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Journal of Ethnopharmacology,: 15 (1986) 121-132 Elsevier Scientific Publishers Ireland Ltd. 121
Journal of Ethnopharmacology,: 15 (1986) 121-132 Elsevier Scientific Publishers Ireland Ltd. 121
Review Paper
VESSELIN PETKOV
Institute of Physiology, Bulgarian Academy of Sciences, Acad. G. Bonchev St., bl. 23,
1 I1 3 Sofia (Bulgaria)
Summary
In June 1763, Edward Stone from Chiping Norton, Oxford caused a sensa-
tion among scientific circles in Western Europe by his report to the Royal
Society in London in which he described the healing properties of an
extract of willow rind in a case of acute febrility. Two centuries later, in
1899 in Germany, Dreser offered a new drug, aspirin, a derivative of salicylic
acid contained in willow rind in the form of different compounds. Soon
aspirin proved to be one of the most efficient drugs and now its annual
production exceeds one hundred million kilograms; in the United States
more than one hundred million aspirin tablets are consumed daily.
However, if in the middle of the 18th century the report on the healing
properties of willow made a sensation in Western Europe and if in the 20th
century aspirin has established itself as one of the most efficient drugs
known by contemporary medicine, it should be said in the interests of truth
that the healing effect of willow was described nine centuries ago in the
Glossary included in the HexaZmeron of John the Exarch, a distinguished
Bulgarian scholar.
This Glossary (kept at the British Museum) refers also to hellebore
(of Greek origin) describes a large number of plants used by the Thracians
for healing purposes. The data of Dioscurides were widely used by Galen,
Avizena and by almost all doctors of the Middle Ages and thus the experi-
ence of the Thracians for the use of medicinal plants was passed on to
medicine throughout Europe and in a certain sense had a dominant role till
the 17th century.
Through the heritage of the Slavs came the use of the poppy (cont~ning
morphine) and hemp (containing hashish) as narcotics.
The five-century long Ottoman domination which isolated the Bulgarian
people from world civilization was a factor which forced this hardy people
to solveelmost all its own problems. Thus, Bulgarian empirical medicine of
that time abounds in original elements,
Folklore represents a rich source of knowledge in the field of traditional
medicine. Considering folklore as an art created by the people, one cannot
fail to notice the frequent intertwining in folk poetry of motifs from tradi-
tional medicine reflecting folk customs, legends, tales, songs and proverbs.
We would like to mention that in Bulgarian folklore there are some elements
of plant healing which at fit glance might be considered as an expression of
mysticism or as an attempt to conceal ignorant helplessness in explaining the
natural phenomena. Thus, for instance, we will find in Bulgarian folk songs
and tales that the magic of a herb might appear only if the herb is gathered
in “the dead of night”, at dawn, at cock-crowing, or from a “hidden shady
spot”. Other herbs should have been collected on a definite day of the year
(e.g. midsummer Day, the Day of the Holly Cross, the Day of Virgin Mary,
etc.) or from strictly limited areas. Today, there are abundant data to show
that sunlight, temperature, diurnal periods, stages in plant development and
the properties of the soil are of great importance for plant metabolism and
particularly for the biosynthesis of biologically active compounds as well as
cyclic changes in the distribution of these compounds in the different parts
of the plants - roots, leaves, blossoms and fruits.
Indicative of the healing effects of some plants might also be their popular
names. It is a duty of contemporary medicine to utilize the great wealth of
traditional medicine accumulated for many years. However, the rationale
of traditional medicine should be revealed just as restorers reveal the
unfading beauty of the sooty ancient icons and frescoes coated with plaster
for years on end. Patiently, carefullly, with much love and respect for the
creative work of thousands of ordinary unknown workers, today we should
take off the crust of time layer by layer and remove the “contaminations”
in order sometimes to reveal real masterpieces.
One of the greatest difficulties in decoding traditional medicine’s indications
for one or another healing process is their insufficient specificity. For
instance, it is said that this herb is helpful in hydropsy, i.e. in oedema. How-
ever, the causes of development of oedema might be heart, kidney, liver,
endocrine, metabolic or other diseases. Or, for instance, some herb is recom-
mended for the treatment of women’s diseases, which however, represent a
124
the rabbit stomach in a dose of 1 ml in each rabbit. When the garlic juice
was administered simultaneously with cholesterol (0.25 g/kg body wt)
dissolved in olive or cod-liver oil it prevented the development of such a
highdegree cholesterolemia as that in the rabbits which were given food
supplemented with cholesterol only. The rabbits which were given choles-
terol for 64 days showed an increase of cholesterol level from 70.6 to
923.8 mg% (mean values) while in the rabbits given food supplemented with
cholesterol and garlic juice the blood cholesterol increased from 70.8 to
548.5 mg% (mean values). This effect of garlic was confirmed in some
patients whose cholesterol level decreased sharply 2.5 h after taking 2 ml
of garlic juice (dissolved in 50 ml water).
We ascribe this effect of garlic to its stimulant action of the reticulo-
endothelial system, or broadly speaking, on the active mesenchyme. This
conclusion about the stimulant effect of garlic on the functional activity
of the reticula-endothelial system, based on studies of the changes in the
index of fixation of colloid stain into the tissue (Petkov, 1948), was later
confirmed by experiments where we evaluated the effect of garlic on the
decorporation and cumulation of the macromolecules of radioactive colloid
gold (19’Au) (Petkov and Kushev, 1966).
Morphologic investigation of the aorta of the rabbit fed on cholesterol-
containing diet for more than 2 months showed the development of pro-
nounced atherosclerosis, while in rabbits given garlic in addition to cho-
lesterol, this process was much less pronounced when observed macro- and
microscopically (Petkov, 1948).
In experiments on rabbits, garlic juice (1.5-2 ml/rabbit) was found to
decrease blood sugar by nearly 10% (Petkov, 1948). This effect of garlic was
related to the high amounts of active sulfuric compounds contained in it.
The sulfuric compounds accounted also for the changes produced by
garlic and by some garlic preparations in the rabbit thyroid gland (increased
blood-filling, groups of interfollicular cells, hyperplasia and hypertrophy of
the epithelium, decreased size of the follicles and slight vacuolization of the
colloid). These changes were analogous to those occurring under the effect
of thioureic derivatives with antithyroideic action. This led us to believe that
garlic possesses a thyroid function-~hibit~g action (Petkov, 1948,1953).
A moderate hypotensive effect of garlic was observed in acute experi-
ments on anaesthetized normotonic cats upon intravenous injection of garlic
preparations as well as in chronic experiments on wakeful dogs with experi-
mental hypertension (induced through ligation of three of the four main
brain arteries) upon oral administration of a native garlic preparation
{Petkov, 1950,1953,1966,1965a,b, 1979; Petkov et al., 1965b; Petkov et al.,
1969b). This effect was confirmed in patients with initial forms of hyper-
tension who were given a native garlic preparation in the form of tablets
prepared by special technology. When the preparation Satal was applied in a
dose of 2 tablets three times a day for 30 days (each tablet contained 0.25 g
Allium satiuum recens) to 20 patients with initial hypertension it decreased
126
the systolic pressure from 153 f 2.6 to 129 f 3.3 .mmHg (mean values) and
the diastolic pressure from 90 f 2.6 to 75 + 0.49 mmHg. The hypotensive
effect was found to increase upon longer storage of the garlic preparations.
This finding is in agreement with the requirements of traditional medicine
that the plum/grape brandy extracts of garlic should be used not earlier than
2 or 3 weeks after garlic had been soaked in the brandy.
The great amount of active sulfuric compounds in garlic gave us grounds
to examine it as a remedy in the prophylaxis and therapy of chronic lead
poisoning. Our first experiments were performed with ramson (Allium
ursinum L.), a garlic-related plant also rich in sulfuric compounds (Petkov,
1957a). It was found that the alcoholic-aqueous extract of ramson prevented
the occurrence of the toxic effects observed upon repeated application of
lead acetate in guinea-pigs (decrease in weight, erythrocytes and hemoglobin).
In the subsequent experiments, we made use of rabbits which were given
twice daily such a dose of lead acetate that led to death within 4 days.
Garlic juice dissolved in water was employed as a possible protector against
the induced severe, lead poisoning. The most interesting result from these
experiments was the almost doubled survival of the rabbits which were given
garlic juice in addition to lead acetate (Petkov and Donev, 1960).
With these preliminary experimental data in hand, we began to examine
the effect of a garlic preparation obtained by special technology in the form
of tablets on a large contingent of workers endangered by chronic lead
poisoning or with evidence of presaturnism (Petkov and Stoev, 1960; Petkov
et al., 196513). Clinical-pharmacological tests, some lasting for 3 months and
others 1 month, showed the following. Under the effect of the garlic pre-
paration, the number of workers with evidence for presaturnism (punctured
erythrocytes and porphyrin in the urine) decreased by 83%. Furthermore,
the amount of porphyrin still remaining in the urine of some of the workers
treated with the garlic preparation was much decreased. In the workers with
evidence for presatumism, the garlic preparation caused a statistically signifi-
cant increase in the number of erythrocytes and in the amount of hemo-
globin. The slightly increased systolic and diastolic blood pressures signifi-
cantly decreased at the end of observation. On the other hand, in 28% of the
workers endangered by chronic lead poisoning but without evidence for
presatumism at the beginning of observation, we established punctured
erythrocytes or porphyrin in the urine at the end of the 3-month observa-
tion, while in only 3% of the same contingent of workers who were given the
garlic preparation, punctured erythrocytes or porphyrin in the urine were
found at the end of observation.
The favorable effect of garlic in the case of chronic lead poisoning might
be explained by the fact that a part of the lead powder in the gastrointestinal
tract reacts with the active sulfur components in garlic and is then excreted
by the feces in the form of insoluble sulfides without being resorbed. The
evacuation of a part of garlic polysulfides with respiratory air maybe also
restricts the resorption the fine lead powder in the respiratory tract, trans-
127
unfounded use of the traditional remedies and methods. The latter should
only be applied after experimental and clinical verification.
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