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Friday, October 21, 2011

HERBALISM: USE OF TRADITIONAL MEDICINE CONSIDERATION WITH BENEFITS AND SAFETY

WHO recommends the use of traditional medicine, including herbs in the maintenance of public health, prevention andtreatment of disease, particularly for chronic diseases, diseases degenerative and cancer. WHO also support efforts inincreased safety and efficacyof traditional medicine (WHO, 2003).
The use of traditional medicine is generally considered more secure than on the use of modern medicine. case. This is because traditional medicine has side effects relatively less than the modern drug.






Side effects of traditional medicine relatively small if used appropriate, which include:
  • Righteousness materials
Medicinal plants in Indonesia consists of various species sometimes difficult to distinguish one another. righteousness determine the material is reached or whether or not the desired therapeutic effect. For example lempuyang in market there are several kinds of rather difficult to distinguish from one with others. lempuyang emprit (Zingiber amaricans) have form a relatively smaller, yellow with a sense of bitter. Lempuyang emprit is efficacious as an appetite enhancer dining. The second type is lempuyang elephant (Zingiber zerumbet) which has the form of larger and yellow, this species was efficacious as an appetite enhancer dining. The third type of fragrance is lempuyang (Zingiber aromaticum) who has a little white and color smell nice. Unlike the second lempuyang type previously, this type has efficacy as slimming (Sastroamidjojo S, 2001).
In Belgium, 70 people had to undergo dialysis or kidney transplantation
from consuming slimming of the wrong plants (WHO, 2003).
  • The accuracy of dose
Medicinal plants, as well as manufactured drugs can not be consumed recklessly. Staying theredose that must be followed, such as a doctor's prescription. Phaleria, for example, should only be consumed with a ratio of 1 fruit in 3 cups of water. While the leaf Mindi new efficacious if boiled 7 sheets in a dose of water
certain (Suarni, 2005). It dismissed the notion that Traditional medicine has no effect the side. The presumption when traditional medicine is safe for consumption even though pain symptoms are gone wrong. Up to certain limits, may be true.

However, when already exceeded the limit, it harm. Side effects of medicinal plants can be described in plants dringo (Acorus Calamus), the usual used to treat stress. These herbs contain asaron bioactive compounds. Compound These have a similar chemical structure
class of amphetamines and ecstasy. In low doses, dringo indeed Members can fish the relaxation effect
effect on the muscle and sedatives (tranquilizers) to the system central nervous system ((Manikandan S, and Devi RS., 2005), (Sukandar E Y, 2006)). However, when used in doses high even give effect conversely, the increase mental activity (psychoactive) (Fang Y, et al., 2003). Asarondringo, also is a natural compound
as potential triggers cancer, especially if the plant is used over long periods (Abel G, 1987). In addition, dringo can cause a buildup of fluid in According pe, pe resulting change in activity on the heart and liver, as well as can cause harmful effects the intestine (Chamorro G, et al., 1999), (Garduno L, et al., 1997),
(Lopez ML, et al., 1993)). Based on scientific fact that, of the Federal Drugs Administration (FDA) United States have banned the use of dringointernally, as more bring losses from the benefits (Suarni, 2005).
Proper dosage of medication Radi s t ional indeed has not been widely supported by the data
research results. Compounding the using the traditional measure pinch, a handful or even seruas
is difficult to determine their accuracy. The use of a more definite measure in units of grams can reduce the likelihood of effects unexpected because the limit between toxins and drugs in the material traditionally very thin. Doses right to make medicinal plants can into drugs,


  • Timeliness of use

Turmeric is known to be useful to reduce menstrual pain and already consumed hereditary in medicinal herbs turmeric acid is best eaten when it comes months (Sastroamidjojo S, 2001). will but if taken early in the pregnancy are at risk of causing miscarriages. It shows that the timeliness of use traditional medicine to determine achieved Whether or not the expected effect.


  • Accuracy of information studies

The development of information technology encourage the swift current flow of information that is easy to
is accessed. Information that is not supported by the knowledge base adequate and the study or studies often enough to bring it is misleading. ignorance could lead to traditional medicine
turned into harmful materials. For example, information in the media mass meyebutkan that castor beans
(Ricinus communis L) containing if the modified ricin that can used as an anticancer (Wang WX, et al., 1998). Ricin itself is toxic / poison so that if castor beans can be consumed directly lead poisoning and diarrhea ((Audi J, et al., 2005), (Sastroamidjojo
S, 2001)). Another example is about pare. Pare, which is often used as fresh vegetables turned out to contain more for health benefits. Pare, aka untouchables (Momordica charantia)calcium-rich mineral and vegetable phosphorus, as well as carotenoids. pare containing alpha-momorchorin, beta-momorchorin and MAP30 (Momordica antiviral protein 30) useful as anti HIV AIDS ((JK Grover and SP Yadav,
2004), (Zheng YT, et al., 1999)). will However, bitter melon seeds also contain triterpenoids that have activity anti-spermatozoa, so that pare the use of traditional seeds with a view to preventing AIDS can lead to infertility in men ((Girini MM, et al., 2005), (Naseem MZ, et al., 1998)). Pare consumption in the long run, either in the form of juice, salad or vegetables, can kill sperm, lead to impotence, damage to fruit
testes and the male hormone, even potentially damage the liver ((Basch E,et al., 2003), (Lord MJ, et al., 2003)). For pregnant women, should consumption pare limited because the trial in mice showed giving
bitter melon juice cause a miscarriage.


  • Without Abuse

Medicinal plants and drugs Traditional relatively easy to obtain because it does not require Vol. III, No.1, April 2006 5 prescription, it is encouraging occurrence of abuse benefits of drugs and medicinal plants
the traditional. example:
a. Herbal laxative for late months is often misused for abortion the womb.
Risks that occur are birth defects,    maternal become infertile, there is an infection
even death.
b. Sucking amethyst as psychotropic.
c. The addition of chemicals drug In May 2003, Hall Food and Drug Administration(BPOM) Pekanbaru attract 9708 boxes of traditional medicines from circulation and destroy it. drug withdrawn from circulation
mostly herbs containing materials medicinal chemistry (BKO) is harmful to wearer's body. Ingredients
chemical drugs commonly mixed it is paracetamol, coffein, piroxicam, theophylin, deksabutason, CTM, as well as chemicals painkillers such as antalgin and phenylbutazone (Kompas, May 31 2003). Chemical ingredients of the drug can cause effects negative in the body of the wearerif used in large quantities. Chemicals such as antalgin for example, can result in damage the digestive organs, in the form thinning of the intestinal wall to cause bleeding. phenylbutazone can cause the wearer become obese on the cheek, but only a fluid-filled known as moonface, and if used in a time can cause osteoporosis.


  • The accuracy of drug selection

for specific indications In one type of plant can found several active substances efficacious in therapy. the ratio between therapeutic efficacy and side effects that arise must be considered in the choice of plants drug to be used in of therapy. Example, the leaves contain virgin Tread alkaloids are useful for the treatment of diabetes. will but the leaves also contain virgin Tread vincristin and vinblastine are can cause a decrease
leukocytes (white blood cells) to ± 30%., Consequently the patient became susceptible to infectious diseases ((Bolcskei H, et al., 1998), (Lu Y, et al., 2003), (RL Noble, 1990), (Wu ML, et al., 2004)). Whereas treatment diabetes requires a Tread long that leaves no virgin appropriately used as an antidiabetic
but rather used for the treatment of leukemia.






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