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1
Presented by:
Dr. R.L.D.S. Ranasinghe
MD Scholar, Dept of Kaya Cikitsa, IIM,
University of Colombo.
Co- author:
Prof E.R.H.S.S Ediriweera
Dept of Kaya Cikitsa , IIM,
University of Colombo.
2
INTRODUCTION
▀ The history of the Sri Lankan traditional medical
system is as ancient as the civilisation of the
Island.
▀ In this system drugs are mostly given orally with
some vehicles called Anupana.
▀ Mahadalu Anupana of Chandra Kalka is a type
of Dalu Anupana which is quite popular among
traditional medical fraternity.
3
4
AIMS &
OBJECTIVES
 The present review is to study the
pharmacological attributes of medicinal
plants used in Mahadalu Anupana.
5
6
MATERIALS &
METHODS
 Data were collected from
o Sri Lankan traditional and Authentic Ayurvedic
texts
o Traditional physicians
o Scientific journals
o Web sources
7
8
RESULTS
Formula of Mahadalu Anupana
“ foys o fodvkA˝ksl˚ngqπhlskdrx ySkAkdrx o¿ o≠ fid|d≤
jkem, T<s| o≠l=mAmfïks l=Uqre o≤ o¿ tu weg ,iqkq Ωfhdod˚
fuuΩ Tiq ;ïndhqi˝uev ó meKs Ωi’ks˛.sf;,A fodveUqf,kA fhdo
;klsß pkAok˘l;l o˘.,.d˘o’mkA ieu f,v hdh uqod ”
9
Ref: Vatika Prakaranaya 1927 , 220, 221 pg
Ingredients of MahadaluAnupana
 Mahadalu anupana consists two main
components
1. Juice extracted from Tembuma (Steamed
medicine)
2. Prativapa
10
Sinhala
Name
Botanical name Family Part Used Propo
rtion
Dehi Citrus aurantifolia Rutaceae Tender Leaves 1 part
Dodam Citrus sinensis Rutaceae Tender Leaves 1 part
Nika Vitex negundo Fabaceae Tender Leaves 1 part
Elabatu Solanum surattense Solanaceae Tender Leaves 1 part
Yakinaran Atalantia ceylanica Rutaceae Tender Leaves 1 part
Heen naran Citrus reticulata Rutaceae Tender Leaves 1 part
Adatoda Adhatoda vasica Acanthaceae Tender Leaves 1 part
Ingredients of Tembuma (Juice extract)
of MahadaluAnupana
11
12
Sinhala
Name
Botanical name Family Part Used Proporti
on
Olinda Abrus precatorius Fabaceae Tender Leaves 1 part
Kuppameni Acalypa indica Euphorbiaceae Tender Leaves 1 part
Kumburu Caesalpinia bonduc Fabaceae Tender Leaves 1 part
Kumburu Caesalpinia bonduc Fabaceae Seeds 1 part
Sudulunu Allium sativum Amaryllidaceae Bulb
Ingredients of Tembuma of MahadaluAnupana Cont..
Dehi Dodam Nika
YakinaranElabatu
Heen naran
Cont..
Adatoda Olinda
Kuppameni
Kumburu Seeds of Kumburu Sudulunu
14
Ingredients of Prativapa
of MahadaluAnupana
 Bee honey
 Sugar
 Ghee
 Juice of Citrus aurantium (Ambul Dodam )
 Breast Milk
 Santalum album (Suduhadun)
 Seeds of Strychnos potatorum (Ingini)
15
16
Ingredients of Prativapa
of MahadaluAnupana
Sugar GheeBee honey
Breast Milk Suduhadun Seeds of Ingini
Ambul Dodam
Preparation of MahadaluAnupana
 Each ingredient enlisted are pounded separately and
mixed together .
 Boluses are prepared with this mixture.
 These boluses are heated using steam of water on low
fire.
 Then these are removed from steam when the aroma
started to emit.
 Finally juice is obtained by squeezing
out these boluses and Prativapa should
be added.
17
Indications of Mahadalu Anupana
“fiïmek ke.=fkA uqyqfkA odäh fkdnisk Wk
y;s weïu ;od
idroyiA ieg y;rlA ikAksh ÿgq l, oSmkA
fuTiq fhdod ”
Ref: Vatika Prakaranaya 1927 , 220, 221 pg
18
Ingredient Rasa Guna Veerya Vipaka Dosha Karma
Dehi Amla Laghu Anushna Madhura Tridosha
Samaka
Dodam Amla Guru,
Ushna
Ushna Amla Kapha, Vata
Samaka
Nika Tikta, Katu,
Kashaya
Laghu,
Ruksha
Ushna Katu Kapha, Vata
Samaka
Elabatu Madhura Laghu,
Ruksha,
Tikshna
Ushna Madhura Kapha, Vata
Samaka
Yakinaran Amla Laghu Ushna Kapha, Vata
Samaka
Heen naran Amla Laghu Ushna Kapha, Vata
Samaka
Properties of Mahadalu Anupana
Ingredient Rasa Guna Veerya Vipaka Dosha
Karma
Olinda Tikta,
Kashaya
Laghu, Ruksha,
Tikshna
Ushna Katu Kapha, Vata
Samaka
Kuppameni
Kumburu Katu, Tikta Laghu, Ruksha,
Tikshna
Ushna Katu Kapha, Vata
Samaka
Sudulunu Snigdha, Tikshna,
Picchila, guru, Sara
Ushna Katu Kapha, Vata
Samaka
Suduhandun Tikta,
Madhura
Laghu, Ruksha Sheeta Katu Kapha, Pitta
Samaka
Ingini Madhura,
Tikta,
Kashaya
Laghu,Vishada,
Vikashi
Sheeta Madhura Vata
Samaka
Properties of Mahadalu Anupana cont..
20
Properties of Mahadalu Anupana cont..
 Vedana Sthapana
 Ama Pachana
 Deepana
 Sroto shodhana
 Nadi Uttejaka
 Nadi Balakaraka
 Jvaraghna
 Mutrakaraka
21
Citrus sinensis (Dodam)
 gama limonene
 hesperidin
 iso hesperidin
 aurantiamarin
 auranetin
 tannin
 terpene
 geraniol
22
Phytochemicals of Ingredients of
Mahadalu Anupana
glucosides
Phytochemicals of Ingredients of Mahadalu
Anupana Cont..
Vitex negundo (Nika)
 alkaloid
 nishindine,
 an essential oil
 a resin
 flavanoides
 glucoside
 carotene
23
Phytochemicals of Ingredients of
Mahadalu Anupana Cont..
Adhatoda vasica (Adatoda)
 vasicine
 vasicinone
 vasicine acetate
 2-acetyl benzyl amine
24
Phytochemicals of Ingredients of Mahadalu
Anupana Cont..
Caesalpinia bonduc (Kumburu)
 fixed oil
 bitter principle- bonducin
 resinous acid
 phytosterolins
 saponin
 sucrose
 alkaloids
25
Phytochemicals of Ingredients of
Mahadalu Anupana Cont..
Abrus precatorius (Olinda)
 glycyrrhizin
 abrin
 isoflavanquinones
26
Bioactivities of Ingredients of Mahadalu
Anupana
 antioxidant (Adhatoda vasica, Citrus aurantium)
 anti-inflammatory (Adhatoda vasica, Abrus precatorius,
Caesalpinia bonduc)
 anti-cholinergic (Adhatoda vasica)
 antiplatelet (Abrus precatorius, Citrus aurantium)
 anti microbial (Caesalpinia bonduc)
 antineoplastic, anticarcinomic (Santalum album)
 diuretic (Strychnos potatorum
 hypoglycaemic ( Adhatoda vasica)
 antihyperlipidaemic (Caesalpinia bonduc)
27
28
DISCUSSION
Effects of Mahadalu Anupana on vitiated
Dosha
 Tikta, Katu, Kashaya Rasa
 Laghu Guna, Ruksha Guna
 Ushna Veerya
 Katu Vipaka
29
Pacifies vitiated Kapha
Effects of Mahadalu Anupana on vitiated
Dosha Cont..
 Madhura Rasa
 Snigdha Guna
 Ushna Veerya
 Madhura Vipaka
30
Pacifies vitiated Vata
Effects of Mahadalu Anupana on vitiated
Dosha Cont..
 Madhura Rasa
 Snigdha Guna
 Sheeta veerya
 Madhura vipaka
31
Pacifies vitiated Pitta
 Performing Amapachana
 Eliminate Margavarodha (obstruction of
channels), occurred due to Kapha and Ama
 Relieve symptoms of provocated Vata in
Nadivaha and Vatavaha srotas
Eg: slurring of speech, mouth deviation,
fasciculation of tongue, and swallowing
difficulties
32
With these properties..
Action of Phytochemicals contain in ingredients
of MahadaluAnupana on Vata Vyadhi wsr to
Pakshavadha (Hemilpegia)
 Hesperidin a type of Glucoside prevents capillary
bleeding
 isoflavanquinones inhibits platelet aggregation
 So it would be beneficial in the management
of
- Haemorrhagic
- Thrombotic
- Embolic vascular lesions leading to Hemiplegia
(Pakshavadha)
33
Action of Phytochemicals Cont..
 Abrin and Vasicine are having anti-inflammatory
action; minimizes nerve damage and thereby improve
the outcome of patients
 Bonducin having antihyerlipidaemic action minimize the
formation of atheroma
 Citric acid, Santalol and Vasicine as anti oxidants
relieve oxidative stress which is leading to
atherosclerosis, stroke and high blood pressure
 Anti-oxidants able to neutralize the damaging effects of
free radicals
34
Cont..
 Sharkara (Sugar) is aphrodisiac, slightly unctuous, and
beneficial to those who are emaciated
 Ghee (Gruta) is promotive of memory, intelligence,
semen, vital essence
 Ghee increases the digestive fire (agni) and improves
absorption and assimilation
 As honey is composed of various Vitamins, Minerals, it
is the best of Vehicles. It is wholesome in small doses.
Its antioxidant constituents cleans up free radicals.
 Breast milk contains immunoglobulins and enhance
immune system
35
36
CONCLUSION
 Due to its
 Ayurvedic pharmacodynamic properties
 Phytochemicals and
 Scientifically proven bioactivities
Mahadalu Anupana can be used effectively in
the management of Vata Vyadhi.
37
38
REFERENCE
Reference
1. None] 1969, Ayurveda pharmacopeia Vol 1. Part 1, Colombo:
Department of Ayurveda.
2. [None] 1945, Ayurveda pharmacopeia Vol 1. Part 2, Colombo:
Department of Ayurveda.
3. [None] 1969, Ayurveda pharmacopeia Vol 1. Part 3, Colombo:
Department of Ayurveda.
4. Dassanayaka, M. D. 1981. A revised Handbook to the flora of
Ceylon. Vol 3. New Delhi: Oxford and IBH Publishing Co PVT Ltd.
6. Vatika Prakaranaya,
7. Jayaweera, D.M.A. 1981. Medicinal Plants (Indigenous & Exotic)
used in Ceylon. Part 3. Colombo: The National Science Council.
8. Wijesinghe , Y. 1994. Checklist of medicinal Plants of Sri Lanka.
Colombo: Sri Lanka Forest Department.
39
9. [None] 2003, Aushadheeya shaka Samgrahaya, Vol 2 .
Olombo:Department of Ayurveda.
10. Bhattacharjee, S.K. 2000.Handbook of Aromatic Plants. Jaipur:
Pointer Publishers.
11. Dhananjaya, J. 2006. 2000.Handbook of Medicinal Herbs. India:
Deshpande Agrobis.
12. [None]1994. Osuturu wisituru, Vol 1, 2,3, 4.Colombo:Department of
Ayurveda.
13. International Journal of PharmTech Research CODEN (USA Debidas
Ghosh et al /Int.J. PharmTech Res 11/2002; 22:974-4304.
14. Bhagawan Dash, Kashyap, L. 1980. Materia Medica of Ayurveda,
New Delhi: Concept Publishers Company.
40
15. Sharma, P.C, Yelne, M.B. 2000. Database on Medicinal Plants used in .
Ayurveda, New Delhi: Central Council for Research.
16. Nadkarani, A.K . 1982. Indian Materia Medica, Vol 1. India: Popular
Prakashtan.
15. Gurtner, GAIL H., et al. "Mechanism of hyperoxia-induced pulmonary
vascular paralysis: effect of antioxidant pretreatment." J. Appl. Physiol 59.3
(1985): 953-958.
16. G. H. Gurtner , J. R. Michael , I. S. Farrukh , A. M. Sciuto , N. F. Adkinson
17. Journal of Applied PhysiologyPublished 1 September 1985Vol. 59no.
953-958
18. Tandon, Vishal R., and R. K. Gupta. "Vitex negundo Linn (VN) leaf extract
as an adjuvant therapy to standard anti-inflammatory drugs." Indian Journal
of Medical Research 124.4
(2006): 447.
41
Thank you !
42

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A Critical analysis of properties of Mahadalu Anupana in Ayurvedic and modern aspect in the management of Vata Vyadhi

  • 1. 1 Presented by: Dr. R.L.D.S. Ranasinghe MD Scholar, Dept of Kaya Cikitsa, IIM, University of Colombo. Co- author: Prof E.R.H.S.S Ediriweera Dept of Kaya Cikitsa , IIM, University of Colombo.
  • 3. ▀ The history of the Sri Lankan traditional medical system is as ancient as the civilisation of the Island. ▀ In this system drugs are mostly given orally with some vehicles called Anupana. ▀ Mahadalu Anupana of Chandra Kalka is a type of Dalu Anupana which is quite popular among traditional medical fraternity. 3
  • 5.  The present review is to study the pharmacological attributes of medicinal plants used in Mahadalu Anupana. 5
  • 7.  Data were collected from o Sri Lankan traditional and Authentic Ayurvedic texts o Traditional physicians o Scientific journals o Web sources 7
  • 9. Formula of Mahadalu Anupana “ foys o fodvkA˝ksl˚ngqπhlskdrx ySkAkdrx o¿ o≠ fid|d≤ jkem, T<s| o≠l=mAmfïks l=Uqre o≤ o¿ tu weg ,iqkq Ωfhdod˚ fuuΩ Tiq ;ïndhqi˝uev ó meKs Ωi’ks˛.sf;,A fodveUqf,kA fhdo ;klsß pkAok˘l;l o˘.,.d˘o’mkA ieu f,v hdh uqod ” 9 Ref: Vatika Prakaranaya 1927 , 220, 221 pg
  • 10. Ingredients of MahadaluAnupana  Mahadalu anupana consists two main components 1. Juice extracted from Tembuma (Steamed medicine) 2. Prativapa 10
  • 11. Sinhala Name Botanical name Family Part Used Propo rtion Dehi Citrus aurantifolia Rutaceae Tender Leaves 1 part Dodam Citrus sinensis Rutaceae Tender Leaves 1 part Nika Vitex negundo Fabaceae Tender Leaves 1 part Elabatu Solanum surattense Solanaceae Tender Leaves 1 part Yakinaran Atalantia ceylanica Rutaceae Tender Leaves 1 part Heen naran Citrus reticulata Rutaceae Tender Leaves 1 part Adatoda Adhatoda vasica Acanthaceae Tender Leaves 1 part Ingredients of Tembuma (Juice extract) of MahadaluAnupana 11
  • 12. 12 Sinhala Name Botanical name Family Part Used Proporti on Olinda Abrus precatorius Fabaceae Tender Leaves 1 part Kuppameni Acalypa indica Euphorbiaceae Tender Leaves 1 part Kumburu Caesalpinia bonduc Fabaceae Tender Leaves 1 part Kumburu Caesalpinia bonduc Fabaceae Seeds 1 part Sudulunu Allium sativum Amaryllidaceae Bulb Ingredients of Tembuma of MahadaluAnupana Cont..
  • 14. Adatoda Olinda Kuppameni Kumburu Seeds of Kumburu Sudulunu 14
  • 15. Ingredients of Prativapa of MahadaluAnupana  Bee honey  Sugar  Ghee  Juice of Citrus aurantium (Ambul Dodam )  Breast Milk  Santalum album (Suduhadun)  Seeds of Strychnos potatorum (Ingini) 15
  • 16. 16 Ingredients of Prativapa of MahadaluAnupana Sugar GheeBee honey Breast Milk Suduhadun Seeds of Ingini Ambul Dodam
  • 17. Preparation of MahadaluAnupana  Each ingredient enlisted are pounded separately and mixed together .  Boluses are prepared with this mixture.  These boluses are heated using steam of water on low fire.  Then these are removed from steam when the aroma started to emit.  Finally juice is obtained by squeezing out these boluses and Prativapa should be added. 17
  • 18. Indications of Mahadalu Anupana “fiïmek ke.=fkA uqyqfkA odäh fkdnisk Wk y;s weïu ;od idroyiA ieg y;rlA ikAksh ÿgq l, oSmkA fuTiq fhdod ” Ref: Vatika Prakaranaya 1927 , 220, 221 pg 18
  • 19. Ingredient Rasa Guna Veerya Vipaka Dosha Karma Dehi Amla Laghu Anushna Madhura Tridosha Samaka Dodam Amla Guru, Ushna Ushna Amla Kapha, Vata Samaka Nika Tikta, Katu, Kashaya Laghu, Ruksha Ushna Katu Kapha, Vata Samaka Elabatu Madhura Laghu, Ruksha, Tikshna Ushna Madhura Kapha, Vata Samaka Yakinaran Amla Laghu Ushna Kapha, Vata Samaka Heen naran Amla Laghu Ushna Kapha, Vata Samaka Properties of Mahadalu Anupana
  • 20. Ingredient Rasa Guna Veerya Vipaka Dosha Karma Olinda Tikta, Kashaya Laghu, Ruksha, Tikshna Ushna Katu Kapha, Vata Samaka Kuppameni Kumburu Katu, Tikta Laghu, Ruksha, Tikshna Ushna Katu Kapha, Vata Samaka Sudulunu Snigdha, Tikshna, Picchila, guru, Sara Ushna Katu Kapha, Vata Samaka Suduhandun Tikta, Madhura Laghu, Ruksha Sheeta Katu Kapha, Pitta Samaka Ingini Madhura, Tikta, Kashaya Laghu,Vishada, Vikashi Sheeta Madhura Vata Samaka Properties of Mahadalu Anupana cont.. 20
  • 21. Properties of Mahadalu Anupana cont..  Vedana Sthapana  Ama Pachana  Deepana  Sroto shodhana  Nadi Uttejaka  Nadi Balakaraka  Jvaraghna  Mutrakaraka 21
  • 22. Citrus sinensis (Dodam)  gama limonene  hesperidin  iso hesperidin  aurantiamarin  auranetin  tannin  terpene  geraniol 22 Phytochemicals of Ingredients of Mahadalu Anupana glucosides
  • 23. Phytochemicals of Ingredients of Mahadalu Anupana Cont.. Vitex negundo (Nika)  alkaloid  nishindine,  an essential oil  a resin  flavanoides  glucoside  carotene 23
  • 24. Phytochemicals of Ingredients of Mahadalu Anupana Cont.. Adhatoda vasica (Adatoda)  vasicine  vasicinone  vasicine acetate  2-acetyl benzyl amine 24
  • 25. Phytochemicals of Ingredients of Mahadalu Anupana Cont.. Caesalpinia bonduc (Kumburu)  fixed oil  bitter principle- bonducin  resinous acid  phytosterolins  saponin  sucrose  alkaloids 25
  • 26. Phytochemicals of Ingredients of Mahadalu Anupana Cont.. Abrus precatorius (Olinda)  glycyrrhizin  abrin  isoflavanquinones 26
  • 27. Bioactivities of Ingredients of Mahadalu Anupana  antioxidant (Adhatoda vasica, Citrus aurantium)  anti-inflammatory (Adhatoda vasica, Abrus precatorius, Caesalpinia bonduc)  anti-cholinergic (Adhatoda vasica)  antiplatelet (Abrus precatorius, Citrus aurantium)  anti microbial (Caesalpinia bonduc)  antineoplastic, anticarcinomic (Santalum album)  diuretic (Strychnos potatorum  hypoglycaemic ( Adhatoda vasica)  antihyperlipidaemic (Caesalpinia bonduc) 27
  • 29. Effects of Mahadalu Anupana on vitiated Dosha  Tikta, Katu, Kashaya Rasa  Laghu Guna, Ruksha Guna  Ushna Veerya  Katu Vipaka 29 Pacifies vitiated Kapha
  • 30. Effects of Mahadalu Anupana on vitiated Dosha Cont..  Madhura Rasa  Snigdha Guna  Ushna Veerya  Madhura Vipaka 30 Pacifies vitiated Vata
  • 31. Effects of Mahadalu Anupana on vitiated Dosha Cont..  Madhura Rasa  Snigdha Guna  Sheeta veerya  Madhura vipaka 31 Pacifies vitiated Pitta
  • 32.  Performing Amapachana  Eliminate Margavarodha (obstruction of channels), occurred due to Kapha and Ama  Relieve symptoms of provocated Vata in Nadivaha and Vatavaha srotas Eg: slurring of speech, mouth deviation, fasciculation of tongue, and swallowing difficulties 32 With these properties..
  • 33. Action of Phytochemicals contain in ingredients of MahadaluAnupana on Vata Vyadhi wsr to Pakshavadha (Hemilpegia)  Hesperidin a type of Glucoside prevents capillary bleeding  isoflavanquinones inhibits platelet aggregation  So it would be beneficial in the management of - Haemorrhagic - Thrombotic - Embolic vascular lesions leading to Hemiplegia (Pakshavadha) 33
  • 34. Action of Phytochemicals Cont..  Abrin and Vasicine are having anti-inflammatory action; minimizes nerve damage and thereby improve the outcome of patients  Bonducin having antihyerlipidaemic action minimize the formation of atheroma  Citric acid, Santalol and Vasicine as anti oxidants relieve oxidative stress which is leading to atherosclerosis, stroke and high blood pressure  Anti-oxidants able to neutralize the damaging effects of free radicals 34
  • 35. Cont..  Sharkara (Sugar) is aphrodisiac, slightly unctuous, and beneficial to those who are emaciated  Ghee (Gruta) is promotive of memory, intelligence, semen, vital essence  Ghee increases the digestive fire (agni) and improves absorption and assimilation  As honey is composed of various Vitamins, Minerals, it is the best of Vehicles. It is wholesome in small doses. Its antioxidant constituents cleans up free radicals.  Breast milk contains immunoglobulins and enhance immune system 35
  • 37.  Due to its  Ayurvedic pharmacodynamic properties  Phytochemicals and  Scientifically proven bioactivities Mahadalu Anupana can be used effectively in the management of Vata Vyadhi. 37
  • 39. Reference 1. None] 1969, Ayurveda pharmacopeia Vol 1. Part 1, Colombo: Department of Ayurveda. 2. [None] 1945, Ayurveda pharmacopeia Vol 1. Part 2, Colombo: Department of Ayurveda. 3. [None] 1969, Ayurveda pharmacopeia Vol 1. Part 3, Colombo: Department of Ayurveda. 4. Dassanayaka, M. D. 1981. A revised Handbook to the flora of Ceylon. Vol 3. New Delhi: Oxford and IBH Publishing Co PVT Ltd. 6. Vatika Prakaranaya, 7. Jayaweera, D.M.A. 1981. Medicinal Plants (Indigenous & Exotic) used in Ceylon. Part 3. Colombo: The National Science Council. 8. Wijesinghe , Y. 1994. Checklist of medicinal Plants of Sri Lanka. Colombo: Sri Lanka Forest Department. 39
  • 40. 9. [None] 2003, Aushadheeya shaka Samgrahaya, Vol 2 . Olombo:Department of Ayurveda. 10. Bhattacharjee, S.K. 2000.Handbook of Aromatic Plants. Jaipur: Pointer Publishers. 11. Dhananjaya, J. 2006. 2000.Handbook of Medicinal Herbs. India: Deshpande Agrobis. 12. [None]1994. Osuturu wisituru, Vol 1, 2,3, 4.Colombo:Department of Ayurveda. 13. International Journal of PharmTech Research CODEN (USA Debidas Ghosh et al /Int.J. PharmTech Res 11/2002; 22:974-4304. 14. Bhagawan Dash, Kashyap, L. 1980. Materia Medica of Ayurveda, New Delhi: Concept Publishers Company. 40
  • 41. 15. Sharma, P.C, Yelne, M.B. 2000. Database on Medicinal Plants used in . Ayurveda, New Delhi: Central Council for Research. 16. Nadkarani, A.K . 1982. Indian Materia Medica, Vol 1. India: Popular Prakashtan. 15. Gurtner, GAIL H., et al. "Mechanism of hyperoxia-induced pulmonary vascular paralysis: effect of antioxidant pretreatment." J. Appl. Physiol 59.3 (1985): 953-958. 16. G. H. Gurtner , J. R. Michael , I. S. Farrukh , A. M. Sciuto , N. F. Adkinson 17. Journal of Applied PhysiologyPublished 1 September 1985Vol. 59no. 953-958 18. Tandon, Vishal R., and R. K. Gupta. "Vitex negundo Linn (VN) leaf extract as an adjuvant therapy to standard anti-inflammatory drugs." Indian Journal of Medical Research 124.4 (2006): 447. 41