PDR for Herbal Medicines

(Barré) #1
HERBAL MONOGRAPHS YELLOW GENTIAN /837

and capsule shaped. The numerous seeds are flat, oblong or
round, with a membranous edge.
Leaves, Stem and Root: Yellow Gentian is a completely
glabrous perennial plant that grows to 140 cm high. The
rhizome has a number of heads, and the top of the rhizome
can attain the thickness of an arm. The main root is a taproot,
which grows up to 1 m long. The stem is round, unbranched,
hollow and grooved in the upper region to finger thickness.
The leaves are elliptical, bluish-green, have strongly curved
ribs and grow up to 30 cm long and 15 cm wide.

Characteristics: The drug has a weak, sweetish odor. It
tastes metallic/sweet at first, then bitter.
Habitat: The plant is indigenous to the mountainous regions
of central and southern European, and cultivated in many
other regions.
Production: The roots are collected from spring through
October, cleaned and swiftly dried. Extended, slower drying
causes the roots to ferment. The roots become brittle through
drying, swollen and spongy through contact with moisture.
Not to be Confused With: The roots of Rumex alpinus or
Gentiana asclepiadea
Other Names: Bitter Root. Bitterwort, Gentian Root, Pale
Gentian
ACTIONS AND PHARMACOLOGY
COMPOUNDS
Iridoide monoterpenes (bitter principles): amarogentin (de-
termines the value), gentiopricroside, swertiamarine,
sweroside
Monosaccharides/Oligosaccharides: saccharose, gentianose
(somewhat bitter), gentiobiose (bitter)

Pyrridine alkaloids
Xanthone derivatives (colored yellow): including gentisin,
gentisein, isogentisin, l,3J-«"imefhoxyxanthone
Volatile oil (traces)
EFFECTS
The essential active principles are the bitter substances
contained in the herb. These bring about a reflex stimulation
of the taste receptors, leading to increased secretion of saliva
and the digestive juices. Gentian root is therefore considered
to be not simply a pure bitter, but also a roborant and tonic.
There is also a possible cholagogic effect, although it is not
clear if the mode of action is sensory-reflexive. In addition, a
fungistatic effect has been proven for the gentian extract.

INDICATIONS AND USAGE

Approved by Commission E:



  • Dyspeptic complaints

    • Loss of appetite
      Unproven Uses: Folk medicine uses of the drug include as a
      tonic and in teas to stimulate bile secretion and alleviate loss
      of appetite, fullness and flatulence.
      Homeopathic Uses: Yellow Gentian is used in homeopathy
      for digestive disorders.
      CONTRAINDICATIONS
      The drug's stimulation of gastric juice secretion rules out its
      administration in the presence of stomach or duodenal ulcers.
      PRECAUTIONS AND ADVERSE REACTIONS
      Health risks or side effects following the proper administra-
      tion of designated therapeutic dosages are not recorded.
      DOSAGE
      Mode of Administration: Comminuted drug and dried
      extracts for infusions and teas. Forms of commercial
      pharmaceutical preparations include digestives, drops and
      coated tablets.




Preparation: Tea is prepared by pouring boiling water over
1/2 teaspoon of the drug (1 to 2 g) and allowing it to steep
for 5 to 10 minutes. The tea may be sweetened with honey to
alleviate the bitter taste. Decoctions are made using 1 g of
the drug to 1 cup boiled water.

Daily Dosage: The average single dose is 1 g of the drug;
daily dose is 2 to 4 g. The average daily dose of tincture is 1
to 4 ml 3 times daily. Liquid extract: 2 to 4 g; root: 2 to 4 g.
A one-cup dose of cold or lukewarm tea is taken several
times a day, including 1/2 hour before meals.

Homeopathic Dosage: 5 drops, 1 tablet or 10 globules every
30 to 60 minutes (acute) or 1 to 3 times daily (chronic);
parenterally: 1 to 2 ml sc acute, 3 times, daily: chronic: once
a day (HAB1)

Storage: The drug must be stored away from light sources.
LITERATURE
Chialva F et al., Z Lebensm Unters Forsch 182:212. 1986.
Hayashi T, Yamagishi T, PH 27:3696. 1988.
Schultze J, Dissertation T.U. Miinchen. 1980.
Wagner H, Miinzing-Vasirian K, DAZ 115:1233. 1975.
Further information in:
Hansel R, Keller K, Rimpler H, Schneider G (Hrsg.), Hagers
Handbuch der Pharmazeutischen Praxis, 5. Aufl., Bde 4-6
(Drogen), Springer Verlag Berlin, Heidelberg, New York, 1992-
1994.
Madaus G, Lehrbuch der Biologischen Arzneimittel, Bde 1-3,
Nachdruck, Georg Olms Verlag Hildesheim 1979.
Schulz R. Hansel R, Rationale Phytotherapie, Springer Verlag
Heidelberg 1996.
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