Documente Academic
Documente Profesional
Documente Cultură
Perspective paper
Abstract
Biodiversity of natural resources has served not only for the primary human needs but also for health care, since time immemorial. The Indian
subcontinent, with the history of one of the oldest civilization, harbors many traditional health care systems. Their development was supported
by the diverse biodiversity in flora and fauna due to variations in geographical landscaping. Ayurveda, whose history goes back to 5000 b.c., is
one of the ancient health care systems. The Ayurveda was developed through daily life experiences with the mutual relationship between mankind
and nature. The ancient text of Ayurveda reports more than 2000 plant species for their therapeutic potentials. Besides Ayurveda, other traditional
and folklore systems of health care were developed in the different time periods in Indian subcontinent, where more than 7500 plant species were
used. According to a WHO estimate, about 80% of the world population relies on traditional systems of medicines for primary health care, where
plants form the dominant component over other natural resources. Renewed interest of developing as well as developed countries in the natural
resources has opened new horizons for the exploration of natural sources with the perspectives of safety and efficacy. The development of these
traditional systems of medicines with the perspectives of safety, efficacy and quality will help not only to preserve this traditional heritage but
also to rationalize the use of natural products in the health care. Until recent past, the nature was considered as a compendium for templates of
new chemical entities (NCEs). The plant species mentioned in the ancient texts of these Ayurveda and other Indian systems of medicines may be
explored with the modern scientific approaches for better leads in the health care.
2005 Elsevier Ireland Ltd. All rights reserved.
1. Introduction the plant sources. In India, the history of health care goes back
to 5000 years b.c., when health care needs and diseases were
Plants and plant-derived products are part of health care sys- noted in ancient literatures like Rig-Veda and Atharva-Veda.
tem since ancient human civilizations. The need of new chemical Later, the texts like Charak Samhita and Sushruta Samhita
entities (NCEs) for health care is explored and served through were documented in about 1000 years b.c., where use of plants
and polyherbal formulations was highlighted for health care.
Evolution of Ayurveda and plant-based remedies for health care
Abbreviations: WHO, World Health Organization; ISM, Indian system through day-to-day life experiences is a part of cultural heritage
of medicines; GMP, good manufacturing practices; ASU, Ayurveda; Siddha of India. The World Health Organization (WHO) estimates that
and Unani; CCRIMH, Central Council for Research on Indian Medicine and
about 80% of the population living in the developing countries
Homoeopathy; CCRAS, Central Council for Research in Ayurveda and Siddha
Medicines; CCRUM, Central Council for Research in Unani Medicines; CCRH, relies on traditional medicine for their primary health care needs.
Central Council for Research in Homeopathy; CCRYN, Central Council for In almost all the traditional systems of medicine, the medicinal
Research in Yoga and Naturopathy; ISM & H, Indian system of medicine and plants play a major role and constitute their backbone. Indian
homeopathy; NCEs, new chemical entities; NMPB, National Medicinal Plant Materia Medica includes about 2000 drugs of natural origin
Board
This Perspective was written to be included in the 100th volume which was almost all of which are derived from different traditional sys-
published as 100/12, 22 August 2005. tems and folklore practices (Narayana et al., 1998).
Corresponding author. Tel.: +91 33 2414 6046; fax: +91 33 2414 6046. It is difficult to get reliable figures for the total number of
E-mail address: pulokm@vsnl.net (P.K. Mukherjee). medicinal plants on earth; according to some estimation, around
0378-8741/$ see front matter 2005 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.jep.2005.09.024
26 P.K. Mukherjee, A. Wahile / Journal of Ethnopharmacology 103 (2006) 2535
Table 1
Different streams and specialties in Ayurveda
Branches in Ayurveda Specialties for teaching and training of Ayurveda
Kaya-chikitsa Internal medicine Ayurveda-Siddhanta Fundamental Principals of Ayurveda Prasuti tantra Obstetrics and gynecology
Kaumar-bhritya Pediatrics Ayurveda-Samhita Ayurvedic text Swasth-vritla Social and preventive medicine
Bhoot-vidya Psychiatry Sharira-Rachna Anatomy Kayachikitsa Internal Medicine
Shalakya Ophthalmology Sharira-kriya Physiology Rog nidan Pathology
Shalya Surgery Dravya guna-vigyan Materia Medica and Pharmacology Shalya tantra Surgery
Agad-tantra Toxicology Ras-shastra Physiochemistry Shalkya Tantra Eye & ENT
Rasayana Geriatrics Bhaishajya-kalpana Pharmaceuticals Mano-roga Psychiatry
Vajikarana Eugenics and aphrodisiacs Kaumar-bharitya Pediatrics Panchkarma Detoxification of body
Fig. 2. (Continued ).
Table 3
Government institutes dealing with the research and development of the traditional systems of medicines in India
Name of the council Different centers of the council Research activities
Central Council for Research 8 regional research institutes Medico-botanical survey and development of Ayurvedic
in Ayurveda and Siddha and Siddha medicine based on folklore uses and their
scientific validation and implication
12 research centers
60 units and dispensaries
Central Council for Research 1 central research institute Developing independent and multidimensional research
in Unani Medicines into various fundamental and applied aspects of Unani
system of medicine
8 regional research institutes
11 clinical research units
5 drug standardization units
Central Council for Research 51 research centers around the country Screening of homeopathic medicines for treating dif-
in Homeopathy ferent ailments and development of standardization
parameters
Central Council for Research Headquarter and central unit at New Delhi, India Development and propagation of natural cure, yoga and
in Yoga and Naturopathy related aspects of yoga and naturopathy
Council for Scientific and Regional research laboratory, Jammu Cultivation of medicinal plants, quality control and inves-
Industrial Research and tigation of medicinal plants and pharmacology including
regional laboratories development of agro-biotechnological aspects
Central drug research institute, Lucknow
Central institute of medicinal and aromatic plants Lucknow
cations have come out on this aspect for improving the quality 3. Prospects of plant-based health products from
and standard of ASU drugs manufactured in about 9000 licensed Ayurveda
ASU pharmacies in the country. Assessment of finished products
should embrace all relevant factors, including the production Around 60% medicinally useful formulations and other
conditions, the results of in-process testing, the manufactur- health products, which are either derived or developed from
ing (including packaging) documentation, compliance with the plant origin dominate the global market of health care prod-
specification for the finished product, and an examination of the ucts. In India, around 25,000 effective plant-based formulations
finished pack (Mukherjee, 2003b). are used in traditional and folk medicine. More than 1.5 million
Quality control and research on traditional systems are fur- practitioners are using the traditional medicinal system for health
ther regulated by the Department of Indian System of Medicine care in India. It is estimated that more than 7800 manufacturing
and Homeopathy (ISM & H). Pharmacopoeial committees have units are involved in the production of natural health products
been established and the ISM & H council has established a and traditional plant-based formulations in India, which requires
separate pharmacopoeial laboratory. A separate drug control for more than 2000 tones of medicinal plant raw material annually
traditional systems of medicines have been created by the depart- (Ramakrishnappa, 2002).
ment of ISM & H. Government initiatives have come up with Use of herbal medicines is wide spread in developing as well
separate pharmacopoeias and formularies with the monographs as developed countries. Sale of plant-based products showed
on plants and formulations used in these systems of medicines; an increase of around 40% during 19921996 in USA, which
official compendia on Indian system of medicines are shown was of US $14 billion in 1996. Increased use of plant-based
in Table 5. These official compendia contain monographs on health products was observed in other European countries
single plants as well as formulations used in Indian systems of (Schilter et al., 2003). In India the use of plant-derived prod-
medicine. ucts in health care is very common; around 70% of modern
medicines originate from natural resources and plants. India
Table 4 is also considered as one of the potential exporting coun-
Several acts administered in development of Indian system of medicine tries of medicinal plants. Pharmaceutical companies engaged
Name of the act Year of establishment in the production of plant-based products showed around 15%
of average growth (Kumar, 2003). Japan and European coun-
Central Council of Indian Medicine Act 1973
Central Council of Homeopathy Act 1973 tries recorded an increase in the import of medicinal plants
Drugs and Cosmetics Act-1940 and Rules 1940 and plant-based products. Germany, as largest importer of the
thereunder medicinal plant is spending around US $2.2 billion annually
Drugs and magic remedies [objectionable 1954, 1955 (Wakdikar, 2004). Proper methodologies for the research and
advertisement] Act and Rules thereunder
development, manufacturing and quality control for the formu-
Medicinal and toiletries preparation Acts and 19951996
Rules lations in Ayurveda and investigations of therapeutic potentials
of plants used in Ayurveda, with the support of scientific methods
32 P.K. Mukherjee, A. Wahile / Journal of Ethnopharmacology 103 (2006) 2535
Table 5
Official compendia on Indian system of medicines published by Department of
Indian Systems of Medicine and Homoeopathy, Ministry of Health and Family
Welfare, Government of India, New Delhi, India (www.indianmedicine.nic.in)
Publication Year Number of
monographs
safety and to rationalize their use in the health care. In almost all
the traditional systems of medicine, the quality control aspect has
been considered from its inception itself by the Rishis, expert
saints in medicines and later by the Vaidyas and Hakims, who
used these medications for treatment of the patients. However,
in modern times it requires changes in the approach. For the
quality control of traditional medicine, the traditional methods
are procured, studied, documented and then the traditional infor-
mation about identification and quality assessment is interpreted
properly in terms of modern assessment. Quality assurance is an
integral part of traditional medicine, which ensures that it deliv-
ers the required quantity of quality medicament. Today, quality
assurance is the thrust area for traditional formulations like chur-
nas, bhasmas, liquid orals, Lehas, etc. In former days these
traditional medicinal formulations were prepared by Vaidyas
and delivered to the patients in the fresh form where quality
assurance was not needed in the present way (Mukherjee, 2001,
2002). For the quality assurance of churnas and bhasmas, stom-
atal index, palisade ratio, fiber content, ash content including
acid soluble and water soluble ash, specific surface area, fre-
quency distribution, particle size and numbers are measured.
For liquid oral preparations, different analytical procedures like
titrimetry, gravimetry, etc. are followed. For lehas (paste prepa-
rations) extraction with solvents and their analysis by suitable
techniques like titrimetry, fluorimetry and nephelometry are
followed.
The finger printing and marker compound analyses are nowa-
days getting momentum for the standardization of traditional
medicinal formulations. Here, the concentration of the sec-
ondary metabolites, which are the major constituents of herbal
drugs, is studied, which provides valued scientific standardiza-
tion procedures. This technique helps not only in establishing the
correct botanical identity but also helps in regulating the chemi-
cal sanctity of the herbs. Out of these marker compounds, some
are therapeutically active and others may not be active but are
present in abundant quantity, which helps in their standardization
(Mukherjee, 2002b); for example, withanolides from Witha-
nia somnifera are therapeutically active marker compounds but
aegelin from Aegle marmelos is not therapeutically active but
its presence is already established, so it can be used as a marker
compound.
5. Conclusion
of these threatened, yet traded plant species. We know that Ayurvedic Pharmacopoeia of India, Part I, Vol. III, 2001b. Government of
there exists an uncertainty of raw material supply and indis- India, Ministry of Health and Family Welfare, Department of Indian Sys-
cernible levels of sustainability; still medicinal plants are col- tems of Medicine and Homoeopathy, New Delhi, India.
Ayurvedic Formulary of India, Part II, 2000. Government of India, Ministry
lected from the wild despite the demand for cultivation. If this of Health and Family Welfare, Department of Indian Systems of Medicine
condition persists the excitement over the discovery of new and Homoeopathy, New Delhi, India.
phytochemicals will be short lived, as the fear of extinction Choudhary, B., 2002. The new international seed treaty: promises and
of these valuable resources is looming large (Mukherjee et al., prospects for food security. Current Science 83, 366369.
1998). Dev, S., 1999. Ancient-modern concordance in Ayurvedic plants: some exam-
ples. Environmental Health Perspectives 107, 783789.
To establish the potentiality of Ayurvedic medicine, research Farnsworth, N.R., Morris, R.W., 1976. Higher plantsthe sleeping giant of
needs to be conducted on different disciplines of Ayurveda drug development. American Journal of Pharmaceutical Education 148,
(Table 1) to meet the requirement of the society based on the 4652.
following aspects: Farnsworth, N.R., Soejarto, D.D., 1991. Global importance of medicinal
plants. In: Akerele, O., Heywood, V., Synge, H. (Eds.), The Conser-
vation of Medicinal Plants. Cambridge University Press, Cambridge, UK,
To standardize materials, methods and measures for prepa- pp. 2551.
ration, preservation, presentation and administration of Hoareau, L., 1999. Medicinal plants: a re-emerging health aid. Electronic
Ayurveda drugs. Journal of Biotechnology 2, 5670.
Khan, S., Balick, M.J., 2001. Therapeutic plants of Ayurveda: a review of
To provide proper scientific validation and significance to the
selected clinical and other studies for 166 species. The Journal of Alter-
fundamental principles of the system to the extent possible, native and Complementary Medicine 7, 405515.
so that they can be accepted within a scientific framework. Kumar, A., 2003. Plants based medicines in India. Features, 2000. Press
To rationalize the utility of positive and judicious use of Information Bureau, Government of India, New Delhi, India.
modern scientific methods that pertain to the development Lad, V.S., 2002. Fundamental Principles of Ayurveda. The Ayurvedic Press,
Albuquerque, New Mexico, pp. 2529.
of Ayurveda.
Laird, S.A., Pierce, A.R., 2002. Promoting Sustainable and Ethical Botanicals:
Strategies to Improve Commercial Raw Material Sourcing. Rainforest
Nevertheless, in doing so the major efforts in this direc- Alliance, New York, USA.
tion may be augmented by introducing the element of research Laird, S.A., Kate, T.K., 2002. Linking biodiversity prospecting and forest
conservation. In: Pagiola, S., Bishop, J., Landell-Mills, N. (Eds.), Sell-
in Ayurveda and similar Oriental disciplines, which generally
ing Forest Environmental Services. Earthscan, London, UK, pp. 151
means the application of scientific tools and techniques for 172.
new understanding about the terms of these practices. Medic- Mukherjee, P.K., Shau, M., Suresh, B., 1998. Indian herbal medicine. Eastern
inal herbs as potential source of therapeutic aids have attained Pharmacist 42, 2124.
a significant position in health systems all over the world for Mukherjee, P.K., 2001. Evaluation of Indian traditional medicine. Drug Infor-
mation Journal 35, 631640.
both humans and animals not only in the diseased condition but
Mukherjee, P.K., 2002a. Quality Control on Herbal Drugs. Eastern Publishers,
also as potential material for prevention. Plants will continue Business Horizons Ltd., New Delhi, India, pp. 137.
to serve for the exploration of new chemical entities and also Mukherjee, P.K., 2002b. Problems and prospects for the GMP in herbal drugs
as raw material for semi-synthetic chemical compounds used in Indian systems of medicine. Drug Information Journal 63, 635644.
in health care systems (Hoareau, 1999). Thus, development of Mukherjee, P.K., 2003. Exploring botanicals in Indian systems of
medicineregulatory perspectives. Clinical Research and Regulatory
the Ayurveda and other traditional Indian Systems of Medicine
Affairs 20, 249264.
may help to tap the traditional ethnopharmacological knowledge Mukherjee, P.K., 2003a. Plant products with hypochlesterolemic potentials.
through modern approaches. In: Taylor, S.L. (Ed.), Advanced in Food and Nutrition Research, vol. 47.
Elsevier Science, USA, pp. 277338.
Mukherjee, P.K., 2003b. GMP for Indian system of medicine. In: Verpoorte,
Acknowledgements R., Mukherjee, P.K. (Eds.), GMP for Botanicals [Regulatory and Quality
Issues on Phytomedicine]. Business Horizons Ltd., New Delhi, India, pp.
The authors express their gratitude to Department of Biotech- 99112.
nology (DBT), University Grants Commission (UGC), Depart- Mukherjee, P.K., 2005. Exploring green resources for drug development
through ethnobotany. In: Shrivastava, M.M., Sanghi, R. (Eds.), Chemistry
ment of Science and Technology (DST), New Delhi for
for Green Environment. Narosa Publishing House, New Delhi, India, pp.
providing financial assistance through various research projects 287299.
to the School of Natural Product Studies, Jadavpur University Narayana, D.B.A., Katayar, C.K., Brindavanam, N.B., 1998. Original system:
for development and evaluation of natural health products of search, research or re-search. IDMA Bulletin 29, 413416.
India. Pillai, N.K., 1998. History of Siddha medicine. Department of Indian
Medicine and Homeopathy, Chennai, India, pp. 3335.
Ramakrishnappa, K., 2002. Impact of cultivation and gathering of medic-
References inal plants on biodiversity: case studies from India. In: Biodiversity
and the Ecosystem Approach in Agriculture, Forestry and Fisheries,
Ayurvedic Pharmacopoeia of India, Part I, Vol. I, 2001. Government of India, FAO, available from Internet: http://www.fao.org/DOCREP/005/AA021E/
Ministry of Health and Family Welfare, Department of Indian Systems AA021e00.htm.
of Medicine and Homoeopathy, New Delhi, India. Raskin, I., Ribnicky, D.M., Komarnytsky, S., Ilic, N., Poulev, A., Borisjuk,
Ayurvedic Pharmacopoeia of India, Part I, Vol. II, 2001a. Government of N., Brinker, A., Moreno, D.A., Ripoll, C., Yakoby, N., ONeal, J.M.,
India, Ministry of Health and Family Welfare, Department of Indian Sys- Cornwell, T., Pastor, I., Fridlender, B., 2002. Plants and human health in
tems of Medicine and Homoeopathy, New Delhi, India. the twenty-first century. Trends in Biotechnology 20, 522531.
P.K. Mukherjee, A. Wahile / Journal of Ethnopharmacology 103 (2006) 2535 35
Schilter, B., Andersson, C., Anton, R., Constable, A., Kleiner, J., Brien, J.O., WHO, 2002. WHO Traditional Medicine Strategy 20022005, World Health
Renwick, A.G., Korver, O., Smit, F., Walker, R., 2003. Guidance for the Organization document, WHO/EDM/TRM/2002.1, World Health Organi-
safety assessment of botanicals and botanical preparations for use in food zation, Geneva.
and food supplements. Food and Chemical Toxicology 41, 16251649. Wakdikar, S., 2004. Global health care challenge: Indian experiences
Siddiqui, M.K., 1996. State of Unani Medicines in India. CCRUM, New and new prescriptions. Electronic Journal of Biotechnology 7, 217
Delhi, India, pp. 35. 223.