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Herbal wound healing

Herbal wound healing

Shah A, Amini-Nik Herbla The role of Hfrbal Herbal wound healing the inflammatory phase of Herbal wound healing healing. Disclaimer: All Diabetic wound care Herbal wound healing in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Lard does not contain trans-unsaturated fatty acids but triglycerides with a high rate of saturated fatty acids such as oleic C 18 H 34 O 2 ;

Herbal wound healing -

Studies carried out on human umbilical vein endothelial cells HUVECs showed that cinnamaldehyde stimulated cell migration and proliferation. It induced a wound healing effect by promoting angiogenesis through activation of the phosphatidylinositol 3-kinase PI3K and mitogen-activated protein kinase MAPK pathways.

Cinnamaldehyde induced in vivo , an angiogenic effect on the zebrafish model pre-treated with PTK which is a selective inhibitor for VEGFR Yuan et al. Cinnamaldehyde as well presented a favorable activity with regards to wound healing in Pseudomonas aeruginosa -infected mice.

Daily topical application on these induced wounds promoted wound healing and reduced bacteria load.

Looking at biochemical parameters, lower IL, VEGF, and NO levels have been observed in the cinnamaldehyde-treated wounds Ferro et al. In a same way, wound healing activity from the Cinnamomum genus has been studied in C.

Topical application of a hydroethanolic extract enhanced re-epithelialization and keratin biosynthesis in streptozotocin-induced diabetic mice Daemi et al. Epicatechin, a well-known flavonoid from tea leaves, has been tested on radiation-induced cellular damage in vitro on fibroblasts and in vivo in a zebrafish model.

The metabolite increased, in vitro , the survival rate and restored the migration ability of the fibroblasts after irradiation. The mechanism is an inhibition of ROS generation, mitochondrial dysfunction, and cell death.

Epicatechin reduced the expression of protein kinase p-JNK, p MAPKs, and cleaved caspase In addition, it lowered the cellular damage, improved wound healing after stress such as radiation exposure, and reduced the reprotoxicity in the zebrafish model Shin et al.

The epicatechin content in cinnamon bark, therefore, suggests that it has important effects on the wound healing process. Peony root from Shinsen taitsukō is the root of Paeonia lactiflora Pall. Paeoniaceae The society of Japanese pharmacopeia, ; WFO, It contains not less than 2.

The plant is originally distributed from Northeast China to the eastern part of Siberia, and medicinal hybrids are cultivated in Japan, in Nara and Hokkaido prefectures.

lactiflora root, named shakuyaku シャクヤク; 芍薬 , should not be mistaken for the tree peony, P. suffruticosa Andrews, whose root cortex is used as a different crude drug. lactiflora root is traditionally harvested after 5 years of cultivation and then used for its sedative, immunomodulatory, and anti-inflammatory activities Keio University Kampo Department ; He and Dai, More distinctive metabolites from the root are monoterpene glycosides such as the isomers, paeoniflorin and albiflorin C 23 H 28 O 11 ; Furthermore, root periderm treatments made on the raw material lead to a loss of bioactive constituents such as paeoniflorin and albiflorin.

This has been demonstrated using MALDI MSI studies Li et al. Some other important compounds are phenylpropanoids such as paeonol C 9 H 10 O 3 ; Some other compounds such as ß -glucogallin C 13 H 16 O 10 ; lactiflora root Sawada et al. Majority of them are water-soluble sugars, but they will not be included in Kampo oily extracts.

Therefore, these compounds mostly represent the singularity of this crude drug. Hence, one of the challenges will be to better understand how oil extraction will influence the composition of the final ointments, especially for sugar-rich crude drugs like this one.

Paeoniflorin has shown effective anti-inflammatory and immunosuppressive activities in a large number of studies. The active mechanisms are associated with regulation of lymphocytes and dendritic cells with an enhancement of several pathways.

Thus, protein kinase B Akt , peroxisome proliferator-activated receptor PPARγ , protein kinase PKA , IL-4, IL, and TGF- β through an inhibition of JNK, ERK, iNOS, cyclooxygenase 2 COX-2 , IL-1 β , IL-6, IL, and interferon γ IFN- γ are intensified by paeoniflorin. Regarding specific therapeutic actions on chronic wounds, paeoniflorin has been tested on streptozotocin-induced diabetic rat models and high-glucose-treated HaCaT cells.

In this study, paeoniflorin improved wound healing in diabetic rat models diabetic foot ulcer, DFU and activated the expression of nuclear factor-E2-related factor 2 Nrf2. In vitro experiments showed that paeoniflorin accelerated wound healing through this Nrf2 pathway and an increased expression of VEGF and TGF-β1.

It reduced oxidative stress, increased cell proliferation and migration, and decreased apoptosis levels Sun et al. A similar study on streptozotocin rat models using skin biopsy punches and high-glucose-treated HaCaT showed a downregulation of IL- β , IL, and TNF- α in paeoniflorin-treated DFU rats.

Paeoniflorin decreased the expression levels of the chemokine receptor C-X-C motif chemokine receptor 2 CXCR2 , NF-κB, and p-IκB Ser36 and increased the IkappaB kinase IκB level Sun et al. Paeoniflorin has also been tested with topical applications coupled with hyaluronic acid gel.

The metabolite promoted a modulation of macrophages which are well involved in diabetic wounds. The topical application of the paeoniflorin-enriched gel brought better inflammation management, improved angiogenesis, re-epithelialization, and collagen deposition Yang et al.

Other studies using a paeoniflorin-sodium alginate-gelatin skin scaffold for treating diabetic wounds in a rat model gave positive results on macrophage modulation as well Yu et al. Oxypaeoniflorin, a metabolite found in P.

lactiflora root, has been studied for its antioxidative and anti-inflammatory activities when it has been associated with paeoniflorin. Observed effects modulated glycation end products and induced inflammatory and oxidative stress responses Zhanghua et al.

On another note, ß -glucogallin reduces the expression of lipopolysaccharide-induced inflammatory markers by inhibiting aldose reductase. Moreover, because ß -glucogallin reduces LPS-induced activation of JNK and p38, we could imagine that this kind of plant metabolite may have a positive action on dermatological inflammation Chang et al.

All these interesting therapeutic properties for wound healing deserve further research studies, especially a better understanding of what metabolites of interest would pass into the oil fraction during extraction. Rehmannia root is one of the 50 fundamental herbs in TCM, and it is cultivated in the Yamato Valley in Japan and in Northern China Ergil et al.

According to the Japanese Pharmacopeia, accepted species are Rehmannia glutinosa Liboschitz var. purpurea Makino and R. glutinosa Liboschitz. However, the purpurea variety might be considered as a synonym, and nowadays, only the R. glutinosa Gaertn. Orobanchaceae denomination is accepted The society of Japanese pharmacopeia, ; WFO, The species name comes from the word glutinous because of the sticky aspect of the root Zhang et al.

Two processes could be used to prepare the crude drug, with the application of steaming processed: juku-jiō or without it non-processed: kan-jiō The society of Japanese pharmacopeia, The plant is also known as Chinese fox glove and in Japanese jiō ジオウ; 地黄. An interesting fact in relation to R.

glutinosa is that the plant is sensitive to phytoviruses. Because its reproduction is realized through vegetative propagation, it may facilitate the spread of viral infections Wu et al. For Kampo manufacturers, producing virus-free root stocks of Rehmannia is therefore important.

Regarding pharmacognosy, the virological status of Rehmannia plants may be considered an influential factor of metabolites diversity Matsumoto et al. The root is traditionally used for its effects on cardiovascular, digestive, and immune systems Keio University Kampo Department ; Zhang et al.

It contains monoterpenoids, phenethylalcohol glycosides, and triterpenes. Some metabolites are characteristic of the Rehmannia botanical genus such as catalpol C 15 H 22 O 10 ; These secondary metabolites are sensitive to growing conditions, processing treatments carried out after cultivation, and also the type of virus contamination Matsumoto et al.

Among the iridoids, monotermenes and glycosides which distinguish R. glutinosa root are the catalpol, dihydrocatalpol C 15 H 24 O 10 ; Moreover, the root is rich in saccharides with three types of monosaccharides extracted glucose, galactose, and fructose and five kinds of oligosaccharides.

Amino acids like arginine C 6 H 14 N 4 O 2 ; In a way, the compounds present in Rehmannia root are either hydrophilic with the wide variety of compounds such as glycosides or more lipophilic with the organic acids.

Iridoids are a metabolites group characteristic of the Rehmannia botanical genus and the Rubiaceae and Scrophulariaceae botanical families. This group presents anti-inflammatory activity that may be beneficial in the treatment of inflammation Viljoen et al.

Moreover, the wound-healing activity of acylated iridoid glycosides was shown in vitro to stimulate the growth of human dermal fibroblasts Nishimura et al. Amino acids in the root, even at low concentration, could therefore have a positive action on wound strength and collagen deposition.

These therapeutic effects brought about by oral supplementation have been tested in artificial incisional wounds in animal models Stechmiller et al. In the same way, as discussed earlier for the compounds present in sesame oil, R. glutinosa root is rich in omega 6.

It has favorable properties such as modulation of cell migration and proliferation, phagocytic capacity, and the production of inflammatory mediators Silva et al. The underground parts of Rehmannia therefore include both lipophilic and hydrophilic compounds with the iridoids in particular.

Further research may reveal the metabolites present in Kampo oil extracts and thus provide a better understanding of the therapeutic actions of Kampo ointments. Chinese rhubarb root usually comes from species Rheum palmatum L. ex Balf. coreanum Nakai Polygonaceae The society of Japanese pharmacopeia, ; WFO, The plant also spreads to Eastern Europe, Northern America, and the cold regions of Asia.

Since ancient times, it has been used as a remedy in these areas. The plant is named daiō ダイオウ; 学名 in Japanese. Roots are usually used after a few years of cultivation.

The interspecific hybrids made from Rheum coreanum Nakai x R. palmatum , named shinsyu-daiō , are now largely cultivated in Japan. Chinese rhubarb root is one of the most commonly used Kampo ingredients, traditionally chosen for its laxative and tonic properties Keio University Kampo Department.

The crude drug presents antibacterial, digestive, anti-inflammatory, anti-fibrosis, and antitumor activities Xiang et al. At least 30 compounds could be identified in the Chinese rhubarb root. From anthraquinones and associated glucosides, dianthrones, phenylbutanones, stilbenes, flavanols, procyanidins, glucogallin, acyl-glucoses, gallic acid, or polymeric procyanidins were identified.

Major differences regarding compounds concentrations exist depending on the botanical and geographical origins of the plant Komatsu et al. According to the Japanese Pharmacopeia, the Chinese rhubarb root contains not less than 0. This sennoside is from the anthraquinones group, but some other representatives are part of the root such as emodin C 15 H 10 O 5 ; The root contains diantrone compounds such as sennoside F C 44 H 38 O 23 ; Other metabolites, such as tannins or other glycosides, are also typical, but they will not be easily extracted with sesame oil.

Both of these enantiomeric compounds are antioxidant flavonoids. Furthermore, some other glycosides such as lindleyin C 23 H 26 O 11 ; An important compound from the root is gallic acid, a trihydroxybenzoic acid C 7 H 6 O 5 ; Anthraquinones have broad biological activities that do not concern therapeutic applications for the digestive sphere.

In vitro and in vivo studies have shown an anti-fibrosis action at the skin level via treatments of hypertrophic scars involving fibroblast deregulation Mehta et al.

This was confirmed in another study conducted on rats with topically applied emodin that enhanced the repair of excisional wounds. In this study, tissue regeneration stimulation implicated the SMAD-mediated TGF-β signaling pathway Tang et al. According to recent in vitro studies, some other anthraquinone metabolites such as rhein stimulate HaCaT cell proliferation through the activation of the estrogen signaling pathway.

This induces the expression of proto-oncogene c-myc in collaboration with the protein FosB and proto-oncogene JunD. Together, these activations accelerate re-epithelialization, an important step in the wound healing process Xu et al. In addition to this, gallic acid showed a beneficial role in wound healing.

Thanks to the regulation and activation of the wound healing mechanisms surrounding the fibroblasts which are observed in vivo after per os treatment in experimentally induced hyperglycemic animals. The favorable factors observed included better wound edge cohesion, a smaller wound area, and a shorter time to reach re-epithelialization after wound induction Liu et al.

The fact that Chinese rhubarb contains such compounds favorable for wound healing deserves metabolomics analyses of these compounds which are lipophilic rhein or gallic acid or amphiphilic emodin to understand their distribution in Kampo oily extracts.

The genus Scrophularia gathers more than species of herbaceous flowering plants commonly known as figwort Scrophulariaceae. There are two main species used in TCM and Kampo.

The second is S. WFO, Both species are named genjin ゲンジン; 玄参 in Japanese. The root part is essential in traditional medicine from East Asia and has been used there for 2, years Zhang et al.

According to the Chinese Pharmacopoeia, Scrophularia roots are used to treat inflammatory and infectious pathologies. The crude drug is however not referenced by the Japanese Pharmacopoeia The society of Japanese pharmacopeia, The name of the genus Scrophularia is also related to its topical use on scrofula lesions tuberculous cervical lymphadenitis Lu et al.

This suggests its properties as a relevant ingredient for skin wound healing treatments and as herbal antiseptic. Moreover, both S. ningpoensis and S. buergeriana have shown anti-inflammatory effects in in vitro and in vivo studies Lee et al.

The Scrophularia botanical genus is a rich source of iridoids, terpenes, phenolic glycosides, alkaloids, and flavonoids Pasdaran and Hamedi, ; Zhang et al. These compounds play a role as antioxidants, as proven in vivo through metabolomic approaches Lu et al.

Therapeutic applications of S. ningpoensis root, in addition to those for infectious lesions, have shown an effect on skin inflammations caused by allergic reactions in mice Zhang et al. The anti-inflammatory properties studied in aqueous extracts affected the MAPK pathway and inhibited the NF-κB pathway Shen et al.

However, these are not easily extrapolated to Kampo extracts made with sesame oil. It is accompanied by other metabolites such as harpagide C 15 H 24 O 10 ; The properties of acylated iridoid glycosides from S. nodosa , a close species, were studied in vitro and showed a beneficial, dose-dependent effect on human fibroblasts Stevenson et al.

To our knowledge, there is no literature describing the composition and mode of action of Kampo ointments extracted via oily base. Only a few clinical trials have been conducted on these specific traditional remedies Huang et al. It can be assumed that the reason for this is certainly due to the experimental difficulties encountered both in biological testing and in metabolomic analysis.

Testing oily based herb extracts represents practical challenges of solubility and homogeneity related to chemical and biological experiments.

For chemical analysis, the oily and waxy nature of Kampo ointments poses a problem of solubility within the analytical solvents used in liquid chromatography.

In addition, the fouling of the source in liquid chromatography coupled to mass spectrometry induces disturbances in the collected signal. These problems lead to more complex metabolomic analyses.

Concerning biological analyses aiming at evaluating the therapeutic action of Kampo products on cellular models, other obstacles are encountered.

The solvents usually used such as ethanol, non-ionic surfactants polysorbates 20 or 80 , or dimethyl sulfoxide DMSO do not allow effective suspension of the compounds and generate toxicity in the cell types tested.

Nonetheless, if the biomechanisms of the Kampo ointments are not yet elucidated possibly because of these challenging analysis difficulties, the metabolites present in the crude drugs have already been evaluated for dermatological applications.

This is the case for oleic acid which is known to be anti-inflammatory, and the fact that Western medicines generally use fatty topical products for their protective effects Lin et al.

This supports the interest in using such lipophilic ointments. In the same way, some plants found in Kampo ointments, such as figwort genus Scrophularia , are also used in other folk and traditional remedies for the treatment of skin pathologies Pasdaran and Hamedi, This convergence of knowledge suggests that there is a lot to discover about the therapeutic modes of action involving Kampo ointments and wound healing.

During this bibliographic work, we found a lot of information on the herbal medicines included in the three Kampo remedies, but we came up against two obstacles.

First, many of the publications considered different routes of administration than the topical one. Also, for some of the topical applications of herbal extracts evaluated, the type of extraction was different from the characteristic oily extraction used for Kampo ointments.

The remedies we are studying are indeed used dermally and are derived from herbal extracts produced in an oily medium. Therefore, much of the information from the literature is not directly applicable.

Second, very few publications or sources mention Kampo directly, whereas we found more information for other traditional medicines such as TCM.

This review gathers information on three ointments that traditional Japanese Kampo uses, namely, Shiunkō , Chuōkō , and Shinsen taitsukō.

Although the biological activities of commercial Kampo extracts are not known, tradition has validated them. This is nuanced since ethnopharmacology refers to some traditional uses that persist independently of a proven therapeutic effect.

Considering the herbal medicines involved in Kampo ointments, several important secondary metabolites are lipophilic products such as curcumin Curcuma longa , shikonin Lithospermum erythrorhizon , furanocoumarins such as imperatonin and byakangelicin Angelica acutiloba , and anthraquinones such as rhein or gallic acid Rheum palmatum.

If the chemical composition of Kampo oily extracts has not yet been described to our knowledge, there is good reason to believe that the molecules described in this review may be present. With regard to the rationalization of the use of Kampo ointments, there is much to be carried out in terms of understanding the biotic and abiotic factors influencing their chemistry.

Indeed, botanical species and varieties for the genera Angelica, Phellodendron, Rheum, or Scrophularia , growing conditions, type of crude drugs used, and processing types are important vectors of metabolites variability among herb batches. Therefore, a better understanding of the factors influencing the levels of metabolites of interest in medicinal plants and hence in crude drugs and ointments is needed.

These natural therapeutics are based on tradition, and in vitro and then in vivo evidences would be crucial arguments for a possible rationalization of these traditional remedies.

In the case of Kampo ointments for dermatological uses, an additional constraint comes from the herbs extraction type in oil. This requires adaptations by biologists and chemists to achieve a good understanding of these unique remedies. Adapted metabolomic approaches and specific biological assays should allow us to learn more about the Kampo ointments used for skin wound healing.

All authors have read and agreed to the published version of the manuscript. MS and FS participated in the writing process in equal measure. Grenoble Alpes France , IRIG-BGE CEA France , and Yokohama University of Pharmacy Japan supported this research.

For this review, the authors thank all the collaborators and structures involved in the recent academic collaboration between the French and Japanese universities: the Yokohama University of Pharmacy YUP, Japan and the University Grenoble Alpes UGA, France as well as the partner laboratories of the project: TIMC-IMAG EPSP UMR UGA, France , the Biomics IRIG-BGE CEA, France laboratory, the Analytical Platform of the Faculty of Pharmacy Université Libre de Bruxelles, Belgium , and the Laboratory E31 Kampo Natural Products Chemistry YUP, Japan.

They also thank the Japanese Kampo health professionals who provided them a better understanding of the practical uses of these remedies: KW, Prof. Iwao Sakakibara, Dr. Aki Ito, and Dr.

Jun Imai. They kindly thank Dr. Cecile Vanhaverbeke for reviewing the article. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Akbik, D. Curcumin as a wound healing agent. Life Sci. PubMed Abstract CrossRef Full Text Google Scholar. Andújar, I.

Pharmacological properties of shikonin - a review of literature since Planta Med. Avanço, G. dos, Peralta, R. Curcuma longa L. essential oil composition, antioxidant effect, and effect on Fusarium verticillioides and fumonisin production.

Food control. CrossRef Full Text Google Scholar. Bai, X. Effects of Angelica dahurica extracts on biological characteristics of human keratinocytes. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 26 3 , — PubMed Abstract Google Scholar.

Boelsma, E. Assessment of the potential irritancy of oleic acid on human skin: Evaluation in vitro and in vivo. Toxicol Vitro 10 6 , — Bowers, S. Chronic wounds: Evaluation and management. Physician 3 , — Cañedo-Dorantes, L. Skin acute wound healing: A comprehensive review.

Capó, X. Molecules 26 23 , Chak, K. A study of the effect of Shiunko , a traditional Chinese herbal medicine, on fibroblasts and its implication on wound healing processes. Wound Care New Rochelle 2 8 , — Chang, K.

Beta-glucogallin reduces the expression of lipopolysaccharide-induced inflammatory markers by inhibition of aldose reductase in murine macrophages and ocular tissues. Chang, M. Cosmetic formulations containing Lithospermum erythrorhizon root extract show moisturizing effects on human skin.

Dermatol Res. Chang, W. Effects of growth conditions and processing on Rehmannia glutinosa using fingerprint strategy. Chao, Y.

Angelica dahurica and Rheum officinale facilitated diabetic wound healing by elevating Vascular Endothelial Growth Factor. Cheng, Y. Shikonin derivatives inhibited LPS-induced NOS in RAW Choe, E. Chemistry of deep-fat frying oils. Food Sci. Cornara, L. Therapeutic properties of bioactive compounds from different honeybee products.

Daemi, A. Topical application of Cinnamomum hydroethanolic extract improves wound healing by enhancing re-epithelialization and keratin biosynthesis in streptozotocin-induced diabetic mice.

Deng, G. Chemical constituents from lipophilic parts in roots of Angelica dahurica var. formosana cv. Zhongguo Zhong Yao Za Zhi 40 11 , — Elraiyah, T. A systematic review and meta-analysis of débridement methods for chronic diabetic foot ulcers. Ergil, K. Chinese herbal medicines.

West J. Ferro, T. Topical application of cinnamaldehyde promotes faster healing of skin wounds infected with Pseudomonas aeruginosa. Molecules 24 8 , E Fratini, F. Beeswax: A minireview of its antimicrobial activity and its application in medicine.

Asian Pac J. Fukurodo Pharmacy. Fukurudo Pharmacy online store [Internet]. Adachi, Tokyo: ふくろう堂薬局ネット販売店. Google Scholar. Ghaisas, M. Evaluation of wound healing activity of ferulic acid in diabetic rats. Wound J. Ghanem, N. The antimicrobial activity of some honey bee products and some saudi folkloric plant extracts.

Guo, J. Free Radic. Han, J. Decursin and decursinol angelate improve wound healing by upregulating transcription of genes encoding extracellular matrix remodeling proteins, inflammatory cytokines, and growth factors in human keratinocytes.

Biophysical Res. He, D. Anti-inflammatory and immunomodulatory effects of Paeonia lactiflora Pall. Hosokawa, K. The sequences of the spacer region between the atpF and atpA genes in the plastid genome allows discrimination among three varieties of medicinal Angelica.

Hsiao, C. A study of the wound healing mechanism of a traditional Chinese medicine, Angelica sinensis , using a proteomic approach.

Based Complement. Hu, Y. Angelica dahurica regulated the polarization of macrophages and accelerated wound healing in diabetes: A network pharmacology study and in vivo experimental validation. Huang, K. Shiunko promotes epithelization of wounded skin. Izuo, M.

Medical history: Seishu Hanaoka and his success in breast cancer surgery under general anesthesia two hundred years ago. Breast Cancer 11 4 , — Jain, R. Arnebia euchroma , a plant species of cold desert in the Himalayas, harbors beneficial cultivable endophytes in roots and leaves.

Japan Pharmaceutical Manufacturers Association Handbook for pharmacy preparations 続作ってみよう薬局製剤. Bunkyo, Tokyo: 薬事日報社 , New guide to general Kampo prescriptions 新一般用漢方処方の手引き. Bunkyo, Tokyo: じほう , Jeong, S.

Tokyo 63 7 , — Kacániová, M. The antimicrobial activity of honey, bee pollen loads and beeswax from Slovakia. Kamimura, S. Simultaneous quantitative analysis of berberine and other alkaloids in powdered Phellodendron bark. Yakugaku Zasshi 11 , — Kant, V. Antioxidant and anti-inflammatory potential of curcumin accelerated the cutaneous wound healing in streptozotocin-induced diabetic rats.

Katoh, A. Systems biology in a commercial quality study of the Japanese angelica radix: Toward an understanding of traditional medicinal plants. Keio University Kampo Department.

Japanese Kampo Medicine class, Kampo Igaku Center Keio University Medical School [Internet]. Khor, Y. Oxidation and polymerization of triacylglycerols: In-depth investigations towards the impact of heating profiles.

Foods 8 10 , Kim, H. Water extract of gromwell Lithospermum erythrorhizon enhances migration of human keratinocytes and dermal fibroblasts with increased lipid synthesis in an in vitro wound scratch model. The weights of the adult female mice used ranged between 20 and 30 g with an average weight of The animals were fed on standard mouse feed with water always available through standard water bottles.

Protocols and procedures were approved by the Ethics and Animal welfare sub-committee, Division of Veterinary Services, Department of Livestock and Veterinary Services—Ministry of Agriculture, Mechanization and Irrigation Development, Zimbabwe, as well as the Faculty Higher Degrees by Research HDR Committee, Faculty of Veterinary Science, University of Zimbabwe.

Wound healing properties of the freshly made ointments of C. quadrangularis, A. multiflorum , and E. abyssinica leaf and bark separately crude methanolic extracts were used in the assays.

The animals were grouped into six groups of six animals each. The dorsal skin area of the test animals was shaved prior to the incision.

Wounds 10 × 6 mm average were cut on each mouse under sterile conditions Karodi et al. Chloroform was used for anesthesia to minimize pain and stress to the animals as a result of the wounding processes.

The respective ointments were applied once daily after cleaning with sterile water and gauzes till day 15 Karodi et al. Wound sizes, contractions and other changes were measured and noted every 3 days.

Histological evaluations of samples collected on day 15 were blindly conducted by a veterinary pathologist Dr. Ellen Mwandiringana—Preclinical Department, Faculty of Veterinary Sciences, University of Zimbabwe, MP, Mt. Pleasant Harare, Zimbabwe and a histologist Josephine Tendayi Chidaushe—Department of Anatomy, College of Health Sciences, MP, Mt.

Pleasant, Harare, Zimbabwe. All animal tissue samples collected were preserved for future use in formalin. The crude protein content was estimated by titrimetric determination of nitrogen content following Kjeldahl digestion of the skin samples in sulfuric acid H 2 SO 4 using copper Cu catalyst Lynch and Barbano, ; Magomya et al.

Oven dried skin samples were cleaned using scalpel blades to remove furs and then powdered. Between 0. The respective titer values, sample mases and standard acid concentration were used to calculate percentage nitrogen content.

The nitrogen content was then converted to percentage protein content estimates using a factor 6. The qualitative screening of alkaloids was done by dissolving the extracts in dilute hydrochloric acid. After filtration the filtrates we individually treated with the Wagner's reagent iodine in potassium iodide.

Saponins were detected based on the froth's test, were the extracts were shaken individually in distilled water for 15 min. Formation of 1 cm layer of foam indicated the presence of saponins. Tannins were detected based on the ferric chloride test. The extracts were treated individually with few drops of neutral ferric chloride solution and a bluish black color indicated the presence of tannins or phenolic nucleus.

The lead acetate test was used to detect flavonoids were after individually treating the extracts with a few drops of lead acetate solution; a yellow precipitate indicated the presence of flavonoids. The infrared spectra of the clean crude extracts of A.

multiflorum, C. quadrangularis and E. abyssinica leaves were done on compressed it tablets using PerkinElmer Spectrum Version The Statistical Package for the Social Sciences SPSS Version 21 was used for all data analysis.

The results for the wound healing parameters followed in the study are presented in Tables 1 — 3 as well as Figures 1 , 2. From Table 1 it is deduced that C. multiflorum ointments led to wound changes and healing similar to that of the positive control over the 15 day period. On the same period E.

abyssinica leaves and E. abyssinica bark ointments did not show notable differences from the negative control. Cissus quadrangularis and A. multiflorum treatments had significantly higher wound healing effect as compared to E.

However, E. The effects of C. The regression plots Figure 1 of the wound healing area percentage change over the period of 15 days showed that all the extracts have significant percentage change of wound size as compared to the negative control.

The plots also show that the positive control had the greatest rate of wound healing properties followed by C. multiflorum, E. abyssinica leaves, and E. abyssinica barks treatments, respectively.

Protein content Figure 2 in the groups treated with C. multiflorum was found to be significantly high and comparable to that of the positive control especially the A. multiflorum group. Erythrina abyssinica leaves had considerably high protein content and E.

abyssinica bark group had somewhat higher protein content relative to that of the negative control. As shown in Table 3 , C. quadrangularis treated group exhibited normal and complete healing; E.

abyssinica ointment did not show significant healing the bark ointment especially exhibited healing effects that were weaker than the negative control. abyssinica leaf ointment were somewhat better than the negative control.

multiflorum ointment exhibited some healing properties better that the negative control. Table 1. Wound healing properties as observations in wound changes over time as effected by ointments of three plants used in ethnoveterinary practices.

Table 2. Wound healing properties as percentage wound area changes over time on treated patches as effected by ointments of three plants used in ethnoveterinary practices. Table 3. Wound healing properties as histological observations on the wound area after 15 days of treatment as effected by ointments of three plants used in ethnoveterinary practices.

Figure 1. Wound healing properties as regression plots of the wound area percentage change over time as effected by ointments of three plants used in ethnoveterinary practices.

Figure 2. The ointments of C. The ointment of C. quadrangularis exhibited the best wound healing properties compared to the rest considering the parameters followed in this study including the positive control Figure 1. Erythrina abyssinica leaf and bark ointments exhibited wound healing properties comparable to those of the negative control used with observations failing to distinguish them from the negative control Table 1.

When analysing the wound area, it was however, observed that the ointments of E. abyssinica leaf and bark performed better than the negative control Table 2 and Figure 1.

The histological observations Table 3 highlighted the strong healing properties of C. quadrangularis ointment relative to all the other ointments.

As highlighted above, C. quadrangularis ointment exhibited better wound healing properties than the positive control with skin and appendages returning to normal by day 15 Table 3. Adenium multiflorum ointment, though exhibited good wound healing properties, it was inferior to C.

quadrangularis ointment and the positive control used. Erythrina abyssinica bark ointment exhibited very poor wound healing properties as compared to the negative control. The leaf ointment of E. abyssinica exhibited somewhat better wound healing properties relative to the negative control. Wounds are common in both humans and animals as a result of physical, chemical or thermal injuries Barreto et al.

The tissue damages if not managed often lead to chronic inflammation and secondary infections, further damaging surrounding tissues. With production animals untreated wounds may lead to significant losses due to reduced productivity as well as death. Extracts of plants such as C. abyssinica have been used to manage different types of wounds.

Their uses over time have thus proven efficacy and safety. Damages associated with injury may involve the epidermis, local vasculature, dermis and possibly other underlying tissues and this usually kick starts various wound healing processes Daunton et al.

The ideal wound healing process usually follows the sequence: restoration of barrier functions of the skin e. The sequences described fits in the four phases of wound healing i. Some authors however have compressed the phases of wound healing in three phases inflammatory including clotting , proliferative and remodeling Wild et al.

Herbal extracts often contain numerous molecules that are important in or as signaling molecules, lubrication, aids to proliferative process, wound contraction, cofactors, antioxidants, radical scavenging, anti-infectives, and nutrients Raina et al.

Extracts of C. quadrangularis were found to contain a range of molecules Chanda et al. see Table 4 known to have significant biological effects which include antioxidants, radical scavenging, antimicrobial and anti-inflammatory effects Mohanambal et al.

It also contains several elements e. key aspects in wound healing Sen and Dash, ; Marume et al. Adenium multiflorum like other members of the genus contains phytoconstituents that have toxic effects as well as key pharmacological properties in wound healing like antimicrobial, radical scavenging and anti-oxidant properties.

These compounds include alkaloids, glycosides, tannins and flavonoids as well as essential trace elements Sharma et al. Microbial infection is the famous reason for wound-related morbidity Said et al.

This led to a physiological imbalance in the mechanism of healing. It might get stuck in one of the phases, and the wound then falls into the non-healing chronic type FrykbergRobert ; Rajendran et al. The universal goal of all studies about wound healing is to treat acute wounds perfectly in due time, so we avoid conversion into chronic ones and discover the appropriate therapy if the patient suffers from chronic wounds.

Patients with chronic wounds suffer from pain, depression due to isolation from the community, and risk of amputation Ivanková and Belovičová Different studies of the wound-repairing effect of various plant extracts revealed the diversity of actives responsible for this activity.

It was suggested that D-pinitol and caffeic acid, the major constituents of Boerhavia diffusa leaf methanol extract, contributed to the wound-healing effect Juneja et al. In another study, the fraction contained a high level of polyphenolic compounds, separated from leaves methanol extract of Coccinia grandis showed a remarkable wound repair effect.

This effect was due to rutin , quercetin O -neohesperidin, nicotiflorin, kaempferol O -glucorhamnoside, and astragalin as well as seco-iridoids of oleuropein and ligstroside Al-Madhagy et al.

HPLC metabolic profiling of the methanol extract of Ephedra ciliata recognized quercetin as a major compound. The antioxidant and antimicrobial activities of quercetin were related to the wound-closure effect of the extract Yaseen et al.

Biological guided study of E. characias subsp. wulfenii extracts methanol, n -hexane, and ethyl acetate of the aerial parts were tested. It was explored that the methanol extract displayed significant wound-repairing activity in circular excision and linear incision wound models, as well as anti-inflammatory effects.

This study explored whether quercetin derivatives quercitrin, hyperoside, and guaijaverin were responsible for the wound-repairing effect Özbilgin et al.

Regarding Jacaranda decurrens Cham. It was concluded that these compounds improved the healing of wounds in this study Serra et al. Hydroethanolic extract of leaves of Lafoensia pacari A.

was evaluated in accelerating the contraction of wounds. The plant contained punicalagin, ellagic acid, punicalin, kaempferol, quercetin O -xylopyranoside, and quercitrin, which could be related to re-epithelialization, improved cell proliferation, and enhanced remodeling phase of the wounds Pereira et al.

The mats composed of polyurethane loaded with Nigella sativa oil were studied to assess the in vivo wound-repairing effect Aras et al. The essential oil of Nigella sativa seeds contains thymoquinone, which was reported to have wound-healing activity Haq et al.

Different studies were performed to obtain an effective wound healing process e. loaded thymoquinone chitosan- lecithin micelles which keep thymoquinone at the site of wounds with controlled release of the drug Negi et al.

Hydro-ethanol extract from Vitis labrusca leaves was found to advance the healing of wounds due to the total phenolic and flavonoid content Santos et al. Aqueous ethanol extract of Leaves of Curatella americana Linn. exerted remarkable wound healing properties due to its active constituents. Leaves contain compounds known as wound-healing agents, mainly quercetin, kaempferol, glucosides, catechin, and epicatechin Fujishima et al.

A homogenous polysaccharide was separated from the rhizomes of Curcuma zedoaria and tested in the process of healing wounds in diabetic rats.

It was added with platelet-rich plasma exosomes and loaded to a hydrogel sponge of chitosan and silk. It was found that the previous combination was effective and safe to speed the curing of wounds in the case of diabetes Xu et al. Methanol extract of Dodonaea viscosa leaves caused accelerated epithelization of excision wounds and increased tensile strength of incision wounds of rats.

HPTLC chromatogram showed 10 constituents of flavonoids, tannins, and saponins, including rutin and kaempferol, with reported healing effects Nayeem et al.

Wound dressings can be created from a combination of bio- and synthetic polymers. Loading them with bioactive substances from natural products increased the good features of this combination.

The combined bio- and synthetic polymers may have little or no anti-bacterial, anti-inflammatory, and antioxidant effects Alven et al. Loading the bioactive natural product to either the combined polymers or to only one of them eliminates this problem. Bioactive materials such as curcumin Lüer et al.

et al. Different types of wound dressings have existed as traditional or passive, e. The interactive wound dressing of synthetic or bio-polymers could be represented as hydrogel, foams, sprays, films, and nanofibers, which introduced a moist environment for wound healing and facilitated water vapor transmission but with a limited anti-bacterial effect.

The merits of combining synthetic and bio-polymer with bioactive natural products in wound dressings for better wound healing were confirmed in many studies e. Curcumin is the active substance of the roots of turmeric or Curcuma longa. It exerts strong antioxidant and anti-inflammatory, anti-bacterial effects but with low water solubility and oral bioavailability.

Curcumin was loaded into bio- and synthetic polymers to overcome this problem Alven et al. The combination between bio- and synthetic polymers could overcome the problem of poor mechanical support of bio-polymers Aycan et al. Effective wound dressing for skin burns represents a challenge to the healthcare system due to the probability of skin structure damage leading to an increased risk of infection.

Quercetin and rutin are flavonoids with strong antioxidant, antimicrobial and anti-inflammatory effects but have limited water solubility.

It was revealed that incorporating quercetin and rutin into polycaprolactone and chitosan oligosaccharides to form a new bioactive electrospun nanofiber membrane, exhibited superior efficacy among all nanofiber membranes for burn injuries Zhou et al.

Regarding diabetic wounds, new scaffolds formed of polyethylene glycolylated graphene oxide collagen hybrid for nanoscale drug delivery of quercetin were tested. It was found that it provided a new scaffold with the advantages of being superior, stable, the controllable release of quercetin, biodegradable nanomaterial, and biocompatible, which permitted collagen formation and angiogenesis.

Besides, the mesenchymal stem cells' proliferation and differentiation potential were promoted via adhesion to this scaffold. These new scaffolds could help in solving issues of deficient collagen hyperplasia and insufficient blood supply in the case of diabetic wounds Chu et al.

The current review clarifies that nature introduces medicinal plants with remarkable wound-healing effects. Scientific evidence obtained in the last 5 years has allowed us to expand our knowledge about herbal medicines on wound healing and the underlying molecular mechanisms.

Plants, with their natural actives, have the ability to cure wounds and to be utilized in skin wound care. Mainly due to their anti-inflammatory, antimicrobial, and antioxidant activities Pazyar et al. Recent literature has proved that different natural substances, such as flavonoids, saponins, phenolic compounds, and polysaccharides, can operate at various phases of the process through diverse mechanisms and are primarily responsible for the activity of herbal remedies active in wound healing.

Polyphenolic compounds have been confirmed therapeutical agents in wound healing by regulating and modulating inflammatory responses. Scientific research confirmed the powerful impact of medicinal plants and their phytochemicals in wound management through multiple connected mechanisms Maver et al.

The development of novel wound care techniques that integrate herbal healing agents with modern products and procedures is in line with current trends in wound healing. Nanostructures and nanoformulations have recently shown promise in overcoming the limitations of conventional medications.

They control the release of medicines, lower the dosages needed for healing, and enhance the solubility and effectiveness of water-insoluble herbal components in healing wounds. The optimal dressing for wound treatment is made of nanofibers due to their well-controlled porosity and resemblance to skin tissue.

The incorporation of natural materials into nanofibrous architectures for wound dressing has been studied. Based on these findings, it is recommended that many therapeutic approaches be employed concurrently in managing wounds, especially chronic wound injuries, to speed up the healing process and prevent complications.

Moreover, various problems need to be resolved to improve the efficacy and utilization of natural substances in wound healing. Aburjai T, Al-Janabi R, Al-Mamoori F, Azzam H In vivo wound healing and antimicrobial activity of Alkanna strigose.

Wound Med 25 1 Article Google Scholar. Aderibigbe BA, Buyana B Alginate in wound dressings. Pharmaceutics 10 2 Article PubMed PubMed Central Google Scholar.

Ahmed OM, Mohamed T, Moustafa H, Hamdy H, Ahmed RR, Aboud E Quercetin and low level laser therapy promote wound healing process in diabetic rats via structural reorganization and modulatory effects on inflammation and oxidative stress.

Biomed Pharmacother — Article CAS PubMed Google Scholar. Ajmal G, Bonde GV, Mittal P, Khan G, Pandey VK, Bakade BV, Mishra B a Biomimetic PCL-gelatin based nanofibers loaded with ciprofloxacin hydrochloride and quercetin: a potential anti-bacterial and antioxidant dressing material for accelerated healing of a full thickness wound.

Int J Pharm Ajmal G, Bonde GV, Thokala S, Mittal P, Khan G, Singh J, Pandey VK, Mishra B b Ciprofloxacin HCl and quercetin functionalized electrospun nanofiber membrane: fabrication and its evaluation in full thickness wound healing.

Artif Cells Nanomed Biotechnol 47 1 — Akbik D, Ghadiri M, Chrzanowski W, Rohanizadeh R Curcumin as a wound healing agent. Life Sci 1 :1—7. Food Funct 10 10 — Algahtani MS, Ahmad MZ, Shaikh IA, Abdel-Wahab BA, Nourein IH, Ahmad J Thymoquinone loaded topical nanoemulgel for wound healing: formulation design and in-vivo evaluation.

Molecules 26 13 Article CAS PubMed PubMed Central Google Scholar. Alherz FA, Negm WA, Elekhnawy E, El-Masry TA, Haggag EM, Alqahtani MJ, Hussein IA Silver nanoparticles prepared using encephalartos laurentianus de wild leaf extract have inhibitory activity against candida albicans clinical isolates.

J Fungi 8 10 Article CAS Google Scholar. Ali A, Garg P, Goyal R, Kaur G, Li X, Negi P, Valis M, Kuca K, Kulshrestha S A novel herbal hydrogel formulation of moringa oleifera for wound healing. Plants 10 1 Ali A, Garg P, Goyal R, Khan A, Negi P, Li X, Kulshrestha S An efficient wound healing hydrogel based on a hydroalcoholic extract of Moringa oleifera seeds.

S Afr J Bot — Almukainzi M, El-Masry TA, Negm WA, Elekhnawy E, Saleh A, Sayed AE, Khattab MA, Abdelkader DH b Gentiopicroside PLGA nanospheres: fabrication, in vitro characterization, antimicrobial action, and in vivo effect for enhancing wound healing in diabetic rats. Int J Nanomed Alotaibi B, Negm WA, Elekhnawy E, El-Masry TA, Elseady WS, Saleh A, Alotaibi KN, El-Sherbeni SA Antibacterial, immunomodulatory, and lung protective effects of boswellia dalzielii oleoresin ethanol extract in pulmonary diseases in vitro and in vivo studies.

Antibiotics 10 12 Aaa A, Attalah Oran S, Shakhanbeh JM In vitro and in vivo wound healing activities of Globularia arabica leaf methanolic extract in diabetic rats. J Cosmet Dermatol 2 10 — Google Scholar. Alsareii SA, Alzerwi NA, AlAsmari MY, Alamri AM, Mahnashi MH, Shaikh IA Topical application of premna integrifolia linn on skin wound injury in rats accelerates the wound healing process: evidence from in vitro and in vivo experimental models.

Evid-Based Complement Altern Med. Alven S, Nqoro X, Aderibigbe BA Polymer-based materials loaded with curcumin for wound healing applications. Polymers 12 10 Aras C, Tümay Özer E, Göktalay G, Saat G, Karaca E Evaluation of Nigella sativa oil loaded electrospun polyurethane nanofibrous mat as wound dressing.

J Biomater Sci Polym Ed 32 13 — Artem Ataide J, Caramori Cefali L, Machado Croisfelt F, Arruda Martins Shimojo A, Oliveira-Nascimento L, Gava MP Natural actives for wound healing: a review.

Phytother Res 32 9 — Article PubMed Google Scholar. Attallah NG, Elekhnawy E, Negm WA, Hussein IA, Mokhtar FA, Al-Fakhrany OM In vivo and in vitro antimicrobial activity of biogenic silver nanoparticles against Staphylococcus aureus clinical isolates.

Pharmaceuticals 15 2 Attallah NGM, Negm WA, Elekhnawy E, Elmongy EI, Altwaijry N, El-Haroun H, El-Masry TA, El-Sherbeni SA Elucidation of phytochemical content of cupressus macrocarpa leaves in vitro and in vivo anti-bacterial effect against methicillin-resistant staphylococcus aureus clinical isolates.

Antibiotics basel. Aycan D, Selmi B, Kelel E, Yildirim T, Alemdar N Conductive polymeric film loaded with ibuprofen as a wound dressing material. Eur Polymer J Ayu CA, Weta IW, Aman IGM Moringa Moringa oleifera leaves extract gel improved wound healing by increasing fibroblasts, neovascularization and in male Wistar rats.

IJAAM indones J Anti-Aging Med. J Drug Deliv Sci Technol Bihani T, Mhaske N Evaluation of in vivo wound healing activity of Plumeria obtusa L. Champa spray in rats.

Wound Med. Binsuwaidan R, Elekhnawy E, Elseady WS, Keshk WA, Shoeib NA, Attallah NG, Mokhtar FA, Abd El Hadi SR, Ahmed E, Magdeldin S Anti-bacterial activity and wound healing potential of Cycas thouarsii R. Br n-butanol fraction in diabetic rats supported with phytochemical profiling.

Biomed Pharmacother Blume-Peytavi U, Tan J, Tennstedt D Fragility of epidermis in newborns, children and adolescents vol 30, pg 3, J Europ Acade Dermatol Venereol 30 9 — Boakye YD, Agyare C, Ayande GP, Titiloye N, Asiamah EA, Danquah KO Assessment of wound-healing properties of medicinal plants: the case of Phyllanthus muellerianus.

Front Pharmacol Boudjelal A, Napoli E, Benkhaled A, Benazi L, Bey R, Gentile D, Ruberto G In vivo wound healing effect of Italian and Algerian Pistacia vera L. Fitoterapia Carvalho MTB, Araújo-Filho HG, Barreto AS, Quintans-Júnior LJ, Quintans JSS, Barreto RSS Wound healing properties of flavonoids: A systematic review highlighting the mechanisms of action.

Phytomedicine Chen L-Y, Cheng H-L, Kuan Y-H, Liang T-J, Chao Y-Y, Lin H-C Therapeutic potential of luteolin on impaired wound healing in streptozotocin-induced rats.

Biomedicines 9 7 Chingwaru C, Bagar T, Maroyi A, Kapewangolo PT, Chingwaru W Wound healing potential of selected Southern African medicinal plants: a review. J Herb Med 17— Choudhary A, Kant V, Jangir BL, Joshi VG Quercetin loaded chitosan tripolyphosphate nanoparticles accelerated cutaneous wound healing in Wistar rats.

Eur J Pharmacol Chu J, Shi P, Yan W, Fu J, Yang Z, He C, Deng X, Liu H PEGylated graphene oxide-mediated quercetin-modified collagen hybrid scaffold for enhancement of MSCs differentiation potential and diabetic wound healing. Nanoscale 10 20 — Du X, Wu L, Yan H, Jiang Z, Li S, Li W, Bai Y, Wang H, Cheng Z, Kong D et al Microchannelled alkylated chitosan sponge to treat noncompressible hemorrhages and facilitate wound healing.

Nat Commun 12 1 Dunn L, Prosser HC, Tan JT, Vanags LZ, Ng MK, Bursill CA Murine model of wound healing. JoVE j Visual Exp e El-ezz A, Abdel-Rahman LH, Al-Farhan BS, Mostafa DA, Ayad EG, Basha MT, Abdelaziz M, Abdalla EM Enhanced in vivo wound healing efficacy of a novel hydrogel loaded with copper II schiff base quinoline complex CuSQ solid lipid nanoparticles.

Pharmaceuticals 15 8 Elloumi W, Mahmoudi A, Ortiz S, Boutefnouchet S, Chamkha M, Sayadi S Wound healing potential of quercetinO-rhamnoside and myricetinO-rhamnoside isolated from Pistacia lentiscus distilled leaves in rats model.

Fathi AN, Sakhaie MH, Babaei S, Babaei S, Slimabad F, Babaei S Use of bromelain in cutaneous wound healing in streptozocin-induced diabetic rats: an experimental model. J Wound Care 29 9 — Frykberg Robert G Challenges in the treatment of chronic wounds.

Advan Wound Care. Fu J, Huang J, Lin M, Xie T, You T Quercetin promotes diabetic wound healing via switching macrophages from M1 to M2 polarization. J Surg Res — Fujishima MAT, Sa DMC, Lima CMDS, Bittencourt JAH, Pereira WLA, Muribeca AdJB, Silva ECYY, de Silva MN, de Sousa FFO, Dos Santos CB Chemical profiling of Curatella americana Linn leaves by UPLC-HRMS and its wound healing activity in mice.

PLoS ONE 15 1 Gebremeskel L, Bhoumik D, Sibhat GG, Tuem KB In vivo wound healing and anti-inflammatory activities of leaf latex of aloe megalacantha baker Xanthorrhoeaceae.

Grice EA, Segre JA The Skin Microbiome. Nat Rev Microbiol 9 4 — Haq A, Kumar S, Mao Y, Berthiaume F, Michniak-Kohn B Thymoquinone-loaded polymeric films and hydrogels for bacterial disinfection and wound healing.

Medicinal plants have played an important therapeutic role Heebal history. Records of Blood sugar crash irritability Herbal wound healing Herba back 5, years and document Herbal wound healing evolution of ethnobotanical therapies from uealing availability of Woujd and trade commerce to Herbal wound healing developed Herbal wound healing practice. Systems such as Ayurveda and Traditional Chinese Medicine use herbs extensively and are established facets of healthcare in India and China, respectively. In Europe and the United States, herbalism declined in the early s as the pharmaceutical industry expanded. Today, uneasiness with drug side effects along with the desire for natural options has catalyzed a resurgence in herbal use. As scientific research validates efficacy, interest and use continue to rise. Cuts healiny scrapes are common Herbal wound healing most Herbal wound healing us Herbal wound healing ehaling and there, but Hebal you know the natural ways to healign these wounds Electrolyte Imbalance well and fast? A wound can be defined as any damage or break in the surface of the skin. Trauma or skin breakdown are the main causes of wounds, which can be open or closed. Wounds are considered to be acute wounds if they are new. Wounds are considered to be chronic if they last longer than three to four weeks.

A healing herb—otherwise known as Hrbal medicinal plant Hefbal either collected from the wild or intentionally grown for its healling, or Distorting facts about nutrition, value. Examples of healing plants Hefbal which hewling is some evidence supporting their ability wlund either heaing or relieve symptoms of certain health conditions include:.

This article covers healig traditional uses of these wkund plants, what research says about them, how wiund Herbal wound healing Herbzl, and wounr to consider. In addition, they can pose risks and side effects, and their safety and efficacy are not regulated by the Food Herbal extract uses Drug Administration FDA.

Ashwagandha comes from the Withania somnifera plant, also known as Indian ginseng Healijg Indian winter healinb. The evergreen shrub is native to Wounnd and Asia and grows in some parts of the Middle East and India. Herbbal has been used for thousands of years for its medicinal properties.

The versatile herb is Minerals for athletic performance in Ayurvedic medicine the traditional medicine system in Bealing to woune energy levels, decrease Hdrbal and stress, and healin pain and inflammation.

Research Herbql this powerful Herbal wound healing significantly reduces Herval levels the primary stress hormonehelping reduce stress and wohnd. It Hfrbal recognized as an adaptogenRecovery drinks for athletes Herbal wound healing that helps protect from stress.

Stress management is also used to improve male sexual health, as the herb can boost testosterone levels in males. Wounr root of the woody plant is said to support erectile dysfunctionincrease libido sexual desireand Herbal energy booster elixir sexual pleasure.

This video has been healung reviewed by Jamin Brahmbhatt, Wund. Ashwagandha is available in capsule, Herbsl, and powder forms healingg a wiund supplement. Wlund has traditionally been mixed with honey, ghee, or water.

Herbap one-fourth to one-half heailng of ashwagandha wuond into your smoothies or hot beverages, Herbal wound healing.

You can take ashwagandha Herbal wound healing helaing of day, wouns it wounnd best Herbxl take it healig 30 minutes before a meal. Most people do not immediately eHrbal the effects of ashwagandha. Heral can take weeks wlund the benefits Fat metabolism process ashwagandha Ginger for colds be noticeable.

Blueberry grilling recipes Herbal wound healing generally safe for most Herbql. Common side effects include drowsiness, hwaling discomfort, Liver detox benefits diarrhea.

Healling who take certain medications, like anticonvulsants, benzodiazepines, and barbiturates, should not take them, as the plant wkund interact with healingg.

Do not take ashwagandha if pregnant, as high doses Hrrbal induce miscarriage. Chamomile is Hetbal flower native to Western Europe, India, and Asia. It now Herbbal freely throughout the Endurance fitness challenges States.

There are two types of chamomile: Dound grows in the Midwest and Roman wonud perennial that smells bealing apples. Chamomile is Herbal wound healing popular herbal remedy in the United States, commonly used Cranberry-infused water recipes reduce anxiety and promote relaxation.

Broccoli and tomato meals to the National Center for Complementary and Hewling Health, a healong of the National Institutes of Health, chamomile is "likely Diabetic-friendly comfort foods when used Herbal wound healing heling tea.

And, it Healig be safe for Balanced diet for performance use orally. Not Joint health nourishment is known about the long-term safety of using chamomile for medicinal purposes.

In Europe, chamomile is used to aid in wound healing and reduce inflammation and swelling. Its proven effectiveness backs up the popularity of this herbal remedy. A review found that chamomile is a versatile herb. It is commonly used for its antioxidant, antimicrobial, antidepressant, anti-inflammatory, antidiabetic, and antidiarrheal effects.

It is also beneficial for managing knee osteoarthritis, ulcerative colitispremenstrual syndrome, and gastrointestinal disorders. Chamomile can be brewed as a tea, applied as a compress, or used topically to treat skin irritation.

Chamomile tea has an apple-like fragrance and taste. To prepare the tea:. You can add ice to the tea if you prefer a cooler beverage. Chamomile is available as a tea and in capsule form in most health food stores. If using capsules, look for pharmaceutical-grade products.

Other grades, such as therapeutic grades, may not be as high in quality. Chamomile may cause allergic reactions, and some people have reported anaphylaxis a severe, whole-body allergic reaction that can be deadly from its use.

Avoid using chamomile if you take blood thinners or the antirejection drug cyclosporine. It can negatively interact with these medications. Echinacea is a flowering plant in the daisy family.

It grows in eastern and central North America, and the leaf, stalk, and root of echinacea are commonly used for medicinal purposes. Echinacea has traditionally been used as a remedy for toothache, bowel pain, snake bites, seizures, skin irritation, arthritis, and cancer. Today, echinacea is a home remedy commonly used to shorten the duration of or prevent the common cold and flu.

It is also widely used to promote wound healing. Echinacea is rich in substances believed to relieve pain, reduce inflammation, and have antiviral and antioxidant effects. Some studies show a minor benefit in using echinacea to prevent upper respiratory infections. But more studies are needed to determine its efficacy in preventing or shortening the duration of a cold.

Echinacea is available in capsule, tincture, and tea bagged and loose-leaf forms. There is no recommended daily intake of echinacea.

To prepare loose-leaf echinacea tea:. Echinacea can be hard on the digestive system and may cause stomach upset. Experts say echinacea should only be used on a short-term basis. Check with your healthcare professional before using echinacea.

It may interact with your medications, particularly medicines that affect your liver. If you are allergic to plants in the daisy family, such as ragweed, marigold, and daisies, you may have an allergic reaction to echinacea.

Garlic is a perennial plant native to Central Asia that is grown for its flavorful bulbs. It is now grown worldwide by many cultures. Garlic is valued both for cooking purposes and its medicinal properties. Humans have been using garlic for thousands of years. Traditional medicinal uses include preventing infection, lowering blood pressure, treating tuberculosis, colic, liver disease, and intestinal worms, and reducing fevers.

The compounds found in garlic have antimicrobial, anticancer, and anti-inflammatory properties. Research shows garlic can lower blood pressure and reduce the risk of heart attack and stroke. Garlic may be effective at preventing certain types of cancer. Research shows that regular consumption of cooked or raw garlic may reduce the risk of colorectal cancer.

Garlic can be consumed both cooked and raw. It can also be used in powder to season meats, vegetables, soups, and stews. Garlic supplements are available in capsule, oil, and tincture form.

Recommended daily dosages vary depending on how you are using garlic, including:. Speak with your doctor if you plan to supplement with garlic for its health benefits. Garlic can increase the risk of bleeding and should not be used if you are taking blood thinners.

For that same reason, do not take large amounts of garlic before surgery or dental procedures. Ginger Zingiber officinale has a leafy stem and yellow-green flowers. Native to Asia and India, ginger belongs to the Zingiberaceae family. The versatile spice comes from the underground stem of the ginger plant and is added to foods and beverages worldwide.

In traditional Chinese medicine, the fresh rhizoma underground stem of Zingiber officinale Roscoe is used, called Zingiberis Rhizoma Recens.

Ginger has been used extensively since the s in many traditional medicines worldwide. Over 2, years ago, ginger was so valued and sought after for its medicinal properties that a pound of it was equivalent to the cost of a sheep.

It was used to remedy common ailments, such as nausea, pain, and vomiting. Today, ginger has the distinction of being classified as an herb, food, and medicine. Regarding its medicinal properties, ginger is perhaps best known for its ability to help reduce nausea.

Research confirms ginger may help relieve nausea and vomiting for people undergoing surgery and pregnancy-related nausea. Ginger may also help relieve chemotherapy-related nausea. Thanks to its anti-inflammatory and antioxidant properties, ginger is also an effective pain reliever.

One study found that ginger helped reduce pain and increase mobility in individuals with osteoarthritis. Ginger is versatile and used in many forms, including fresh, dried, pickled, candied, and powdered.

It has a strong and spicy smell and tastes somewhat sweet and peppery. Ground ginger root is what you typically find on spice shelves in grocery stores.

It is commonly used for cooking and baking. There are numerous ways to consume ginger, including in tea. You can purchase ginger tea bags in most grocery stores or make them at home with fresh ginger.

If you consume fresh ginger, peel the skin with a vegetable peeler before use. Ginger is considered to be safe when taken orally as a dietary supplement, and it may also be safe when used topically on the skin.

Side effects are generally mild and include diarrhea, heartburn, and abdominal discomfort, particularly when consumed in large doses.

: Herbal wound healing

The wound healing effect of botanicals and pure natural substances used in in vivo models

Overall, in comparison to pharmaceuticals, risk of herbal side effects is mild. In manufactured supplements, toxicity is often a result of contamination with adulterants.

Risk of this occurrence is higher for herbs imported from other countries or from suppliers more concerned with lower costs who may compromise purity. Dose is the essential consideration. A strong-acting herb can be toxic if taken at a higher dose than recommended.

Effective dosing is based on age and body weight, criteria not often reflected on product package recommendations. There is a vast number of medicinal plants and an herb or several herbs to cure or relieve every possible ailment. Many references offer extensive herbal Materia Medica lists.

org 17 and the Natural Medicines Comprehensive Database. Improved circulation and wound healing. Botanicals help reduce the risk of delayed wound healing, enhance the healing process, and decrease incidence of infections. Plant chemical constituents are classified into broad categories that assist with skin integrity such as antimicrobial, anti-inflammatory, antioxidant, cytotoxic, and immune stimulant.

For support of circulation, herbs stimulate blood flow to better deliver oxygen and nutrients to the wound area as well as provide cleansing to prevent contamination. Herbs fight specific wound-compromising bacteria and aid in treatment of diabetic foot ulcers, pressure ulcers, and venous leg ulcers see Table 2.

Aid to mental function. Botanicals influence cognition in two ways. The biochemical constituents of plants provide specific therapy for anxiety, depression, stress reduction, improving memory, and hormone-related imbalances.

Plants also address the mind-body connection, offering energy that nourishes the spirit see Table 3. Support urinary function. Botanicals often act as mild diuretics, providing benefit to kidney function by decreasing excess accumulation of fluid.

Many herbs are specifically anti-inflammatory, antimicrobial, and soothingly demulcent to the urinary tract, providing treatment for infections and irritations see Table 4. Aid to digestion. Botanicals provide a multitude of healing qualities for digestive imbalances, including heartburn, nausea, bloating, gas, diarrhea, and constipation.

They act as adjunctive therapy for inflammatory bowel disease, gastro-esophageal reflux, leaky gut syndrome, and treatment of food allergies.

Herbs often are calming, relieving stress-induced or emotion-related digestive responses see Table 5. The intricate science of herbalism is growing as a specialized field and has far-reaching benefits in the area of wound care.

With rising popularity of alternative approaches, the clinician who takes the time to review existing herbal supplementation and then educate patients on safety, appropriate dosing, pure product availability, and the potential risks of mixing with prescription or nonprescription pharmaceuticals has made an important contribution to patient autonomy and supported an all-inclusive approach to healthcare.

Although the following list of considerations can help with safe herbal use, consultation with a qualified herbal practitioner is recommended for complex issues and concerns.

The concept that if a small amount is beneficial, more is better does not apply. Risk is substantially increased if taking more than six medications and is highest in the elderly population. Dina Ranade, RD, has practiced as a clinical dietitian in the healthcare setting for the past 24 years.

She has completed formal studies in herbal medicine and now merges herbal and nutritional therapeutics. com and Wounds For the past 20 years, she has served as a consultant to healthcare institutions and as a medico-legal expert to law firms involved in healthcare litigation. Oxford Dictionary.

Oxford University Press; Available at: www. Accessed April 12, Mehta DH, Gardiner PM, Phillips RS, McCarthy EP. Herbal and dietary supplement disclosure to health care providers by individuals with chronic conditions. J Altern Complement Med. Bent S.

Herbal medicine in the United States: review of efficacy, safety, and regulation. J Gen Intern Med. Lindstrom A, Ooyen C, Lynch ME, Blumenthal M. Herb supplement sales increase 5. Natural Marketing Institute. Consumer and Market Trends of Botanicals. Accessed April 25, Commission on Dietary Supplement Labels.

Dietary Supplement Health and Education Act of US Department of Health and Human Services; November 24, Accessed April 20, US Food and Drug Administration.

Dietary Supplements. US Department of Health and Human Services; March Accessed April 18, Smith T. Nonprofit Collaboration Addresses Adulteration of Botanical Dietary Ingredients. Gardner Z, McGuffin M ed. Confirm Are you sure to Delete? Yes No. If you have any further questions, please contact Encyclopedia Editorial Office.

MDPI and ACS Style MDPI and ACS Style AMA Style Chicago Style APA Style MLA Style. Vitale, S. Natural Herbals and Spices in Wound Healing.

Vitale S, Colanero S, Placidi M, Emidio GD, Tatone C, Amicarelli F, et al. Accessed February 15, In Encyclopedia. Vitale, Stefania, et al.

Copy Citation. Home Entry Topic Review Current: Natural Herbals and Spices in Wound Healing. This entry is adapted from the peer-reviewed paper Herbal medicines have been employed in folk medicine to accelerate wound healing since ancient times.

Many plants and various preparations thereof have been used traditionally in relation to wound treatment, especially due to their immense potential to affect wound healing. Currently, the efficacy of many of these herbs is well documented together with their mechanisms of action.

Therefore, natural products as well as their pure compounds are an emerging source of alternative medicinal compounds for the management of various diseases, among which is wound healing.

wound healing herbs medicinal plants secondary metabolites natural wound dressing. Achillea millefolium Achillea millefolium L. yarrow is an important species of Asteraceae family with common utilization in the traditional medicine of several cultures from Europe to Asia for the treatment of various disorders including wounds, cuts, abrasions, and diabetic ulcers [ 1 ] [ 2 ] [ 3 ] [ 4 ].

Essential oils, the most active part of the yarrow flower, are used in wound therapy as a hemostatic [ 5 ] [ 6 ] [ 7 ]. However, there are reports on the presence of higher levels of sesquiterpenes compared with monoterpenes [ 8 ] [ 9 ] [ 10 ].

A wide range of other chemical compounds has also been reported in the methanolic extract of A. millefolium aerial parts. In different in vitro and in vivo experiments, active compounds derived from A. millefolium showed antioxidant and anti-inflammatory, mostly attributed to the presence of flavonoids [ 4 ] [ 12 ] [ 13 ] [ 14 ] [ 15 ] [ 16 ] [ 17 ].

Despite yarrow being extensively used for wound healing and skin inflammatory disorders in traditional medicine [ 17 ] , modern studies of yarrow extract effects on wound healing are lacking.

In a recent paper, Dorjsembe et al. This effect was associated with an increase in β-catenin, and Akt expressions [ 18 ]. Based on these results, a beneficial positive effect of yarrow flower extract on wound healing can be hypothesized [ 18 ].

Aloe vera L. or Aloe barbadensis Miller family Xanthorrhoeaceae is a perennial green herb with bright yellow tubular flowers. The mucilaginous gel has been extensively used in pharmacological and cosmetic applications [ 19 ].

It has more than 75 different compounds, including vitamins A, C, E, and B12, enzymes amylase, catalase, and peroxidase , minerals zinc, copper, selenium, and calcium , sugars glucomannans, acetylated mannans, polymannans , polyphenols anthraquinones , sterols lupeol and campesterol , and hormones auxins and gibberellins [ 20 ] [ 21 ] [ 22 ].

Traditionally, the therapeutic uses of A. vera have ranged across a broad list of conditions, as do its associated pharmacological activities. This medicinal plant has been employed to treat different skin problems such as rejuvenation, wound healing, and other dermatologic conditions, i.

Indeed, despite its widespread use as a folk remedy, scientific studies on its physiological function in wound repair have only recently been conducted [ 21 ]. Numerous A. vera gel-based cosmetics and medicinal products that are marketed are made from the mucilaginous tissue of A.

vera leaves. However, Aloe gel has been linked to a variety of beneficial effects and therapeutic indications for skin inflammation [ 21 ]. Individual components of A. vera gel may promote wound healing in animal models, and specific glycoproteins are responsible for the beneficial effects when the gel is applied to acute wounds in various animal models; however, controlled clinical trials in humans demonstrated no benefit when A.

vera was incorporated into topical therapy, and one study reported delayed wound healing [ 23 ] [ 24 ] [ 25 ]. Recently, topical use of A. vera in rat cutaneous wound models has shown that it significantly increases the rate of wound contraction, epithelialization, and maturation.

Moreover, it reduces inflammation, decreases scar tissue size, and increases alignment and organization of regenerated scar tissue, increasing the concentration of collagen and glycosaminoglycans compared to the control lesions [ 26 ].

To clarify the mechanism by which A. vera gel for 12 and 24 h [ 27 ] and found that Transforming growth factor -beta1 TGF1 and Fibroblast Growth Factor basic Protein bFGF genes were found upregulated during the first 12 h and down-regulated at the end of incubation. This suggests that A. vera exerts beneficial effects by stimulating collagen deposition, fibroblast proliferation, and angiogenesis and inhibiting the overproduction and accumulation of matrix proteins that cause hypertrophic scarring [ 27 ].

In in vitro models of human skin fibroblasts and keratinocytes [ 28 ] [ 29 ] [ 30 ] [ 31 ] , A. vera accelerated wound healing by strongly stimulating fibroblast and keratinocyte proliferation and moderately stimulating cell migration.

Surprisingly, A. vera also protected keratinocytes against preservative-induced death [ 32 ]. These previously unknown protective actions may account for some of the beneficial benefits of A.

vera in wound healing. According to a recent review A. vera compounds such as aloesin can modulate the inflammatory response [ 31 ].

Aloesin promotes leukocyte extravasation as well as cytokine and growth factor release during the early stages of wound healing. As a result, aloesin appears to influence both fibroblast and leukocyte migration [ 27 ].

Aloesin is thought to influence leukocyte migration by phosphorylating Cdc42 and Rac1, two signaling proteins that coordinate and regulate actin dynamics and cell polarization [ 28 ]. In the presence of aloesin, TNF-alpha, Interleukin 1 beta IL-1beta , Interleukin 6 IL-6 , and TGF-1 are pro-inflammatory markers that mediate leukocyte signaling, migration, and phagocytosis [ 29 ].

Recently, a study by De Oliveira et al. Aside from flavonoids such as aloin and emodin, polysaccharides such as glucomannan, acetylated polymannan, acemannan, and mannosephosphate appear to promote wound healing [ 22 ].

Some studies showed that acemannan appears to stimulate macrophages and boost bactericidal activity [ 24 ] [ 25 ] , the expression of keratinocyte growth factor-1 KGF-1 , cell proliferation, as well as vascular endothelial growth factor VEGF , an important molecule in the formation of new blood vessels, and type I collagen synthesis [ 33 ] [ 34 ].

Studies in skin fibroblasts revealed that acemannan not only increased proliferation but also shifted the cell cycle from the G1 to S phase, increasing the expression of proliferation markers such as cyclin D1 in a dose-dependent manner [ 35 ] [ 36 ]. Some studies have found no significant differences between A.

vera treatment and control groups in terms of wound healing, with little evidence of decreasing microorganism concentrations or improving scar maturation in burn wounds, no significance in fibroblast migration dynamics, and no difference between sample groups in terms of wound repair [ 31 ].

This is likely due to a problem of standardization of extract concentrations. Some of these studies may have used aloe extracts with insufficient concentrations of active compounds with known anti-inflammatory and proliferative effects, or they may have been combined with other unsuitable alternative therapies.

Bletilla striata is a member of the Orchidaceae family and has been used in Traditional Chinese Medicine for over years to promote wound healing and treat alimentary canal mucosal damage, chapped skin, ulcers, bleeding, bruises, and burns [ 37 ].

Phytochemical research on B. striata yielded the identification of monomeric compounds. These compounds, extracted from B.

striata tubers, are primarily triterpenoids: Phenanthrenes, biphenanthrenes, dihydrophenanthrenes, anthocyanins, quinones, steroids, glucosides, bibenzyls, and phenolic acids [ 38 ].

According to pharmacology studies, the plant has many biological activities, including antioxidative, anti-inflammatory, and immune regulatory effects [ 38 ]. Bletilla striata also contains several polysaccharides, which have been identified as the major active components in its dried tubers, and are responsible for antimicrobial, anti-aging, antioxidative, and antiviral activity [ 39 ].

Natural polysaccharides have been used in a variety of biomaterials in recent years due to their high biocompatibility, low toxicity, and pharmaceutical biomedical activity. Bletilla striata polysaccharides BSP can be used as natural biomaterials for drug delivery and wound dressing in addition to promoting wound healing [ 40 ].

The most common polysaccharide in BSP is glucomannan, which is made up of D-glucose and D-mannose and has a high molecular weight [ 41 ]. BSP plays a critical role in the three main phases of wound healing: Inflammation, granulation tissue proliferation, and repair [ 42 ].

During the inflammation phase, BSP promotes the expression of inflammatory mediators such as tumor necrosis factor TNF -, interleukin IL -1, and interferon IFN -, increases NO, and promotes neutrophil, monocyte, and macrophage chemotaxis [ 43 ].

By controlling the expression of TNF-, BSP can reduce the inflammatory reaction in the wound and prevent damage to remaining cells during the phases of granulation tissue proliferation and repair [ 44 ].

These actions promote epithelial cell growth, fibroblast proliferation, and wound healing by contracting the wound [ 37 ] [ 45 ]. Yue and colleagues [ 46 ] measured the response induced by BSP pretreatment in terms of ROS levels and proinflammatory cytokines after Ang II stimulation with and without BSP and investigated the signaling pathways potentially involved in the anti-oxidative stress and anti-inflammatory functions mediated by BSP in a human mesangial cell model in vitro HMCs study.

Furthermore, BSP effectively inhibited NADPH oxidase 4 upregulation NOX4. Furthermore, BSP has anti-oxidative and anti-inflammatory properties that can help stop ROS production and the production of proinflammatory cytokines [ 46 ]. BSP derived from B.

striata has been used in wound dressings for many years, with outstanding biocompatibility, biodegradability, and gelling properties [ 44 ]. BSP hydrogel demonstrated excellent performance in the absorption of wound fluids and exudates and was able to provide water to the wound, thus creating a suitable fluid environment for the wound bed [ 44 ].

Surprisingly, recent research has revealed that BSP has hemostatic activity, likely mediating blood clotting and fibrinolysis [ 47 ] [ 48 ] [ 49 ]. BSP has been made into a new type of hemostatic agent that can be used as a drug delivery vehicle and wound dressing.

Ding et al. The upper layer was made of chitosan-Ag nanoparticles that were cross-linked with genipin, extracted from gardenia fruits [ 51 ] , and exerted antibacterial activity. The lower layer was a hybrid cross-linked chitosan with genipin and partially oxidized BSP that revealed potent cell proliferation activities.

Based on its ability to accelerate the healing rate of cutaneous wounds, this novel composite bilayer has a great deal of potential in wound-dressing applications [ 52 ].

Song and colleagues [ 52 ] discovered that the fibrous residues of polysaccharide extraction from B. striata used in traditional medicine have a high phenolic content, strong DPPH 2,2-diphenylpicrylhydrazyl scavenging activity, ferric-reducing antioxidant capacity, and tyrosinase inhibition activity [ 52 ].

Based on these findings, the authors concluded that wound-healing functions of B. striata are due not only to the composition of the polysaccharides, but also to the activity of the polyphenols [ 52 ]. In a more recent study, Cheng et al. striata EEB to create new composite sponges through simple mixing and freeze-drying processes.

The degradation, biocompatibility, hemostatic, bacteriostatic, and wound-healing-promotion properties were also tested in vivo and in vitro [ 53 ].

This plant could be used to make plant-based components for wound dressing and drug delivery systems on a large scale. Calendula officinalis , belonging to the Asteraceae family, is a common garden plant used medicinally in Europe, China, the United States, and India.

It has numerous common names in use, including Marigold and Pot Marigold. Traditionally, it has been used externally to treat small wounds, burns, and other skin problems [ 54 ] [ 55 ]. officinalis can be used in the form of an infusion, tincture, liquid extract, cream, or ointment for numerous uses, including the treatment of herpes, wounds, scars, and skin and hair products [ 54 ] [ 55 ] [ 56 ] [ 57 ].

Over the past decade, chemical and pharmacological studies have found that C. officinalis possesses many secondary metabolites with various pharmacological properties that contribute to its medicinal use [ 56 ] [ 57 ] [ 58 ] [ 59 ] [ 60 ] [ 61 ] [ 62 ]. The most active components are triterpenoids, both in their free and esterified forms, flavonoids, coumarines, quinones, volatile oil, carotenoids, polyunsaturated fatty acids, such as calendic acid, and amino acids [ 31 ] [ 60 ].

Most of the research on the role of C. officinalis in healing acute wounds came from in vitro fibroblasts and keratinocytes cells and in vivo rodent animal models studies [ 59 ] [ 62 ] [ 63 ] [ 64 ] [ 65 ] [ 66 ] [ 67 ].

Clinical studies have focused on chronic wounds [ 60 ] , and only one clinical trial looked at acute wounds [ 61 ]. Calendula flower alcohol extracts CFE have shown anti-inflammatory and antiedematous properties in vitro.

Furthermore, they increased human fibroblast and keratinocyte proliferation and migration, promoted angiogenesis in the chorioallantois membrane model, and decreased collagenase activity [ 66 ].

CFE influenced the inflammatory phase in keratinocytes by activating the transcription factor NF-kB and increasing the amount of chemokine IL-8 at both transcriptional and translational levels, whereas it had a minor effect on keratinocyte migration. CFE induces fibroblast proliferation [ 59 ] [ 67 ] and upregulates the expression of connective tissue growth factor CTGF and alpha-smooth muscle actin alpha-SMA during the early stages of wound healing [ 67 ].

In a previous in vivo study, CFE reduced the presence of fibrin and hyperemia while increasing collagen deposition in a rat cutaneous wound model. These findings indicate that CFE has anti-bacterial properties, stimulates fibroplasia and angiogenesis, and positively influences the inflammatory and proliferative phases of the healing process of cutaneous wounds [ 67 ].

Terpenoids seem to be primarily responsible for all these effects. In vitro studies with fibroblast cells demonstrated this mixed film increased cell proliferation, growth, and adhesion and inhibited cell collagenase activity with a subsequent increase in collagen production.

In vivo studies of rat wounds revealed that this dressing has an excellent wound-healing capacity In all the studies examined, CFE was associated with a statistically significant improvement in wound healing according to the outcomes measured [ 59 ] [ 65 ] [ 66 ] [ 67 ] [ 68 ].

Casearia sylvestris is a Brazilian herb in the Salicaceae family [ 69 ]. sylvestris contains many chemical constituents in the leaves [ 69 ]. These compounds, which primarily consist of volatile oils, tannins, and triterpene content [ 70 ] , are responsible for a wide range of biological activities, including antioxidant and cytotoxic effects [ 71 ] [ 72 ] [ 73 ].

Pharmacological studies have shown that C. sylvestris extracts ethanolic, hydroethanolic, and aqueous extracts and bioactive compounds have antitumoral, antiulcerogenic, anti-inflammatory, and wound-healing properties [ 69 ] [ 70 ] [ 71 ].

The anti-inflammatory and wound healing actions have been attributed to the casearin-like clerodane diterpenes isolated from C. sylvestris leaves, such as ellagic acid [ 73 ] [ 74 ] [ 75 ].

Regarding the toxicity, C. sylvestris extracts and isolated diterpenes showed low toxicity both in vitro and in vivo [ 69 ] [ 71 ] [ 74 ] [ 75 ] [ 76 ] [ 77 ] [ 78 ] [ 79 ]. De Campos et al. sylvestris extract and observed significant extension of the healing area, neovascularization, fibroblast proliferation, and epithelialization, concluding that C.

sylvestris may have a potential therapeutic benefit in second-degree scald burn injuries. This effect has been ascribed to rutin, a C. sylvestris bioactive compound with powerful antioxidant properties [ 71 ].

When Casearia sylvestris leaves extract was tested on wound healing in beef cattle, cattle, a positive effect on the macroscopic aspect of cutaneous lesions in cattle was observed during the first two treatment days [ 78 ].

In a recent paper, the authors developed membranes for wound healing dressing by combining a natural latex from Hevea brasiliensis Euphorbiaceae providing angiogenic action, with leaf ethanolic extract of Casearia sylvestris Sw.

diterpene concentrated fraction and casearin J characterized by anti-inflammatory and wound-healing activities [ 79 ]. Permeation and retention assays demonstrated the dermal penetration of phenolic compounds from the membrane with ethanolic extract and penetration of casearin-like clerodane diterpenes from all membranes, indicating that these topical systems have great potential for therapeutical application of C.

sylvestris components [ 79 ]. Crocus sativus L. sativus stigmas dried. Saffron is used for medicinal purposes in Chinese, Ayurvedic, Persian, and Unani traditional medicines [ 80 ]. The therapeutic properties of saffron used for healing purposes could be found in Materia Medica, written by a Greek physician Pedanius Dioscorides in the first century A.

Modern pharmacological studies have demonstrated that saffron extract or its bioactive constituents, such as apocarotenoids, mono-terpenoids, flavonoids, phenolic acids, and phytosterols, have a wide range of therapeutic effects [ 82 ].

Major carotenoids contained in saffron extracts SE include crocin, crocetin, picrocrocin, and safranal [ 83 ]. Crocin, the digentiobiosyl ester of crocetin, is one of the few water-soluble carotenoids found in nature [ 83 ]. These compounds have been shown to have a wide spectrum of biological activities, including several antioxidant and anti-inflammatory properties [ 82 ] [ 83 ] [ 84 ] [ 85 ].

Recent studies have shown that the effects of crocin, crocetin, and safranal against oxidative stress include the reduction in lipid peroxidation malondialdehyde levels and nitric oxide levels, and an increase in the levels of glutathione, antioxidant enzymes superoxide dismutase, catalase, and glutathione peroxidase , and thiol content [ 86 ] [ 87 ] [ 88 ] [ 89 ].

Despite the large number of papers indicating that saffron and its carotenoids have potent antioxidant and anti-inflammatory properties, only a few studies have reported these effects in wound healing [ 90 ] [ 91 ].

In an in vitro study, anti-inflammatory properties and ROS scavenging activity of crocin were investigated in human epidermal keratinocyte and human dermal fibroblasts, [ 92 ]. Crocin inhibited squalene peroxidation and UVA-induced cell membrane arachidonic acid peroxidation in a dose-dependent manner µM and, from µM to 1 mM, prevented the release of inflammatory mediators, modulating the expression of NF-kB-related genes and glycosylation-related genes [ 92 ].

Given the impact of UV exposure on skin quality [ 93 ] , this study suggests that crocin can be regarded as a molecule with potential beneficial effects against skin aging. More recently, an in vivo study was conducted to compare the effect of saffron extract to silver sulfadiazine SSD , the most widely used topical treatment for burn injuries, in a burn wound model in rats.

Based on the scratch test, in vitro experiments confirmed the positive role of saffron in fibroblast migration and proliferation during the remodeling phase, as well as regenerative and anti-scarring properties of saffron [ 94 ]. In the production of saffron spices, copious amounts of floral bio residues are generated and wasted.

Interestingly, polyphenols and anthocyanins found in the sepals and stamens of C. sativus have been used as a source of antioxidant and anti-inflammatory molecules with beneficial effects against skin pathologies [ 95 ] [ 96 ]. Khorasani and colleagues [ 91 ] previously evaluated the efficacy of saffron pollen extract in cream in the treatment of thermally induced burn wounds in rats.

When compared to those treated with silver sulfadiazine, the results showed that saffron cream accelerated wound healing and reduced healing time. Furthermore, wounds treated with saffron cream had fewer inflammatory cells than the other groups, and histological studies of wound sections confirmed the formation of new epiderma, and fewer inflammatory cells infiltrated the dermis.

These effects were most likely mediated by antioxidant and anti-inflammatory mechanisms, though the exact mechanism has yet to be determined [ 91 ]. Zeka et al. When kaempferol or 10 µM crocin-enriched hydrogels were used in fibroblast cell cultures isolated from newborn mice as a model for skin , it was found that cells grew faster when compared to the control [ 90 ].

Although more research is needed to understand the mechanisms of action and pathways involved in wound healing, the antioxidant potential of compounds extracted from saffron petals and other floral bio residues can be effectively used in wound management.

Curcuma longa is an herbaceous, perennial, rhizomatous plant belonging to the Zingiberacee family one of the many species of the Curcuma genus. In Ayurvedic and folk medicine, turmeric has been used for a long time to treat various inflammatory diseases.

The anti-inflammatory effect of turmeric is due to its ability to decrease the production of histamine and prolong the action of the natural anti-inflammatory adrenal hormone, cortisol [ 98 ]. The structure of curcumin 1,7-bis 4-hydroxy-3methoxyphenyl -1,6-hepadiene-3,5-dione was first described by Milobedska et al.

in [ ]. Curcumin is a highly pleiotropic molecule [ ]. In recent times, it has been extensively studied as an anti-cancer [ ] , anti-aging [ ] , antiviral [ ] , antibacterial [ ] , and wound-healing agent [ ]. The wound-healing potential of curcumin is attributed to its anti-inflammatory [ ] , antioxidant, and radical scavenging [ ] activities.

Curcumin acts in all wound-healing stages. In the inflammation stage, curcumin was shown to inhibit the activity of NF-kB and the production of TNF-alpha and IL-1 [ ] [ ]. Radical-scavenging activities of curcumin have been reported in studies on wound healing, although this compound can act as a pro-oxidant when used at high doses [ ] [ ] [ ] [ ].

In in vitro studies on keratinocytes and fibroblasts [ ] [ ] , curcumin provided optimal protection against hydrogen peroxide. In the proliferative stage, curcumin enhances fibroblast migration, granulation tissue formation, collagen deposition, and re-epithelialization.

Curcumin improves wound contraction during the remodeling stage by increasing TGFbeta-production and, as a result, fibroblast proliferation.

The suppression of acute and chronic inflammation also occurs by blocking the formation of cyclooxygenases, lipoxygenases, and inducible nitric oxide synthase enzymes [ ].

Curcumin was used in a recent study to optimize the survival and tolerance capacity of bone marrow mesenchymal stem cells, which were used to improve tissue repair in chronic wounds and burns, in terms of self-renewal and paracrine factor production [ ].

Furthermore, curcumin was explored for potent antiherpetic actions against herpes simplex virus type 1 and type 2, and the associated inflammation connected to these diseases [ ].

Indeed, clinically, HSV-1 and HSV-2 infections cause lesions on the mucocutaneous junctions of the face and genitalia. Vesicular lesions can sometimes ulcerate, leaving recalcitrant wounds that are difficult to treat [ ]. Until now, the foundation of treatment has been the eradication of viral infection.

Little attention has been paid to the outcome of the viral infection and the wounds that resulted, specifically whether this represents an epidermal or dermal injury.

Curcumin represents an opportunity for dressing and healing these lesions. Unfortunately, the use of curcumin is limited by its low bioavailability, rapid metabolism, poor solubility, and light sensitivity [ ]. A large number of recent papers [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] reported the incorporation of curcumin into nanocomposite materials such as nanofibers, nanoparticles, hydrogels, or novel combinations of these.

Recently, numerous researchers have developed biocompatible and biodegradable composite nano-fibrous materials and hydrogel systems containing curcumin for wound healing applications, for example as an anti-scar or in chronic wounds [ ] [ ].

These scaffold systems include polyvinyl pyrrolidone PVP [ ] , cerium nitrate hexahydrate Ce NO3 3·6H2O [ ] , nanofibers of carboxymethyl guargum CMGG [ ] , electrospun amine-functionalized SBA Santa Barbara Amorphous incorporated with PVA Poly Vinyl Alcohol [ ] , nanofibers of cellulose acetate CA integrated with graphene oxide, TiO2 [ ] , electrospun fibers comprising SBA Santa Barbara Amorphous , amine-functionalized SBA polycaprolactone PCL [ ] , nanofibers of electrospun poly ε-caprolactone PCL , Chitosan CS [ ] , thermo-sensitive sodium alginate hydrogel cross-linked with poly N-isopropylacrylamide , and curcumin Alg-g-pNIPAM copolymers [ ].

All these nanofibrous scaffolds exhibited high porosity and biocompatible characteristics that enhance the solubility of this hydrophobic drug, aiding its release in a controlled manner [ ].

A novel curcumin-loaded sandwich-like nanofibrous membrane was prepared using sequential electrospinning. The nanofibrous membrane in the sub-layer consisting of gelatin, chitosan, and PCL provided efficient hemostatic activity and was effective in absorbing exudate and keeping the wound moist.

The curcumin-loaded nanofibrous membrane in the mid-layer released curcumin, therefore reducing wound oxidative stress and inflammation. Finally, the top layer, consisting of Ag nanoparticles, silk fibroin, and PCL, released Ag nanoparticles, which acted against external bacteria [ ].

In a further study, when the eggshell membrane, a highly proteinaceous thin layer present between the egg white and shell, was added to the bottom layer made up of PVA with curcumin nanoparticles, antioxidant and anti-inflammatory action was implemented with positive effects on the migration of dermal fibroblasts [ ].

This patch contributed to wound healing by providing exudate absorption, releasing therapeutical components, and supporting the deposition of extracellular matrix [ ] [ ].

Glycyrrhiza glabra is a herbaceous perennial legume of the Fabaceae bean family, from whose root is extracted sweet and aromatic flavoring known as licorice. The licorice plant is widely used as an herbal remedy [ ] and in skin-care products [ ]. Numerous articles have reported pharmaceutical therapeutic properties, such as antifungal, antibacterial, antiviral, and antioxidant properties, but these are only some of the possible therapeutic properties [ ].

Licorice root extract has been used for years as an effective medication, especially in gastric ulcers. The main biologically active components of licorice include terpenoids such as triterpene saponins, chalcones, and glycyrrhizin, flavonoids, and isoflavonoids, which are responsible for the observed activities [ ].

Some studies have demonstrated antiulcer effects of G. glabra in the healing of gastric [ ] , oral [ ] , and colitis mucosal ulcers [ ] , as well as corneal neovascularization [ ] , but only a few studies have reported its wound-healing activity on full-thickness dermal wounds [ ] [ ] [ ] [ ] [ ].

Previous research has shown that antioxidant and anti-inflammatory compounds of G. glabra , such as triterpenes and flavonoids, reduce free radicals and pus in the wound area, aiding in wound healing [ ] [ ]. Zangeneh et al. glabra aqueous extract ointment significantly accelerates wound-healing activity in rats by reducing the wound area, total cells, macrophage, lymphocyte, and neutrophil levels while increasing wound contracture, fibrocyte, hexuronic acid, and hydroxyproline levels when compared to the basal ointment and control groups.

According to the findings of Siriwattanasatorn et al. glabra promoted proliferation and accelerated wound closure by inhibiting superoxide anion and nitric oxide production with IC 50 values of The bioactive compound, glycyrrhizin, exhibited antioxidant activities with an IC 50 value of More recently, Hanafy et al.

glabra extract on full-thickness wound healing in a Guinea pig model. glabra extract accelerated wound healing with statistically significant differences in the re-epithelialization of treated wounds, which were likely due to the presence of flavonoids [ ].

Malva sylvestris The use of Malva sylvestris , a species of the mallow genus Malva in the family, has been documented since long ago. sylvestris is recommended for acne and skincare, as an antiseptic and emollient [ ] [ ] [ ] , and as an antimicrobial and anti-inflammatory agent for burn and cut wound healing [ ] [ ] [ ].

The healing capabilities of this plant relate to the mucilage and flavonoids found in the leaves and flowers [ ]. Indeed, M. sylvestris flowers extract contains anthocyanin, malvidin, flavones, flavonols, malvin, malvaline, niacin, and folic acid, which are responsible for their pharmacological and biological activities [ ] [ ] [ ].

Afshar et al. sylvestris using a wound mouse model. sylvestris extract, where increased collagen synthesis was observed [ ]. Another in vitro study investigated the effect of M.

sylvestris or silver sulfadiazine on wound healing using a second-degree burn model [ ]. sylvestris cream was superior to sulfadiazine in terms of reducing the time required for complete wound healing [ ]. Nevertheless, the molecular mechanism underlying these actions requires further investigation.

Recent research has examined the effect of M. sylvestris extract inserted into a novel polyurethane PU -based nanofibers used as dressing for diabetic wounds [ ]. When animal wounds treated with M.

sylvestris nanofibers were compared to control groups, the wound area was shown to be significantly decreased. In comparison to the control group, treatments with extract-loaded wound dressings were significantly more effective at reducing acute and chronic inflammation, increasing collagen deposition and neovascularization, and demonstrated acceptable antibacterial activity against Staphylococcus aureus and Escherichia coli [ ].

Plantago L. Plantaginaceae is a worldwide genus including approximately species of annual and perennial herbs and shrubs [ ].

Phytochemical studies have shown that the Plantago genus contains a great number of compounds such as acteosides, iridoids, glucosides, phenylethanoid glycosides, flavonoids, tannins, triterpenes, saponins, sterols, and phenyl carboxylic acid derivatives [ ].

The genus Plantago is widely used in folk medicine as an anti-inflammatory agent for various diseases, including the treatment of wounds [ ]. Fresh plantago leaves were shown to have antibacterial effects and to be beneficial for wound healing.

Crushed leaves are used to treat chronic wounds, abscesses, and acne [ ]. Not many studies have investigated the effects of Plantago species on wound healing.

An in vitro investigation of human oral epithelial cell lines H indicated the anti-inflammatory properties of P. major are due to the synergistic actions of polyphenols and water-soluble substances i.

Genc et al. investigated the wound healing ability of P. subulata in vitro using fibroblasts L cell line , whereas the anti-inflammatory activity was evaluated using macrophages RAW subulata methanolic extract PHE exerted protection against oxidative stress in fibroblasts, although not in correlation with PHE concentrations.

Acteoside was thought to be the chemical responsible for these effects [ ]. Recently, a clinical investigation assessed the efficacy of a gel comprising A. vera and P. major in treating diabetic foot ulcers [ ].

The application of P. Additionally, the proportion of patients who completed the wound-healing process was higher in those who received P. major dressing [ ]. However, this study was limited by its relatively small sample size, absence of placebo and blinding due to technical issues , short duration of intervention, and use of novel dressings in the control groups because of different characteristics of ulcers necessitating this.

These results showed that Plantago and its compounds may be good candidates for future drug studies. Salvia officinalis L.

also called sage, garden sage, or common sage is a perennial evergreen subshrub with woody stems, grayish leaves, and blue to purplish flowers [ ] [ ]. multiflorum ointments led to wound changes and healing similar to that of the positive control over the 15 day period.

On the same period E. abyssinica leaves and E. abyssinica bark ointments did not show notable differences from the negative control. Cissus quadrangularis and A. multiflorum treatments had significantly higher wound healing effect as compared to E. However, E. The effects of C.

The regression plots Figure 1 of the wound healing area percentage change over the period of 15 days showed that all the extracts have significant percentage change of wound size as compared to the negative control.

The plots also show that the positive control had the greatest rate of wound healing properties followed by C. multiflorum, E. abyssinica leaves, and E. abyssinica barks treatments, respectively.

Protein content Figure 2 in the groups treated with C. multiflorum was found to be significantly high and comparable to that of the positive control especially the A.

multiflorum group. Erythrina abyssinica leaves had considerably high protein content and E. abyssinica bark group had somewhat higher protein content relative to that of the negative control. As shown in Table 3 , C. quadrangularis treated group exhibited normal and complete healing; E.

abyssinica ointment did not show significant healing the bark ointment especially exhibited healing effects that were weaker than the negative control. abyssinica leaf ointment were somewhat better than the negative control. multiflorum ointment exhibited some healing properties better that the negative control.

Table 1. Wound healing properties as observations in wound changes over time as effected by ointments of three plants used in ethnoveterinary practices. Table 2. Wound healing properties as percentage wound area changes over time on treated patches as effected by ointments of three plants used in ethnoveterinary practices.

Table 3. Wound healing properties as histological observations on the wound area after 15 days of treatment as effected by ointments of three plants used in ethnoveterinary practices.

Figure 1. Wound healing properties as regression plots of the wound area percentage change over time as effected by ointments of three plants used in ethnoveterinary practices.

Figure 2. The ointments of C. The ointment of C. quadrangularis exhibited the best wound healing properties compared to the rest considering the parameters followed in this study including the positive control Figure 1.

Erythrina abyssinica leaf and bark ointments exhibited wound healing properties comparable to those of the negative control used with observations failing to distinguish them from the negative control Table 1. When analysing the wound area, it was however, observed that the ointments of E.

abyssinica leaf and bark performed better than the negative control Table 2 and Figure 1. The histological observations Table 3 highlighted the strong healing properties of C. quadrangularis ointment relative to all the other ointments.

As highlighted above, C. quadrangularis ointment exhibited better wound healing properties than the positive control with skin and appendages returning to normal by day 15 Table 3. Adenium multiflorum ointment, though exhibited good wound healing properties, it was inferior to C.

quadrangularis ointment and the positive control used. Erythrina abyssinica bark ointment exhibited very poor wound healing properties as compared to the negative control. The leaf ointment of E. abyssinica exhibited somewhat better wound healing properties relative to the negative control.

Wounds are common in both humans and animals as a result of physical, chemical or thermal injuries Barreto et al. The tissue damages if not managed often lead to chronic inflammation and secondary infections, further damaging surrounding tissues.

With production animals untreated wounds may lead to significant losses due to reduced productivity as well as death. Extracts of plants such as C. abyssinica have been used to manage different types of wounds. Their uses over time have thus proven efficacy and safety.

Damages associated with injury may involve the epidermis, local vasculature, dermis and possibly other underlying tissues and this usually kick starts various wound healing processes Daunton et al.

The ideal wound healing process usually follows the sequence: restoration of barrier functions of the skin e. The sequences described fits in the four phases of wound healing i.

Some authors however have compressed the phases of wound healing in three phases inflammatory including clotting , proliferative and remodeling Wild et al. Herbal extracts often contain numerous molecules that are important in or as signaling molecules, lubrication, aids to proliferative process, wound contraction, cofactors, antioxidants, radical scavenging, anti-infectives, and nutrients Raina et al.

Extracts of C. quadrangularis were found to contain a range of molecules Chanda et al. see Table 4 known to have significant biological effects which include antioxidants, radical scavenging, antimicrobial and anti-inflammatory effects Mohanambal et al.

It also contains several elements e. key aspects in wound healing Sen and Dash, ; Marume et al. Adenium multiflorum like other members of the genus contains phytoconstituents that have toxic effects as well as key pharmacological properties in wound healing like antimicrobial, radical scavenging and anti-oxidant properties.

These compounds include alkaloids, glycosides, tannins and flavonoids as well as essential trace elements Sharma et al. Erythrina abyssinica leaf and bark methanolic extract was also shown to contain flavonoids and total phenolic compounds as well as several trace elements although in relatively lower amounts relative to C.

quadrangularis Marume et al. This may explain the weak wound healing effects observed and justify possible future evaluations of ointments of E. abyssinica extracts. Table 4. Qualitative phytochemical screening of extracts of Cissus quadrangularis CQ , Erythrina abyssinica leaves EAl and barks EAb , and Adenium multiflorum AM.

The presence of all phytoconstituents known to be biologically active in the extract of C. quadrangularis could help explain its efficacy.

Marume et al. quadrangularis extracts relative to the other plants studied. In the same study Adenium multiflorum extract's profile followed that of C.

abyssinica exhibited the weakest which may also explain the weakest wound healing properties it exhibited in this present study. Figures 3 — 5 are infrared spectra of the clean crude extracts of A. abyssinica leaves done using PerkinElmer Spectrum Version Of all the plant extract ointments, Cissus quadrangularis ointment exhibited the best wound healing properties followed by Adenium multiflorum ointment.

Erythrina abyssinica leaf and bark ointments exhibited wound healing properties similar to the negative control though the leaf ointment exhibited slightly better healing properties.

All authors listed have made a substantial, direct and intellectual contribution to the work, and approved it for publication. AM conceptualized the ideas and planned the research. TM, SKh, AN, and GM supervised the work.

SK, IM, and TM-T assisted with data collection and execution of research. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Authors' special thanks go to Ellen Mwandiringana Pre-clinical Department, Faculty of Veterinary Sciences and Josephine Tendayi Chidaushe Department of Anatomy, College of Health Sciences for help in conducting the histological evaluations.

Authors also want to acknowledge support from Rommel Ndabaezinengi Siziba, Tavonashe E. Musingarimi, Munyaradzi Malvin Munoda, and Pride Marume for help in plant material collection, identification and preliminary evaluations.

Isaiah Mjakwi and Highson Madzivanyika are also acknowledged for their significant technical support during the conduction of the experiments. National Research Foundation South Africa, Pretoria is acknowledged for the mobility of ARN to project sites.

Ayyanar, M. Herbal medicines for wound healing among tribal people in Southern India: ethnobotanical and scientific evidences. Google Scholar. Barreto, R. A systematic review of the wound-healing effects of monoterpenes and iridoid derivatives. Molecules 19, — doi: PubMed Abstract CrossRef Full Text Google Scholar.

Chanda, S. Spectral analysis of methanol extract of Cissus quadrangularis L. stem and its fractions.

Plant-Derived Medicines with Potential Use in Wound Treatment Inflammation in chronic wounds. Many plant-derived medicines commonly called as phytomedicines are affordable and cause minimal unwanted side effects [ 48 ]. Morikawa T, Matsuda H, Yoshikawa M. According to the Japanese Pharmacopeia, turmeric, ukon in Japanese ウコン; 鬱金 , is the rhizome of Curcuma longa L. Apiaceae The society of Japanese pharmacopeia, ; WFO,
REVIEW article Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher. The herb has antioxidant, anti-inflammatory, anticancer, antiobesity, and antiviral properties, making it a popular herb for medicinal use even today. We consulted the PubMed database, and the keywords favored for the bibliographic searches were the following: Kampo, wound healing, skin, chronic wounds, ulcers, diabetic foot ulcers, burns, keratinocytes, fibroblasts, endothelial cells, epithelialization, common or Latin names of the plants included, and major metabolites involved in the wound healing process. Stress is associated with multiple disorders, such as cardiovascular disease, cancer, compromised wound healing, and diabetes. Cytokine Growth Factor Rev — Signs and Symptoms The following signs and symptoms often accompany wounds: Bleeding or oozing of blood Redness Swelling Pain and tenderness Heat Possible fever with infection Not being able to use or move the affected area Oozing pus, foul smell in infected wounds only. Indeed, botanical species and varieties for the genera Angelica, Phellodendron, Rheum, or Scrophularia , growing conditions, type of crude drugs used, and processing types are important vectors of metabolites variability among herb batches.
10 Healing Herbs with Medicinal Benefits If Kampo medicine is known for its singular standardization, ointments are not well known, and research on these lipophilic formulas has not been developed due to the analytical difficulties encountered in biological and metabolomic analysis. The leaf ointment of E. Asian J Res Chem 2 2 — Wang, X. Inflammation in nonhealing diabetic wounds: The space-time continuum does matter. Trends Food Sci. Mechanism of action of antiinflammatory effect of fixed oil of Ocimum basilicum Linn.
What Causes It?

Talk with your healthcare professional before supplementing with ginseng if you take any medications. Do not take ginseng if you have a bleeding disorder or are taking blood thinners, such as Coumadin warfarin. One of the most popular herbs in the world, lavender Lavandula is a pleasant-smelling evergreen shrub that grows in low mounds and is native to the Mediterranean.

Lavender is in the mint family and thrives in many places around the globe. The versatile herb is used in personal care products, baking, and essential oils, and has become one of the most well-studied herbs due to its potential health benefits.

Lavender has been used by humans for centuries, for everything from perfumes to aromatherapy to medicinal purposes. Evidence suggests that lavender promotes sleep, improves memory, relieves pain, and uplifts mood. In animal and human studies, lavender has been proven to have anticonvulsant, antioxidant, anti-inflammatory, and antimicrobial activities.

Lavender is a powerhouse herb that offers many medicinal and therapeutic uses. Lavender is available in many forms, including dried herb, powder, and essential oil. You can grow lavender in your garden if you live in a climate that supports its growth.

The essential oil can be diffused in an air diffuser or massaged directly onto the skin once diluted with a carrier oil, such as almond or olive oil. You can also apply it to your linens or on a cotton ball to inhale it for aromatherapy. Lavender tea is available in premade tea bags, or you can steep dried lavender flower buds in hot water for a caffeine-free tea.

Lavender essential oil may cause an allergic reaction or skin irritation in some people. Always dilute the essential oil in a carrier oil before applying directly to the skin. If you experience headache, nausea or vomiting after use, stop using it immediately. Do not consume lavender essential oil orally, as it may be toxic.

Oral consumption of lavender, such as in a tea, may cause constipation, headaches, or increased appetite. Saint-John's-wort is a plant with yellow flowers. It is native to Europe, Western Asia, and North Africa, though it now grows throughout the United States. The flower and leaf are used to create herbal remedies and supplements as an alternative treatment for various ailments.

Saint-John's-wort has been used for medicinal purposes for thousands of years and various conditions, including insomnia, wound healing, depression, and kidney and lung ailments.

Today, Saint-John's-wort is most popular as an herbal remedy for depression. Studies show it may have a positive effect on mild to moderate depression if used over 12 weeks. Saint-John's-wort is also used to reduce menopausal symptoms and for obsessive-compulsive disorder OCD and skin conditions.

It may be used topically to promote wound healing and reduce muscle pain. Saint-John's-wort is available in dry, oil, and liquid forms, including capsules, tinctures, and elixirs. There is not enough data to provide a standard recommended dose of Saint-John's-wort. The appropriate dose of Saint-John's-wort will depend on your age, sex, and medical history.

They can personalize your dose to ensure effectiveness and safety. When taken in large doses, Saint-John's-wort may cause sensitivity to sunlight.

Speak with your healthcare professional before using this herbal remedy. It can have serious interactions with certain medications. Do not take Saint-John's-wort if you are taking antidepressants, as a life-threatening increase in serotonin may result.

Native to South Asia, turmeric is an herbaceous perennial plant belonging to the ginger family. It has been used for its medicinal properties for over 4, years. Turmeric is one of the most widely studied herbs. It has antioxidant, anti-inflammatory, antibacterial and anticancer properties.

In Ayurveda and other traditional medicine systems, it is used for upper respiratory infections, the digestive system, and skin problems. Ayurvedic herbs are a major component of Ayurveda , a traditional-medicine practice that originated in India. Practitioners use herbs to keep the mind, body, and spirit in balance.

Turmeric is still a popular herbal remedy. It's touted as aiding in such conditions as allergies, arthritis, digestive disorders, respiratory infections, depression, and liver disease.

Research says turmeric may provide therapeutic benefits for skin health as an oral supplement or topical on the skin application. Turmeric is also proven effective at reducing joint pain caused by arthritis.

One study found that participants who took milligrams a day of turmeric extract experienced reduced joint pain. Turmeric is used around the world as a cooking ingredient. Turmeric supplements are made from the dried rhizome underground stem and are often sold in capsule form. Turmeric paste is made to apply topically to the skin for certain skin conditions.

The recommended dosage for turmeric varies, depending on its intended use. Studies often use dosages ranging from to 2, milligrams of turmeric daily.

The amount you take will vary depending on your age, medical history, sex, and intended use. Some people experience significant symptom relief when taking smaller doses, so start small to determine which dose works best for you.

Turmeric is generally considered safe when eaten in foods, consumed as an oral supplement, or applied to the skin in recommended amounts. Concentrations of curcumin —an active ingredient in turmeric—is higher in supplements than in foods and may cause stomach upset when taken in large doses, as well as diarrhea, skin rash, yellow stool, and headache.

Speak with your healthcare professional before taking a turmeric supplement. It may have interactions with some prescription medications and other herbal remedies. Turmeric can enhance the effect of blood thinners, increasing your risk of bleeding.

A review found that turmeric may interact with several medications, including antidepressants, anticoagulants, antibiotics, chemotherapeutic agents, and antihistamines.

The FDA regulates dietary supplement products and dietary ingredients and tracks side effects by consumers. You can report any side effects and safety concerns through the U. Health and Human Services Safety Reporting Portal. Humans have used plants for thousands of years to treat ailments, pain, and disease.

Healing herbs are available in several forms, including supplements, tinctures, teas, and essential oils. Scientific evidence on popular herbal remedies varies widely.

For some, there is a lot of information, while there may be just a little for others. Do your best to research any remedies you plan to use before taking them to understand any potential side effects along with their purported health benefits.

Chandrasekhar K, Kapoor J, Anishetty S. A prospective, randomized double-blind, placebo-controlled study of safety and efficacy of a high-concentration full-spectrum extract of ashwagandha root in reducing stress and anxiety in adults. Indian J Psychol Med. Salve J, Pate S, Debnath K, Langade D.

Adaptogenic and anxiolytic effects of ashwagandha root extract in healthy adults: A double-blind, randomized, placebo-controlled clinical study. Lopresti AL, Drummond PD, Smith SJ. A randomized, double-blind, placebo-controlled, crossover study examining the hormonal and vitality effects of ashwagandha Withania somnifera in aging, overweight males.

Am J Mens Health. Memorial Sloan Kettering Cancer Center. National Center for Complementary and Integrative Health. Miraj S, Alesaeidi S. A systematic review study of therapeutic effects of Matricaria recuitta chamomile chamomile.

Electron Physician. David S, Cunningham R. Echinacea for the prevention and treatment of upper respiratory tract infections: A systematic review and meta-analysis.

Complement Ther Med. Brown PN, Chan M, Paley L, Betz JM. Determination of major phenolic compounds in Echinacea spp. raw materials and finished products by high-performance liquid chromatography with ultraviolet detection: single-laboratory validation matrix extension.

J AOAC Int. Cancer Research UK. Karagodin VP, Sobenin IA, Orekhov AN. Antiatherosclerotic and cardioprotective effects of time-released garlic powder pills. Curr Pharm Des. Zhou X, Qian H, Zhang D, Zeng L.

Garlic intake and the risk of colorectal cancer: A meta-analysis. Medicine Baltimore. European Medicines Agency. Science Medicines Health. Assessment report on Allium sativum L.

Soltani E, Jangjoo A, Afzal Aghaei M, Dalili A. Effects of preoperative administration of ginger Zingiber officinale Roscoe on postoperative nausea and vomiting after laparoscopic cholecystectomy. J Tradit Complement Med. Viljoen E, Visser J, Koen N, Musekiwa A.

A systematic review and meta-analysis of the effect and safety of ginger in the treatment of pregnancy-associated nausea and vomiting.

Nutr J. Marx W, Ried K, McCarthy AL, et al. Ginger-mechanism of action in chemotherapy-induced nausea and vomiting: A review. Crit Rev Food Sci Nutr. Bartels EM, Folmer VN, Bliddal H, et al. Efficacy and safety of ginger in osteoarthritis patients: a meta-analysis of randomized placebo-controlled trials.

Osteoarthritis Cartilage. Yeung KS, Hernandez M, Mao JJ, Haviland I, Gubili J. Herbal medicine for depression and anxiety: A systematic review with assessment of potential psycho-oncologic relevance.

Phytother Res. Mount Sinai. Siberian ginseng. Yang X, Xiong X, Wang H, Wang J. Protective effects of panax notoginseng saponins on cardiovascular diseases: a comprehensive overview of experimental studies.

Evid Based Complement Alternat Med. Jung J, Lee NK, Paik HD. Bioconversion, health benefits, and application of ginseng and red ginseng in dairy products. Food Sci Biotechnol. Ossoukhova A, Owen L, Savage K, et al. Improved working memory performance following administration of a single dose of American ginseng Panax quinquefolius L.

to healthy middle-age adults. Hum Psychopharmacol. Lee YY, Saba E, Irfan M, et al. The anti-inflammatory and anti-nociceptive effects of Korean black ginseng. In: Drugs and Lactation Database LactMed.

Bethesda MD : National Library of Medicine US. Paik DJ, Lee CH. Review of cases of patient risk associated with ginseng abuse and misuse. J Ginseng Res. Koulivand PH, Khaleghi Ghadiri M, Gorji A. Lavender and the nervous system. Cardia GFE, Silva-Filho SE, Silva EL, et al.

Effect of lavender Lavandula angustifolia essential oil on acute inflammatory response. Donelli D, Antonelli M, Bellinazzi C, Gensini GF, Firenzuoli F. Effects of lavender on anxiety: A systematic review and meta-analysis. Lavender oil. Cui YH, Zheng Y. A meta-analysis on the efficacy and safety of St John's wort extract in depression therapy in comparison with selective serotonin reuptake inhibitors in adults.

Neuropsychiatr Dis Treat. John's wort. Vaughn AR, Branum A, Sivamani RK. Effects of turmeric Curcuma longa on skin health: A systematic review of the clinical evidence. Daily JW, Yang M, Park S. Efficacy of turmeric extracts and curcumin for alleviating the symptoms of joint arthritis: A systematic review and meta-analysis of randomized clinical trials.

J Med Food. Amalraj A, Pius A, Gopi S, Gopi S. Biological activities of curcuminoids, other biomolecules from turmeric and their derivatives - A review.

Hewlings SJ, Kalman DS. Curcumin: A review of its effects on human health. Bahramsoltani R, Rahimi R, Farzaei MH. Pharmacokinetic interactions of curcuminoids with conventional drugs: A review. J Ethnopharmacol. Use limited data to select advertising. Create profiles for personalised advertising.

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Herbal Supplements. Chronic inflammation is problematic, but this is a perfect example of temporary and helpful inflammation in the body.

At this stage, infection-fighting white blood cells also make their way to the wound site to get rid of any bacteria and produce growth factors that will help to repair the wound area.

This stage often lasts four to six days. Stage 3 — Proliferative Stage Skin Rebuilds : This is when your body starts building new skin cells, which includes providing the wound with oxygen and nutrients it needs to heal properly.

Chemical messengers also signal skin cells to synthesize collagen, a key protein required to rebuild the damaged area. A reddish scar may form at this stage but can fade with time and the use of natural scar remedies. Stage 3 can be between four to 24 days. Stage 4 — Maturation Phase: This final stage of healing mainly consists of the new skin becoming stronger.

This final stage can take anywhere from 21 days to two years. How can I make my wound heal faster? You may have been asking yourself this question before you came across this article. For minor wounds, clean your wound with running water and a gentle soap, dry it and then cover the wound with a sterile bandage.

There are many healing foods that can help, including:. Topical use of collagen in wound dressings is also known to encourage new tissue growth. To incorporate collagen into your diet, try making homemade bone broth or using a protein powder made from bone broth, which is rich in collagen.

Research demonstrates collagen powder may even be helpful as adjunctive therapy for chronic wounds such as pressure ulcers and diabetic foot ulcers.

Not surprising, a knee scrape healing time will be noticeably less than the healing time required for a deeper wound. Raw honey is an excellent remedy to help heal wounds quicker. Honey can help to clean the wound, decrease signs of infection, including pus and odors, reduce pain and even speed up the healing process.

Research shows honey acts as an effective antiseptic wound dressing. Some wounds have been known to heal with honey application when other wound care treatment is unsuccessful. Honey has been shown to help a large variety of wounds, including those that occur after surgery, chronic leg ulcers, abscesses, burns, abrasions and cuts.

Honey seems to reduce odors and pus, help clean the wound, reduce infection, reduce pain and decrease time to healing. A mixture of honey and ghee has also been advocated for and used as dressing for infected wounds since in four Mumbai hospitals.

For the treatment of burns and wounds, a high-quality honey can be applied directly to the affected area or in a dressing that you should change every 24 to 48 hours. You can also make a homemade healing salve by mixing raw honey, tea tree oil and lavender oil. Essential oils like tea tree and rosemary have impressive antibacterial properties against a wide range of bacteria and fungi.

Dilute essential oils with a carrier oil like coconut oil in a ratio before applying it. You can do this up to three times per day. This also increases the moisture level of the wound area, which is great for healing.

Do wounds heal faster wet or dry? According to experts, wounds require moisture to heal. Do wounds heal faster covered or uncovered? So, make sure to apply essential oil diluted with a carrier oil and then cover the area with a sterile bandage.

Discontinue use of essential oils if sensitivity develops. In general, always keep essential oils away from your eyes and other mucous membranes. Zinc promotes immune function and improves skin healing. Having a zinc deficiency can actually impair the wound healing process. There are many zinc-rich foods you can incorporate into your wound healing diet plan including lamb, grass-fed beef, pumpkin seeds and cashews.

You can also supplement with zinc. Another key nutrient that can really boost your wound care efforts, vitamin C helps to manufacture collagen, which as you now know is critical for healing damage to skin tissues and blood vessels.

Vitamin C actually plays a key role in all phases of the wound healing process. You can also take a high-quality vitamin C supplement. As your wound heals, do not pick or scratch at any scabs that form because this can lead to scarring or infection.

Contact your doctor if you notice any of the following signs of an infected wound:. If you have a serious wound, check with your doctor before using any topical alternative remedies.

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Good Morning Kuya: Heal cuts and wounds faster with guava leaves

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