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      In vivo assessment of anticoagulant and antiplatelet effects of Syzygium cumini leaves extract in rabbits

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          Abstract

          Background

          Syzygium cumini (L.) Skeels. is one of the very popular traditionally used medicinal plants with numerous pharmacological activities including antioxidant, hypoglycemic and anti-inflammatory. However, actions of S. cumini on blood coagulation and other parameters of blood were poorly pharmacologically studied. Therefore, aim of this present investigation is to examine the effects of methanolic extract of S. cumini on blood coagulation and anticoagulation factors in healthy white albino rabbits at different doses.

          Methods

          Blood samples were drawn twice during this study and biochemical assays were performed to determine the effect on different parameters such as coagulation, anticoagulation, hematological, Protein C (PC) and thrombin antithrombin (TAT) complex and platelet aggregation.

          Results

          The results showed significant increase in RBCs, hemoglobin, hematocrit and platelets counts up to 1.4 × 10 3/cm, 2.2 g/dl, 6%, 248.2 × 10 3/cm respectively. While, thrombin and bleeding time were also prolonged in dose dependent manner which is highly significant ( p ≤ 0.005) as compared to control. Similarly, highly significantly increased ( p ≤ 0.005) in levels of protein C, thrombin antithrombin complex at dose of 500 mg/kg were observed. Whereas, levels of platelets aggregation and fibrinogen were decreased at high doses.

          Conclusion

          The obtained findings of hematological and coagulation tests concludes possibly S. cumini possess anticoagulant and antiplatelet effects.

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          Most cited references35

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          The dynamics of thrombin formation.

          The central event of the hemostatic process is the generation of thrombin through the tissue factor pathway. This is a highly regulated, dynamic process in which thrombin itself plays many roles, positively and negatively its production and destruction. The hemostatic process is essential to normal physiology and is also the Achilles heel of our aging population. The inappropriate generation of thrombin may lead to vascular occlusion with the consequence of myocardial infarction, stroke, pulmonary embolism, or venous thrombosis. In this review, we summarize our present views regarding the tissue factor pathway by which thrombin is generated and the roles played by extrinsic and intrinsic factor Xa generating complexes in hemostasis and the roles of the stoichiometric and dynamic inhibitors that regulate thrombin generation.
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            Integrated approaches towards drug development from Ayurveda and other Indian system of medicines.

            Biodiversity of natural resources has served not only for the primary human needs but also for health care, since time immemorial. The Indian subcontinent, with the history of one of the oldest civilization, harbors many traditional health care systems. Their development was supported by the diverse biodiversity in flora and fauna due to variations in geographical landscaping. Ayurveda, whose history goes back to 5000 b.c., is one of the ancient health care systems. The Ayurveda was developed through daily life experiences with the mutual relationship between mankind and nature. The ancient text of Ayurveda reports more than 2000 plant species for their therapeutic potentials. Besides Ayurveda, other traditional and folklore systems of health care were developed in the different time periods in Indian subcontinent, where more than 7500 plant species were used. According to a WHO estimate, about 80% of the world population relies on traditional systems of medicines for primary health care, where plants form the dominant component over other natural resources. Renewed interest of developing as well as developed countries in the natural resources has opened new horizons for the exploration of natural sources with the perspectives of safety and efficacy. The development of these traditional systems of medicines with the perspectives of safety, efficacy and quality will help not only to preserve this traditional heritage but also to rationalize the use of natural products in the health care. Until recent past, the nature was considered as a compendium for templates of new chemical entities (NCEs). The plant species mentioned in the ancient texts of these Ayurveda and other Indian systems of medicines may be explored with the modern scientific approaches for better leads in the health care.
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              Use of complementary therapies in patients with cardiovascular disease.

              Previous studies have suggested that patients with chronic medical conditions use complementary and alternative medicine (CAM) at a higher rate than the general population. Despite recent interest in CAM for cardiovascular disease, few data are available regarding patterns of use in patients with cardiovascular disease in the United States. This study used the 2002 National Health Interview Survey and analyzed data on CAM use in 10,572 respondents with cardiovascular disease. Among those with cardiovascular disease, 36% had used CAM (excluding prayer) in the previous 12 months. The most commonly used therapies were herbal products (18%) and mind-body therapies (17%). Among herbs, echinacea, garlic, ginseng, ginkgo biloba, and glucosamine with or without chondroitin were most commonly used. Among mind-body therapies, deep-breathing exercises and meditation were most commonly used. Overall, CAM was used most frequently for musculoskeletal complaints (24% of respondents who used mind-body therapies, 22% who used herbs, 45% who used any CAM). Mind-body therapies were also used for anxiety or depression (23%) and stress or emotional health and wellness (16%). Herbs were commonly used for head and chest colds (22%). Fewer respondents (10%) used CAM specifically for their cardiovascular conditions (5% for hypertension, 2% for coronary disease, 3% for vascular insufficiency, < 1% for heart failure or stroke). Most, however, who used CAM for their cardiovascular condition perceived the therapies to be helpful (80% for herbs, 94% for mind-body therapies). CAM use was more common in younger respondents, women, Asians, and those with more education and greater incomes. In conclusion, CAM use, particularly herbs and mind-body therapies, is common in the United States in patients with cardiovascular disease and mirrors use in the general population. CAM use specifically to treat cardiovascular conditions, however, is less common.
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                Author and article information

                Contributors
                abdulahadmemon@gmail.com
                riazazra797@gmail.com
                +92-343-2039110 , +92-345-2941505 , m.arifasgher@hotmail.com
                liaquathej@yahoo.com
                shadab.ahmed@uok.edu.pk
                Kamran.khan@jsmu.edu.pk
                Journal
                BMC Complement Altern Med
                BMC Complement Altern Med
                BMC Complementary and Alternative Medicine
                BioMed Central (London )
                1472-6882
                3 September 2019
                3 September 2019
                2019
                : 19
                : 236
                Affiliations
                [1 ]ISNI 0000 0004 0606 9084, GRID grid.415944.9, Department of Pharmacology, Faculty of Pharmacy, , Jinnah Sindh Medical University, ; Rafiqui H.J Shaheed Road, Karachi, 75510 Pakistan
                [2 ]ISNI 0000 0001 0219 3705, GRID grid.266518.e, Department of Pharmacology, Faculty of Pharmacy, , University of Karachi, ; Karachi, Pakistan
                [3 ]ISNI 0000 0004 0606 9084, GRID grid.415944.9, Department of Pharmaceutics, Faculty of Pharmacy, , Jinnah Sindh Medical University, ; Rafiqui H.J Shaheed Road, Karachi, 75510 Pakistan
                [4 ]ISNI 0000 0004 0623 9987, GRID grid.411843.b, Department of Clinical Sciences, Faculty of Medicine, , Lund University Hospital, ; Lund, Sweden
                Author information
                http://orcid.org/0000-0002-3220-8418
                Article
                2661
                10.1186/s12906-019-2661-y
                6724265
                31481052
                0dbd9f2d-d646-4aa5-aa24-64b8eb153488
                © The Author(s). 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 24 May 2019
                : 28 August 2019
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2019

                Complementary & Alternative medicine
                syzygium cumini,coagulation,platelets,thrombin,prothrombin
                Complementary & Alternative medicine
                syzygium cumini, coagulation, platelets, thrombin, prothrombin

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