIA SINENSIS
RUBUS IDEAUS
PANAX SPP
ALLIUM CEPA
ALLIUM SATIVUM
CHONDRUS CRISPUS
PINUS PINEA
URTICA DIOICA
TARAXACUM OFFICINALIS
POLYGONUM AVICULARAE

taninuri catehice si galice

taninuri
taninuri
taninuri
ginsenozide
aliine
aliine
arginina
triptofan
flavone
flavone
flavone
Page 26

INFECTII RESPIRATORII

ANTIIMFLAMATOARE
ANTIPIRETICE
ANTIINFECTIOASE
ANTITUSIVE
EXPECTORANTE
MUCOLITICE
PROFILAXIE

Page 27

INFECTII RESPIRATORII
ANTIIMFLAMATOARE
ANTIPIRETICE

PROPOLIS
SAMBUCUS NIGRA
BETULA SPP
CITRUS AURANTIUM

ANTIBACTERIENE
ANTIVIRALE

OLEA EUROPAEA
LICHEN ISLANDICUS
THYMUS VULGARIS
CITRUS AURANTIUM
LAURUS NOBILIS
THYMUS SERPYLLUM

EXPECTORANTE
MUCOLITICE

ALTHEA OFFICINALIS
PINUS SPP
PLANTAGO SPP
PULMONARIA OFFICINALIS
PRIMULA VERIS
SAMBUCUS NIGRA
THYMUS SERPYLLUM
TILIA SPP

Page 28

PROFILAXIA INFECTIILOR
RESPIRATORII

CITRUS LIMONUM
CITRUS AURANTIUM
ALLIUM CEPA
ALLIUM SATIVA
PINUS SPP
ECHINACEEA SPP
ELEUTHEROCOCCUS SENTICOSUS
ROSA CANINA
HIPPOPAE RHAMNOIDES

Page 29

INFECTII URINARE
ANTIINFECTIOASE

ANTIIMFLAMATOARE
DIURETICE

OLEA EUROPAEA
THYMUS VULGARIS
ASPARAGUS OFFICINALIS
AGROPYRON REPENS
BETULA SPP
EQUISETUM ARVENSE
ONONIS SPINOSA
ORTOSIPHON SPICATUM
ALTHEA OFFICINALIS
PROPOLIS
URTICA DIOICA
ZEA MAYS
HIBISCUS SUBDARIFA
Page 30

HIPOVITAMINOZE, DEMINERALIZARI
MEL DEPURATUM

VIT B1,B6.VIT C
Ca,P,Na.K,Fe,Zn,Mg,Se,Cu,Zn

POLEN/PASTURA

VIT GR B,C,P,Ac Fol

K,NA,P,CA,MG,OLIGOELEMENTE

ROSA CANINA
HIPOPAE RHAMNOIDES

VITAMINA C,CX B
VITAMINA C,A

URTICA DIOICA

VITAMINA A,C,CX B
CA,SI,P,K

PULMONARIA OFFICINALIS
CITRUS LIMONUM

SI
VIT C

POLYGONUM AVICULARE
EQUISETUM ARVENSE

CA,SI,P,VIT C
CA,SI,P
Page 31

ANEMIE
MACROCYSTIS
PIRIFERA
SPIRULINA
PLATENSIS
URTICA DIOICA

POLEN/PASTURA

hematopoieza

5,5g/zi timp de 8
saptamini
iod,proteine

hematopoieza

acid folic
acid pantotenic
protoporfirine

stimuleaza
pofta de
mancare
hematopoieza

aminoacizi esentiali
vitamine
C,B,C,P,D,E, acid
folic
Na,K,Ca,Mg,Fe,
oligoelemente
Page 32

ALAPTARE
Galactogoge
busuiocul, anasonul, feniculul, brusture, chimen,
elin, mtasea de porumb, rdcina de ppdie,
mrar, schinduf, hamei, lichen de piatr, nalba
mare, armurariul, urzica vie, tarhon, verbina, soc,
snziene
laptele, lintea, morcovii, porumbul, topinamburul,
elina, urzicile, varza, arahide, linte, nap, orz
Antigalactogoge
salvie
Page 33

BIBLIOGRAFIE

PDR FOR HERBAL MEDICINES SECOND EDITION,2000

HERBAL MEDICINES IN PREGNANCY AND LATATION-E.MILLS,J-J
DUGUOA,D PERRY,2000
ORIENTARI MODERNE IN APITERAPIE,FITOTERAPIE,AROMATERAPIENOTE DE CURS-V.ISTUDOR,2010
FITOTERAPIA AFECTIUNILOR ORALE SI DIGESTIVE,V.ISTUDOR,2011
FITOTERAPIA BOLILOR METABOLICE,V.ISTUDOR, 2008
APITERAPIA, C.MATEESCU,2008
FARMACOGNOZIE,FITOCHIMIE,FITOTERAPIE VOL I,VOL II,
V.ISTUDOR, 2001
MEDICINA NATURISTA-FITOTERAPIE,ACUPUNCTURA,HOMEOPATIE,
P.CHIRILA.M.CHIRILA,D.CONSTANTIN,M.TAMAS,N.MACOVEI,2008
FITOTERAPIE TRADITIONALA SI
MODERNA,O.BOJOR,O.POPESCU,2009

Page 34