Talk:Kumkuma: Difference between revisions
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|title=Charak Samhita | |title=Charak Samhita | ||
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|keywords= *Kumkuma, Crocus sativus L., saffron* Therapeutic use, herbs, researches on dravya, Charak Samhita, Dravyaguna, carakasamhitaonline, carakasamhita, caraka samhita, Ayurveda, Charak Samhita English translation, ancient Ayurveda text, Indian system of medicine | |keywords= *Kumkuma, Crocus sativus L., saffron* Therapeutic use, herbs, researches on dravya, Charak Samhita, Dravyaguna, carakasamhitaonline, carakasamhita, caraka samhita, Ayurveda, Charak Samhita English translation, ancient Ayurveda text, Indian system of medicine, Charak, Charaka Samhita, agnivesha, atreya, gopal basisht, yogesh deole, charak samhita wikipedia edition, charak samhita new edition, research on charak samhita, text book charak samhita, fundamental principles of ayurveda, basic concepts of ayurveda, | ||
|description= Kumkuma (Crocus sativus L.) is | |description= Kumkuma (Crocus sativus L.) is a classical Ayurvedic drug (saffron) used for vomiting, cough, wounds, skin and eye diseases and migraine; clinical and experimental studies report antidepressant, cognitive, anti-inflammatory, antinociceptive, antioxidant and antidiabetic effects. | ||
|image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg | |image=http://www.carakasamhitaonline.com/resources/assets/ogimgs.jpg | ||
|image_alt=charak samhita | |image_alt=charak samhita | ||
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'''[https://en.wikipedia.org/wiki/Crocus_sativus Crocus sativus L.]''' (commonly known as '''Kumkuma''' or Saffron) is a | '''[https://en.wikipedia.org/wiki/Crocus_sativus Crocus sativus L.]''' (commonly known as '''Kumkuma''' or Saffron) is a perennial plant (Iridaceae) whose dried red stigmas form the spice saffron. It is used in [[Ayurveda]] in classical formulations and for the conditions listed below. | ||
==English name== | ==English name== | ||
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==Current researches == | ==Current researches == | ||
== | == Phytoconstituents == | ||
Saffron contains more than 150 volatile and aroma-yielding compounds. Only constituents supported by a checked reference are listed (one reference per class). | |||
{| class="wikitable" | |||
|+ Phytoconstituents of ''Crocus sativus'' | |||
! Class !! Constituents !! Property / role !! Reference | |||
|- | |||
| Apocarotenoids and monoterpene aldehyde || Crocin (crocetin glycoside), picrocrocin, safranal || Crocin gives colour, picrocrocin the bitter taste, safranal the odour and aroma. Crocin hydrolyses to gentiobiose and crocetin; picrocrocin hydrolyses to glucose and safranal. || <ref name="Srivastava2010">Srivastava R, Ahmed H, Dixit RK, Dharamveer, Saraf SA. Crocus sativus L.: A comprehensive review. Pharmacogn Rev. 2010;4(8):200–208.</ref> | |||
|- | |||
| Flavonoids || Kaempferol glycosides (major flavonoids of the flower) || Flower (tepals) || <ref name="Moratalla2019">Moratalla-López N, Bagur MJ, Lorenzo C, et al. Bioactivity and bioavailability of the major metabolites of Crocus sativus L. flower. Molecules. 2019;24(15):2827. doi:10.3390/molecules24152827</ref> | |||
|} | |||
== Pharmacological Activities & Therapeutic Efficacy == | == Pharmacological Activities & Therapeutic Efficacy == | ||
Findings below come from the cited studies only. Several are small pilot trials or animal studies, so they do not by themselves establish clinical efficacy. | |||
=== | === Antidepressant Activity === | ||
In a 6-week pilot double-blind randomized trial of 30 adult outpatients with mild to moderate major depression, saffron stigma 30 mg/day was found to be similar in effect to imipramine 100 mg/day. Anticholinergic effects (dry mouth) and sedation were more frequent with imipramine. The trial had no placebo arm, and the authors call for a larger placebo-controlled trial.<ref name="Akhondzadeh2004">Akhondzadeh S, Fallah-Pour H, Afkham K, Jamshidi AH, Khalighi-Cigaroudi F. Comparison of Crocus sativus L. and imipramine in the treatment of mild to moderate depression: a pilot double-blind randomized trial [ISRCTN45683816]. BMC Complement Altern Med. 2004;4:12. doi:10.1186/1472-6882-4-12</ref> | |||
=== | === Cognitive Function (Alzheimer's Disease) === | ||
In a 16-week double-blind, placebo-controlled trial of 46 patients with probable mild to moderate Alzheimer's disease, saffron 30 mg/day produced significantly better cognitive outcomes than placebo on ADAS-cog and CDR (P = 0.04 for both). The authors describe it as short-term evidence and ask for larger confirmatory trials.<ref name="Akhondzadeh2010">Akhondzadeh S, Sabet MS, Harirchian MH, et al. Saffron in the treatment of patients with mild to moderate Alzheimer's disease: a 16-week, randomized and placebo-controlled trial. J Clin Pharm Ther. 2010;35(5):581–588. doi:10.1111/j.1365-2710.2009.01133.x</ref> | |||
=== Anti- | === Anti-inflammatory and Antinociceptive Activity === | ||
In mice, aqueous and ethanolic extracts of saffron stigma and petal showed antinociceptive activity in the acetic-acid writhing test but not in the hot-plate test; naloxone partially blocked only the stigma aqueous extract. Only stigma extracts had weak to moderate effects in acute (xylene ear-oedema) inflammation, while in chronic (formalin paw-oedema) inflammation both stigma extracts and the ethanolic petal extract were active.<ref name="Hosseinzadeh2002">Hosseinzadeh H, Younesi HM. Antinociceptive and anti-inflammatory effects of Crocus sativus L. stigma and petal extracts in mice. BMC Pharmacol. 2002;2:7. doi:10.1186/1471-2210-2-7</ref> | |||
=== | === Antioxidant Activity === | ||
In 20 human subjects (10 healthy, 10 with coronary artery disease) given saffron 50 mg twice daily in milk, lipoprotein oxidation susceptibility fell significantly over 6 weeks (healthy 66.4 to 38.3; CAD 76.0 to 48.8; P < 0.001), indicating an antioxidant effect. The study did not report lipid-lowering or clinical cardiovascular outcomes.<ref name="Verma1998">Verma SK, Bordia A. Antioxidant property of saffron in man. Indian J Med Sci. 1998;52(5):205–207.</ref> | |||
=== Antidiabetic Activity === | |||
In alloxan-diabetic rats given 6 weeks of daily oral treatment, saffron methanolic extract (80 and 240 mg/kg), crocin (50 and 150 mg/kg) and safranal (0.25 and 0.5 ml/kg) significantly reduced fasting blood glucose and HbA1c and raised blood insulin, without significant changes in SGOT, SGPT or creatinine.<ref name="Kianbakht2011">Kianbakht S, Hajiaghaee R. Anti-hyperglycemic effects of saffron and its active constituents, crocin and safranal, in alloxan-induced diabetic rats. J Med Plants. 2011;10(39):82–89.</ref> | |||
== Safety, Toxicity, and Dosage == | == Safety, Toxicity, and Dosage == | ||
* ''' | * '''Human safety:''' The safety of saffron tablets has been evaluated in healthy volunteers.<ref name="Modaghegh2008">Modaghegh MH, Shahabian M, Esmaeili HA, Rajbai O, Hosseinzadeh H. Safety evaluation of saffron (Crocus sativus) tablets in healthy volunteers. Phytomedicine. 2008;15(12):1032–1037. doi:10.1016/j.phymed.2008.06.003</ref> | ||
* '''Precautions:''' | * '''Precautions:''' Toxic-dose thresholds and pregnancy risk were not confirmed in the sources checked, so none are stated here. Use within classical dose limits under professional guidance. | ||
* ''' | * '''Classical dose:''' 25–50 mg (see Dose above). | ||
== Summary of Therapeutic Profile == | == Summary of Therapeutic Profile == | ||
{| class="wikitable sortable" style="text-align: left;" | {| class="wikitable sortable" style="text-align: left;" | ||
|+ | |+ Evidence for ''Crocus sativus'' (see sections above for references) | ||
! Indication | ! Indication !! Evidence type !! Principal finding | ||
|- | |||
| '''Mild to moderate depression''' || Human pilot RCT (n=30, 6 weeks) || Similar to imipramine | |||
|- | |- | ||
| ''' | | '''Mild to moderate Alzheimer's disease''' || Human RCT (n=46, 16 weeks) || Better ADAS-cog and CDR than placebo | ||
| | |||
| | |||
|- | |- | ||
| ''' | | '''Pain and inflammation (Siroroga/Vrana)''' || Mouse and rat models || Antinociceptive and anti-inflammatory activity, extract-dependent | ||
| | |||
| | |||
|- | |- | ||
| ''' | | '''Oxidative stress / coronary artery disease''' || Human study (n=20, 6 weeks) || Reduced lipoprotein oxidation susceptibility | ||
| | |||
| | |||
|- | |- | ||
| ''' | | '''Diabetes''' || Alloxan-diabetic rats || Lower glucose and HbA1c, higher insulin | ||
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|} | |} | ||
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<ref name="Chunekar2020">Pro. Krushnachandra Chunekar, Bhavaprakash Nighantu. Reprint Edition 2020, Chaukhambha Bharati Academy, karpuradi varga, verse no.-74</ref> | <ref name="Chunekar2020">Pro. Krushnachandra Chunekar, Bhavaprakash Nighantu. Reprint Edition 2020, Chaukhambha Bharati Academy, karpuradi varga, verse no.-74</ref> | ||
<ref name="Tripathi2006">Dr. Indradev Tripathi, Raja Nighantu of pandit Narhari, ed. 2006, Chaukhambha Krishnadas Academy, Varanasi, Chandanadi varga verse no- 41,43</ref> | <ref name="Tripathi2006">Dr. Indradev Tripathi, Raja Nighantu of pandit Narhari, ed. 2006, Chaukhambha Krishnadas Academy, Varanasi, Chandanadi varga verse no- 41,43</ref> | ||
}} | }} | ||
[[Category: Database of herbs and minerals | Herbs]] | [[Category: Database of herbs and minerals | Herbs]] | ||