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FUNDAMENTALS OF
Pharmacognosy
AND Phytotherapy
This page intentionally left blank

     
THIRD
EDITION

FUNDAMENTALS OF
Pharmacognosy
AND Phytotherapy
Michael Heinrich Dr rer nat habil MA(WSU) Dipl. Biol. FLS
Professor and Head, Centre for Pharmacognosy and Phytotherapy, UCL School of Pharmacy,
University of London, London, UK

Joanne Barnes BPharm(Hons) PhD MPSNZ RegPharmNZ FLS


Associate Professor in Herbal Medicines, School of Pharmacy, University of Auckland,
Auckland, New Zealand

José M. Prieto Garcia MPharm PhD MRSC FLS FHEA


Lecturer in Pharmacognosy, Centre for Pharmacognosy and Phytotherapy, UCL School of Pharmacy,
University of London, London, UK

Simon Gibbons FRSC FLS


Professor of Medicinal Phytochemistry, Research Department of Pharmaceutical and Biological
Chemistry, UCL School of Pharmacy, London, UK

Elizabeth M. Williamson BSc (Pharm) PhD MRPharmS FLS


Emeritus Professor of Pharmacy, School of Pharmacy, University of Reading, UK

FOREWORDS BY
A. Douglas Kinghorn BPharm MSc PhD DSc FRPharmS FAAAS FAAPS FLS FSP
Professor and Jack L. Beal Chair of Natural Products Chemistry and Pharmacognosy,
College of Pharmacy, The Ohio State University, Columbus, Ohio, USA

Mark Blumenthal BA ND (hon causa) PhD (hon causa)


Founder and Executive Director, American Botanical Council; Editor-in-Chief, HerbalGram and
HerbClip; Founder and Director, ABC-AHP-NCNPR Botanical Adulterants Program, Austin, Texas, USA
© 2018, Elsevier Limited. All rights reserved.
First edition 2004
Second edition 2012
Third edition 2018

The rights of Michael Heinrich, Joanne Barnes, Simon Gibbons and Elizabeth M. Williamson to be iden-
tified as authors of this work have been asserted by them in accordance with the Copyright, Designs
and Patents Act 1988.

No part of this publication may be reproduced or transmitted in any form or by any means, electronic
or mechanical, including photocopying, recording, or any information storage and retrieval system,
without permission in writing from the publisher. Details on how to seek permission, further infor-
mation about the Publisher’s permissions policies and our arrangements with organizations such as
the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website:
www.elsevier.com/permissions.

This book and the individual contributions contained in it are protected under copyright by the
Publisher (other than as may be noted herein).

Notices

Practitioners and researchers must always rely on their own experience and knowledge in evaluat-
ing and using any information, methods, compounds or experiments described herein. Because of
rapid advances in the medical sciences, in particular, independent verification of diagnoses and
drug dosages should be made. To the fullest extent of the law, no responsibility is assumed by
Elsevier, authors, editors or contributors for any injury and/or damage to persons or property as a
matter of products liability, negligence or otherwise, or from any use or operation of any methods,
products, instructions, or ideas contained in the material herein.

ISBN: 9780702070082

Content Strategist: Pauline Graham


Content Development Specialists: Helen Leng/Louise Cook
Project Manager: Beula Christopher
Design: Renee Duenow
Illustration Manager: Karen Giacomucci
Marketing Manager: Deborah Watkins

Printed in China

Last digit is the print number: 9 8 7 6 5 4 3 2 1


v

Contents

Dedication vii 8. Isolation and structure elucidation of natural


products 121
Foreword ix
A. Douglas Kinghorn 9. Anticancer natural products 142
Foreword xi
Mark Blumenthal
SECTION 4 MEDICINES AND
Preface xv NUTRACEUTICALS/BOTANICALS DERIVED
FROM PLANT EXTRACTS
PART A FUNDAMENTALS OF 10. Production, quality control and standardization of
PHARMACOGNOSY 1 herbal materials 162
11. The complex chemistry and pharmacology of herbal
medicines 173
SECTION 1 PHYTOTHERAPY AND
PHARMACOGNOSY 12. Toxicity of herbal constituents 179

1. Importance of plants in modern pharmacy and


medicine 4 SECTION 5 MEDICINAL PLANTS IN
2. Pharmacognosy and its history: people, plants and TRADITIONAL MEDICINE SYSTEMS,
natural products 13 COMPLEMENTARY AND INTEGRATIVE
MEDICINE
13. Overview of medicinal plants in healthcare
SECTION 2 BASIC PLANT BIOLOGY systems 185
3. General principles of botany: morphology and 14. Characteristics of traditional medicine systems using
systematics 29 herbal substances 190
4. Families yielding important phytopharmaceuticals 37 15. Western herbal medicine 192
5. Ethnobotany and ethnopharmacy 52 16. ‘Oriental’ and ‘Asian’ forms of traditional medicine 196
17. African, American and Oceanian traditional medicine
SECTION 3 NATURAL PRODUCT CHEMISTRY using herbal preparations 210

6. Natural product chemistry 65 18. Complementary/alternative or ‘integrative’ therapies


involving use of plant substances 218
7. Methods in natural product analytical
chemistry 105 19. Herbal medicine interactions 228
vi Contents

PART B IMPORTANT NATURAL PRODUCTS 27. The musculoskeletal system 309


AND PHYTOMEDICINES USED IN 28. The skin 318
PHARMACY AND MEDICINE 233
29. The eye 326
20. The gastrointestinal and biliary system 235
30. Ear, nose and oropharynx 328
21. The cardiovascular system 250
31. Weight loss supplements 331
22. The respiratory system 259
32. Miscellaneous supportive therapies for stress, ageing,
23. The central nervous system 273 cancer and debility 334
24. Infectious diseases 286
25. The endocrine system 295 Index 345
26. The reproductive tract 306
vii

Dedication

To our families, for their unfailing support through-


out the preparation of this book, and to our many
colleagues around the world who are interested in
medicinal plants/ethnopharmacology, pharmacognosy
and phytotherapy.
This page intentionally left blank

     
ix

Foreword

A. DOUGLAS KINGHORN

Worldwide, drugs derived from organisms continue Pharmacognosy has evolved relatively recently to
to be important for the treatment and prevention of include the topics of phytotherapy and nutraceuti-
many diseases. Pharmacognosy, which is defined in cals. Also, the teaching of pharmacognosy has become
this book as ‘the science of biogenic or nature-derived more relevant than previously over the last 20 years, as
pharmaceuticals and poisons’, has been an established a result of a substantially increased use of herbal rem-
pharmaceutical science taught in institutions of phar- edies (phytomedicines) by the public, particularly in
macy education for well over a hundred years. Europe, North America and Australasia. If the United
The subject area has changed considerably since States is taken as an example, community pharmacists
its initiation, having metamorphosed from a largely have to deal with the availability of a rather bewilder-
descriptive botanical and mycological field in the late ing array of thousands of ‘botanical dietary supple-
19th and early 20th centuries, to having much more of ment’ products, of which many were introduced soon
a chemical and biological focus within approximately after the passage of the Dietary Supplement Health
the last 60 years. Today, pharmacognosy embraces the and Education Act of 1994. There are now many pub-
scientific study of mainly small-molecule organic com- lications in the biomedical literature describing the
pounds from plants, animals and microbes, of both ter- biological properties and mechanistic parameters of
restrial and marine origin. It has been estimated that purified constituents of dietary supplements of natural
almost 50% of new drugs introduced into medicine in origin. Therefore, societal interest in pharmacognosy is
Western countries over the last 70 years were either likely to increase in the future as the biochemical role
obtained directly from an ever more diverse range of of phytomedicines, nutraceuticals and drugs of natural
organisms, or were otherwise derived from natural origin in general becomes more clearly defined.
products. Even in an age of biotechnology, computer The third edition of this volume, Fundamentals of
chemistry and refinements in chemical synthesis, there Pharmacognosy and Phytotherapy, by Michael Heinrich,
continues to be a steady stream of new natural product- Joanne Barnes, José Prieto Garcia, Simon Gibbons and
derived drugs approved by the U.S. Food and Drug Elizabeth Williamson, aims to provide a contemporary
Administration. Most of the new natural product-­ perspective of natural product drugs providing an in-
derived drugs that have reached the market over the troduction into this field. The book is organized into
last decade and a half have been obtained from terres- two major parts, ‘Fundamentals of pharmacognosy’
trial microbe sources, but there are several other exam- (Part A) and ‘Important natural products and phyto-
ples of both higher plant and marine animal origin. In medicines in medicine and pharmacy’ (Part B). Part A
the United States, the first two examples of ‘botanical is divided into five sections, dealing, in turn, with: the
drug products’ (sinecatechins from green tea – Camellia history and importance of pharmacognosy and phyto-
sinensis (L.) Kuntze and crofelemer from Croton lechleri therapy in pharmacy and medicine; relevant principles
Müll. Arg.) have received official approval within the of botany and ethnobotany; the chemistry and analy-
last 10 years. Natural products continue to be widely sis of secondary metabolites of organisms pertinent to
utilized as laboratory probes for many different targets drug therapy; the characterization and standardization
to help better understand cellular processes. of phytomedicines and nutraceuticals; and the use of
x Foreword

medicinal plants in Oriental and South Asian systems classical botanical pharmacognosy, natural product and
of traditional medicine, as well as in Western comple- analytical chemistry, phytochemistry, phytotherapy and
mentary and alternative medicine. Part B provides clinical pharmacy.
coverage of the use of phytomedicines in various thera- This new edition may be confidently recommend-
peutic categories, affecting, respectively: the gastroin- ed for purchase by undergraduate and professional
testinal system and biliary system; the cardiovascular doctoral students in pharmacy, as well as beginning
system; the respiratory system; the central nervous sys- graduate students in programmes in the pharmaceuti-
tem; infectious diseases; the endocrine system (includ- cal sciences and related areas. It will also be of great
ing effects on diabetes); the reproductive tract; the mus- interest for use in continuing education courses for
culoskeletal system and bones; the skin; the eyes; the pharmacists, dentists, nurses and physicians. In ad-
ears, nose and orthopharynx; weight loss supplements; dition, all those with a scientific interest in herbalism
and miscellaneous supportive therapies. Some of these and traditional medicine will find the content of value.
categories are new for this third edition of the book. The book will moreover serve as a reliable source of
This comprehensive pharmacognosy textbook inte- information on natural product drugs for the interest-
grates very effectively the various traditional elements of ed lay reader. The previous editions of Fundamentals
pharmacognosy and phytotherapy. The five talented co- of Pharmacognosy and Phytotherapy have proven to be
authors have been successful in this endeavour in large very highly regarded by readers. This updated and
part because they have contributed their collective and partially reorganized volume will be especially warm-
complementary technical expertise in several diverse ly welcomed by educators of future pharmacists and of
areas, including ethnobotany and ethnopharmacology, other healthcare professionals.
xi

Foreword

MARK BLUMENTHAL

Consumer interest in and use of herbs, teas, medicinal a­ utumnale) and the analgesic and anodyne opiates –
plants, phytomedicines, plant-derived ingredients and ­codeine and morphine – from the opium poppy (Papa-
so-called ‘nutraceuticals’ has been growing worldwide ver somniferum). The latter (morphine) is the very first
over the past four decades. Scientific and clinical re- plant-based drug (isolated in 1804). In relatively rapid
search on the chemistry, pharmacology, toxicology, ­succession, in the early 19th century other plant-derived
and clinical applications of medicinal plants and re- single-chemical entity drugs were isolated from their
lated products is accelerating at a significant rate. The plant sources: strychnine (from Strychnos nux-vomica),
growth of publications on such research increased al- the antimalarial quinine (from the South American cin-
most 700% in a 30-year period from 1977 to 2007, and chona bark, Cinchona officinalis), and numerous others,
if such growth in research publications were measured giving rise to the modern pharmaceutical industry.
today (2017), the rate of the continued increase might In recent years there has been some debate among
be even higher. researchers as to whether the search for new pharma-
Accordingly, the corresponding need for reliable ceutical drugs from plants is a worthwhile endeavour.
professional educational materials on these increas- Chemists normally prefer the purity of single-chemical
ingly popular natural products has never been more entity (SCE) drugs, whether natural or synthetic, and
compelling. chemical synthesis has often been the preferred route
Consumers continue to purchase and utilize herbs of discovery, when appropriate, usually due to the
and medicinal plant products in growing numbers. lower cost and chemical simplicity of SCEs, i.e. when
They are regulated in a variety of ways, either as a compared to the chemically complex botanical materi-
form of food or as various types of medicines: dietary als – roots, leaves, barks, flowers, seeds, etc., and their
supplements in the US and food supplements in the extracts.
European Union (EU), so-called Traditional Herbal Investigations into the long history of the use of
Medicines in the EU, Natural Health Products in Can- medicinal plants in indigenous cultures – the sciences
ada, and other names for a wide spectrum of product of ethnobotany and ethnopharmacology – has often
formulations that are regulated under a variety of reg- produced excellent leads for the development of new
ulatory regimes. medicines. Although now dated, the most-cited study
Pharmacognosy is the study of drugs of natural of this process was published by the World Health
origin, whether they are derived from plants, bacte- Organization in 1979 in which 119 modern plant-­
ria, fungi, or animals. Many modern drugs are de- derived drugs were listed (including, of course, all
rived directly from plants – a truism that is commonly those mentioned above). Not surprisingly, the mod-
known among pharmacists, physicians, researchers, ern applications of 74% of these drugs correlated di-
and even many educated consumers. Classic exam- rectly with the traditional ethnobotanical uses of their
ples include the still-employed cardiac drug digoxin source plants.
(from the toxic foxglove plant, Digitalis purpurea and Lest anyone think that the ethnobotanical approach
D. ­lanata), the anti-inflammatory drug colchicine (from to drug discovery is an archaic and/or futile endeav-
the also toxic Mediterranean autumn crocus, Colchicum our, one only need review the blockbuster news in
xii Foreword

the medical plant community in 2015 that Chinese by consumers for a variety of traditional and clinically
­researchers were granted the Nobel Prize in Physiol- documented health benefits. Conventional foods, such
ogy or Medicine for discovery of the highly successful as cranberry (Vaccinium macrocarpon), bilberry (Vaccin-
antimalarial drug artemisinin, derived from the tradi- ium myrtillus, an anthocyanin-rich type of blueberry),
tional Chinese herb quinghao (Artemisia annua, some- pomegranate (Punica granatum), soy (Glycine max),
times referred to as sweet wormwood). Traditional and/or their extracts have gained significant popu-
uses of this plant for reducing intermittent fevers led to larity as dietary supplements and phytomedicines in
its being investigated by Chinese scientists in the 1970s various countries, again based on the growing amount
when seeking leads for the development of a new an- of clinical research demonstrating their obvious safety,
timalarial drug. as well as their activity/efficacy in published clinical
Further interest is generated by the recent develop- trials.
ment and official United States government approval This brings a relatively new spectrum of plants
of two new plant-derived chemically complex medi- to the pharmacognosist for study of their chemistry,
cines, a tannin-rich extract of green tea (Camellia sinen- pharmacology, toxicology, and various ways that these
sis) in an ointment for the topical treatment of human substances in raw, dried, powdered form, or as extracts
papilloma virus and an oligomeric proanthocyanidin- (and essential oils) can be formulated for optimal con-
rich extract of the exudate of the bark of a South Amer- sumption by a growing consumer base interested in
ican tree sangre de drago (Croton lechlerii, dragon’s safe, effective, reliable natural products.
blood) for symptomatic relief of diarrhoea in HIV/ With the increased acceptance of the health-­
AIDS patients on antiretroviral therapy. Approval of promoting benefits of many food items, one can fore-
new chemically complex plant-derived medicines is cast that future pharmacognosy educational materials
probably inevitable and may constitute a new era in will recognize the field of nutritional biochemistry as
pharmacy and medicine. an equally important area of research. The growing
Medicinal plants have played and will continue to trend of ‘food as medicine’ is rife with opportunities
play a significant role in the development of modern for pharmacists, physicians, and dietitians/nutrition-
medicines, and will continue to be used by the pub- ists to share vitally important information for the ben-
lic as self-selected medicines and supplements. Cor- efit of health consumers.
respondingly, a growing number of licensed health While consumer demand for natural health prod-
professionals also recommend or prescribe medicinal ucts continues to grow and the market responds with
plant-based supplements and related natural products. an almost dizzying array of natural products, one of
Of particular interest is the increased consumer ac- the most important recent developments is the grow-
ceptance and use of herbs and medicinal plant prod- ing concern of botanical experts regarding the quality
ucts in industrialized nations. In the U S market, retail and identity of botanical raw materials, extracts, and
sales of herbs and other plant-based dietary supple- essential oils.
ments in 2015 reached almost US$7 billion – a new Quality issues related to herbal ingredients have
record for sales in the United States. These sales data come under increased scrutiny due to increased re-
do not reflect similar growth in other countries. This ports of problems related to the first issue noted above,
does not reflect the additional sales volume related to i.e. the adulteration of the raw materials, extracts, or
the use of herbal teas or the growing use of botanical essential oils with undisclosed lower-cost ingredients.
ingredients in cosmetics and, more recently, in conven- While adulteration with another plant can be a re-
tional foods, e.g. nutrition bars. sult of accidental misidentification of the plant in the
What should be immediately clear from examining field or in processing and/or inadequate training of
a list of top-selling herbs (at least as it represents con- harvesting and processing personnel, reliable reports
sumer demand in the United States) is the presence of continue to confirm the highly lamentable practice of
many botanicals that have a long history of food use, intentional adulteration of botanical materials used as
either as spices and food flavourings and/or as con- ingredients in consumer products meant for health ef-
ventional foods. fects, e.g. dietary/food supplements. Adulterated bo-
Popular spices such as turmeric root and rhizome tanical materials are also found in cosmetic products
(Curcuma longa), the top-selling supplement in the and other items for topical use.
United States in the natural food store channel for the There are generally two areas of concern when it
past 4 years, garlic (Allium sativum), ginger (Zingiber comes to medicinal plant quality: (1) identity and au-
officinale), and red pepper (Capsicum annuum) are used thenticity, and (2) purity. With respect to the former,
Foreword xiii

the first priority in any effective quality-control system continually offer training programmes on these tech-
for herbs and medicinal plants is ensuring the proper niques in order to serve the increasingly specialized
identity of the raw plant material, whether it is to be quality-­control needs of the global botanical industry.
used as simply raw material for a consumer product Accordingly, there is a growing need in the burgeoning
(e.g. a herbal tea or capsule), or whether it is to be used botanical industry for well-qualified technicians and
as the starting material for the creation of a botanical scientists with adequate training in medicinal plant
extract (made with one or more solvents) or distilled identity, authentication, and other means of appro-
into an essential oil. The second priority of purity deals priate qualification, e.g. botanists, pharmacognosists,
with ensuring that the raw material does not contain natural product chemists, and others. This textbook
any excessive levels of other plant materials (pharma- presents as an excellent reference contributing to such
copeias usually allow up to 2% of foreign organic ma- education and training.
terial in herbal starting materials used for medicinal While earlier pharmacognosy texts tended to be
purposes), excessive levels of pesticides or other agri- organized on a phytochemical basis (e.g. alkaloids,
cultural chemicals or excessive levels of heavy metals glycosides, tannins, etc.), this text takes the rational
(often derived from soil or water), and that there is no approach of organizing the content based on a thera-
microbial contamination. peutic and clinical basis – physiological systems upon
Adulteration of foods, spices, botanical drugs, and which the natural medicines have their primary ac-
medicinal products is not a recent phenomenon. ­Recent tions and uses (e.g. cardiovascular system, nervous
publications document the problem of s­ubstitution system, digestive system, etc.). The authors, all experts
with undisclosed lower-cost materials and/or ­dilution in pharmacognosy, also provide essential and ratio-
with such ingredients going as far back as 2000 years, nal information for the appropriate use of medicinal
and probably even earlier. It was for this reason that plants in therapy, especially as practiced by licensed
the first pharmacopeia was initiated in the late 15th health professionals.
century – as a means to compile methods to ensure the This book, the third edition of a work that has gained
proper botanical identity of herbal drugs and to detect significant prominence and respect as a leading text-
known adulterants. book, contains highly valuable and authoritative infor-
As a section of this book demonstrates, botanical mation for anyone who is a student of pharmacy and/
authentication is a necessary first step in any robust or pharmacognosy. It is also a valuable reference for
and effective quality-control system used in the vari- industry quality-control personnel, herbalists, natural
ous areas of the supply chain and manufacturing in product researchers, and others in the health profes-
the botanical industry. Plant species identification sionals who wish to learn about the growing popularity
and authentication is conducted using various tech- of herbs and medicinal plants and how natural botani-
niques – macroscopic and organoleptic, microscopic, cal preparations can provide a growing range of safe
chemical and genetic. Industry and nonprofit groups and effective health benefits for c­ onsumers w
­ orldwide.
This page intentionally left blank

     
xv

Preface

In the last few decades, pharmacognosy (the study The book combines sections on the scientific study
of drugs of natural origin) as an academic discipline, of plant drugs – phytochemistry, ethnopharmacy and
and its application in healthcare, has changed re- botany – with descriptions of traditional medicine sys-
markably but still focuses on the quality of products tems, such as Western medical herbalism, traditional
and the development of new medicines Anagnostou Chinese medicine (TCM), and Ayurvedic medicine.
and Heinrich, 2017. There has been a revival of in- For this edition, a new chapter covering the analysis of
terest in natural products as sources of new drugs, complex plant mixtures has been added (phytochemi-
phytotherapy and herbal medicines highlighting the cal analysis) and summaries of Australian Aboriginal
responsibilities of healthcare professionals. This has medicine, Rongoā Māori (Aotearoa New Zealand),
created the need to provide teaching and learning in Kampo (Japan), Unani (India, Pakistan, Middle East),
these topics for students of pharmacy, medicine, nurs- Jamu (Indonesia, Malaysia) and the traditional medi-
ing and other health professions, including medical cine of the Americas, have also been included. This
herbalism. Knowledge about plant-derived medici- new material is introduced and supported by a new
nal products is essential in all areas of healthcare, not overview of medicinal plants in healthcare systems.
only because these forms of treatment are a popular As in previous editions, a separate chapter covers ‘in-
healthcare choice (often used as self-medication) but tegrative’ or ‘complementary/alternative’ therapies,
because of the importance of them in many tradi- such as aromatherapy, homoeopathy and others, if it
tional medical systems globally. This text aims to pro- involves the use of plant-derived substances.
vide a contemporary, therapeutics-oriented perspective on The fully revised and updated Part B continues
plants as medicines, as well as a general overview of to provide a comprehensive summary of the use of
the topic that non-specialist readers will find interest- and evidence for herbal medicines and pure natural
ing and useful. This book is not a guide to treatment, substances in different medical conditions, organized
rather, it is a textbook presenting the scientific prin- into therapeutic categories based on the British Na-
ciples and summarizing the traditional, preclinical tional Formulary (BNF) classification. Numerous me-
and clinical evidence underpinning the use of herbal- dicinal plants and a new section on superfoods have
and other plant-derived medicines. The content has been added. Natural product-derived drugs include
arisen, in part, from new lecture courses developed those produced by biotechnology and from animal
by the authors, as well as from developments in the and microbial sources; these are vast and important
analysis, evidence-based practice and regulation of subjects, so comprehensive coverage was not possible
herbal medicines. The book covers all fundamental in this text.
aspects of pharmacognosy, as well as topics relating Our intention is to equip the reader with the infor-
to the therapeutic use of plant drugs, known as phy- mation and knowledge necessary to understand the
totherapy. The text is unique in covering the subject role of natural products in the drug discovery pro-
of m
­ edicinal plants as an important element of con- cess, and to enable the assessment of potential benefits
temporary healthcare, an approach that reflects the and harms of plant-based medicines when advising
current public interest in it. patients who wish to use them. We aim to provide a
xvi Preface

strong foundation in the scientific principles of plant- Pharmacognosiaceae. Finally, from our plant family to
derived drugs, focusing on their chemistry, with chem- our own families, as ever, our deepest and warmest
ical structures where necessary and appropriate. thanks are for you.
In this new edition, we have increased the refer- Last, but not least, Dr José Prieto Garcia has joined
ences and further reading material in each section, the team of authors.
so the reader can delve further into the subject, and Michael Heinrich
consult the original work from which our informa- Joanne Barnes
tion was taken. We thank all those who have contrib- José M. Prieto Garcia
uted advice, suggestions and support, including our Simon Gibbons
colleagues, both present and former, and the wider Elizabeth M. Williamson

Reference
Anagnostou, S., Heinrich, M., 2017. Pharmacognosy – from
Pharmacographica to DNA-based techniques’? Planta
Medica. doi.org/10.1055/s-0043–108999.
1

PART A

Fundamentals
of pharmacognosy

Why are plants and their extracts still important in medicines and foods (‘nutraceuticals’) to help combat the
pharmacy and medicine? In 2015, the scientific impor- symptoms and problems of ageing. This public demand
tance of pharmacognosy and natural product research was is an enormous challenge for all health professionals,
highlighted globally. Prof. Youyou Tu (* 1930, China) was many of whom have little specialist knowledge of natural
awarded the Nobel Prize in Physiology or Medicine ‘for her medicines.
discoveries concerning a novel therapy against malaria’ This book is divided into two parts. The first part ad-
and more specifically for the discovery and development of dresses the concepts that help in the understanding of
artemisinin, one of the most important antimalarial drugs the pharmacognostical basis of such medical products,
we have today (Tu 2016) and to Prof. William C. Campbell including pharmaceutical, pharmacological, toxicological
(* 1930, Northern Ireland / USA) and Prof. Satoshi Ōmura and phytochemical aspects. The second part is devoted to
(* 1935, Japan) ‘for their discoveries concerning a novel important plant-derived medicines, which are arranged in
therapy against infections caused by roundworm para- therapeutic categories.
sites’. These two scientists led the development of aver- Part A is devoted to the basic scientific principles un-
mectins, fungal metabolites from Streptomyces avermitilis derlying the use of medicinal plants, and the extracts and
and their derivatives (Campbell 1991, Ōmura and Shiomi pure compounds (sometimes referred to as ‘natural prod-
2007). ucts’) derived from them. This part is selective, and high-
Historically, plants have yielded some of our most lights those aspects most relevant to everyday practice. In
important drugs, but, with the great advances in medicinal the first chapter, a general introduction to the scientific
chemistry of the last century, in many drug discovery pro- field of pharmacognosy, and one of its main applications,
grammes synthetic drugs superseded them as the main fo- phytotherapy, is given. Chapter 2 provides an overview
cus of research. However, the development of drugs using of the historical development of plants in pharmacy and
natural products as ‘lead’ molecules continues, and many medicine, showing how the modern use of medicinal
plant-derived pure compounds (or natural products) are plants has evolved. In Chapters 3–5 the botanical basis
used in modern, conventional medicine; other compounds of the discipline is summarized, covering classification
are potentially useful to humans or are of toxicological and the use of plants by people with little or no access
relevance. to modern medicine – known as ethnobotany and ethno-
There has also been a huge rise in the use of phyto- pharmacy. Chapters 6–8 deal mainly with phytochemistry.
pharmaceuticals and herbal medicines in recent years, Here, the types of compounds that may be present are
especially in North America, Europe and Australasia. Tra- discussed, together with their isolation and identification,
ditional medicine, which uses many plant remedies, re- using chromatographic and spectroscopic techniques. In
mains an important (and in some cases, the only) form of Chapter 9 a very short overview of the process is given,
treatment in many developing countries but is increasing from agricultural production or collection from the wild,
throughout the world. People in many countries now want to the processing of the pharmaceutical product or
to cure minor health problems with something ‘natural’ health-food supplement. Phytomedicines have particular
and ageing populations have an increasing demand for attributes not encountered using synthetic drugs or single
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Title: Luba: en studie

Author: Ina Lange

Release date: January 2, 2024 [eBook #72592]

Language: Swedish

Original publication: Helsingfors: G. W. Edlunds förlag, 1889

Credits: Tapio Riikonen

*** START OF THE PROJECT GUTENBERG EBOOK LUBA: EN


STUDIE ***
LUBA

En studie

Af

DANIEL STEN [Ina Lange]

Helsingfors, Edlunds, 1889.


INNEHÅLL:

Företal. 1. Demonen. 2. Luba. 3. Tre friare. 4. Två systrar. 5. Prosa.


6. Kris. 7. Aftonvandring. 8. Om tio år. 9. Helgonet. 10. Nattens
skuggor. 11. Mosters ogudaktighet. 12. Barnabss-föreningen. 13.
Återseendet. 14. Förlofvad karl. 15. Han kommer. 16. Idealet funnet.
17. Luba gift. 18. Slutet.
FÖRETAL.

Då jag nu sänder dig denna min nya lilla bok, en anspråkslös studie
som du ser, öfver några af de egendomliga fenomener —
patologiska kallas de ju — som just nu så mycket låta tala om sig, så
sker det i den glada tillförsigt, att du förstår mig.

Som du vet, finns det många goda människor hvilka äro så naiva
att de på allvar tro att det är författaren sjelf som talar i de personer
han för fram i sin berättelse. Människor som förmena att då
författaren skildrar några mindre sympatiska individer inom en
nation, en församling, en sekt, han därmed vill angripa eller anklaga
nationen, församlingen, sekten.

Naturligtvis kommer jag att dömas så af några. Men andra skola


måhända liksom du med intresse följa berättelsen om en urspårad
tillvaro i kamp med lifvets svårigheter; dess ifriga men från orätt sida
började sökande efter de eviga sanningarne. De skola gärna läsa
denna skildring om ett förfeladt men rikt lif som går förloradt, till följe
af en osund natur och en ytlig uppfostran; så ytlig som ännu i dag
välmenande och tanklösa föräldrar bestå den dotter, som är ämnad
att pigas balsalongerna och sedan göra ett godt parti.
Du vet att mina såkallade modeller längesen äro döda, och att de
lefvat på andra orter. Men vet också att hvarje ord är sannt, alla
händelser engång upplefvade.

Mottag boken och läs den med den sympati för lidandet — det må
nu vara sjelfförvålladt eller icke — som jag sjelf känt. Af dig
åtminstone kan jag ju hoppas det.

Helsingfors, 1 September, 1880.

>I. L.

1.

DEMONEN.

I hennes lilla rum lågo alla sakerna från i går kringkastade åt olika
håll. På soffan hängde tyllklädningen med lifvet snuddande vid
golfvet och de trasiga fållarne uppåt karmen, på stolarne hade hon
kastat sina kjolar, och på skrifbordet låg en bundt skrynklade hvita
blommor tillsammans med den ena skon, handskarne och de halft
afvigtdragna strumporna.

Den lata gamla Katrina som inte satt in allt detta, eller tagit det bort
då hon gick!

Unga fröken kom dock inte riktigt noga ihog hur det var när de
kommo hem: Katrina hade sett så otäckt sömnig ut, så att hon sändt
henne bort. Det är inte roligt att se ett sådant skenheligt, gammalt
ansigte när man kommer från en förtjusande bal, ännu alldeles
betagen och varm. Och så… hvarför skulle man inte skynda i säng
till sina drömmar.

På ena sidan sofvo systrarne som om det ingen glädje fanns i


världen, sä tungt och dumt. De gamla skåpen, ingen under att de,
som aldrig varit unga, sofvo bort allting.

Det var annat med henne som bara var aderton år och ändtligen
fått börja lefva!

Hur hon njöt af att dansa! Att såsom nyss få sväfva omkring i
värme, i ljus och under döfvande musik! Att få fladdra som en fjäril,
iklädd lätta kläder, från den en» till den andra, tryckt af starka armar,
smickrad af leende människor, och allt detta efter toner, i böljor, med
klappande hjärta och blodet i svallning.

Så härligt!

Att pappa också kunde afbryta alltsammans midt i det roligaste,


klockan var ju då knappt två. Just i det allra bästa, när hon dansade
med doktorn, och var så glad och lycklig som i himlen.

Hur tråkigt att allting måste afbrytas just då man riktigt var i farten!

Nej, hon skulle fortsätta dansen i drömmen, lemna sig i hans


armar, så kunde de valsa hur länge som helst. Det var då väl att man
åtminstone fick tänka sig vidare, eftersom det var förbjudet i
värkligheten.

Nu ville hon njuta.

Hon hade i hand en liten näsduk, starkt parfymerad och


hopskrynklad som en boll. Den hade hon fällt i kotiljongen och så
hade han tagit upp den och fört den till sina läppar.

Där fanns ännu kvar en liten doft af likör och cigarr.

Hon tryckte näsduken mot sitt ansigte och höll andan. O! att den
kunde tala.

Hvad tänkte han på då han gaf henne den tillbaka? Månne på det
som hon?
Månne han var så glad, så öm som hon?

Hon ville alls inte sofva, utan hellre drömma vaken. Så ensam hon
dock var — så utan en förtrogen att tala med! Om hon bara haft en
jemnårig, men hon hade ju ingen.

Modren var död för längesen, henne mindes hon ej mer.

Och systrarne, de voro ju gamla, tjugufyra år, och tjugufem, dem


kunde man naturligtvis knappt räkna för medmänniskor.

Det skulle då möjligen varit fadren. Han var lefnadsglad! Det var
på honom hon bråddes. Hans vackra drag, hans figur, hans varma
blod.

Och han hade hjärta!

Men de gamla, hvad hade de? Huslighets själar, moralkakssinnen,


det var allt.

Hur de förmanat henne för den här usla picknicken! Hon skulle
vara försigtig med herrarne, inte skratta för mycket, inte låta kurtisera
sig för mycket; som om man rådde för att folk tyckte om en!
Syster Anna var alldeles fatal, när hon förmanade. Och syster Lina
odräglig, när hon bad henne vara "fin, tillbakadragen, men ändå
naturlig!"

Naturlig ja, det ville hon vara! Och det var naturligt att vara glad,
att vara vänlig, att ta emot vänlighet, att njuta sin ungdom.

Sådant bråk systrarne haft att sy den där fattiga klädningen! Och
den var naturligtvis för hög i halsen, för lång i ärmarne, och för lite
stram i lifvet.

På eftermiddagen när hon skickat ut systrarne på ärenden, hade


hon sjelf hjelpt upp den en liten smula. Sytt in, och klippt bort. Det
fanns ändå ingen af de riktiga baldockorna, som var så lite utringad,
och det var vackert, det visste hon.

Tänk så roligt hon haft denna afton. Hur tiden flög! Klockan i
matsalen slog tre. — Det var så mörkt det kunde utanför, allt var
vinter och drifvor, ingenting lefde utom hon, och hennes hjärta var
nog det enda son klappade så vildt den tiden på dygnet.

Nattlampan brann sömnigt och kastade ett sken öfver klädningen,


som nu såg röd ut, och ej hvit. Och blommorna, tänk att de varit
hvita, så grå och tillplattade som de nu sågo ut. Sådana
skräpgrannlåter som inte tålte det smula trycket mot kavaljerns bröst
i dansen!

De fördärfvades af det som gjorde att hon bara blef vackrare och
mer liffull!

Där låg hon i sin lilla säng, och vände och vred sig medan
tankarna alltjemt dansade i valstempo. Kudden slängde hon åt alla
håll, klämde ihop den, och bredde den ut igen, kramade den i sina
hota armar, och sökte alltjemt nya svala ställen att trycka sitt
blossande ansigte mot.

Från fadrens sofrum på andra sidan kunde hon höra hans ljudeliga
andedrag.

Så han sof prosaiskt! Och snarkade så otäckt

Det var nog längesen han var så upphettad och orolig efter en bal
som hon; skulle hon väl nånsin bli så lugn? — nåja, kanske vid hans
ålder.

Om det snart åter blef något, om också bara en studentbal! Då


skulle hon ha ny klädning, pappa kunde ej neka. Blått, och med
band, allt som var lätt och mjukt och tunnt klädde henne. Men inga
blommor, det rika håret uppsatt i en fläta.

Hon ville att man skulle erkänna henne som den mest firade. Att
häradshöfdingen och doktorn och student Horn och kusin Alfred
kunde ge sig af med att dansa så mycket med den tjocka Ella, som
om det fanns något poetiskt om henne.

De skulle bara vetat hur gärna Luba ville dansa, hur själfull hon
var, och hur söt!

Hon blef allt hetare, ju längre det led. Hon hörde musiken så tydligt
som om den ännu spelade, och hennes hjärta klappade i takt.

Pulsarne slogo hårdt, och kinderna glödde som mörka rosor.

Småningom blefvo hennes tankar mer orediga, balen liksom


fjärnades, och andra föreställningar kommo i stället. Hon fantiserade,
för hennes inbillning sväfvade en hop gestalter, och de spolade i
hennes hjärna en komedi däri hon sjelf var hufvudpersonen.

Några romanfigurer eller hjeltar från bekanta dikter antogo kött och
blod och lefde med henne, i hennes krets, de besökte hennes hem
och hon knöt ömma band med dem, än den ena än den andra.

Isynnerhet var det en. Var han ifrån en roman eller ifrån en dikt?
Hade hon sett hans bild i museet, eller hvar?

Hvem var det?

Nej nu blef hon alltför varm, och kastade bort täcket. Hennes
kropp, höljd i det tunna linnet, låg feberhet på bädden, hon borrade
fötterna in i lakanet och ansigtet i dynorna.

Med tätt slutna ögon låg hon så och halfdrömde.

Var det någon där borta, bakom henne? Var det ett mänskligt
väsen, eller en ande? En dröm eller något värkligt?

Där hon låg med ögonen begrafna i kudden tyckte hon sig se. Det
var en stor skepnad med ett underligt mörkt ansigte och svart hår,
han såg ut som den där bilden hon sett, eller dikten hon läst,
hvilkendera visste hon ej.

Hon tyckte att han rörde sig och nalkades henne, hon kände att
han böjde sig öfver henne och betraktade henne, hon visste att hans
stora, oroliga ögon stirrade på henne med brinnande blickar.

Hon såg hur hans mun rördes, han hviskade och hviskade, men
hon kunde ej höra orden.
Han stödde sig på handen; rakt öfver hennes hufvud hade han
den, på sängkarmen. Och när han böjde sig närmare henne föll hans
här öfver hans panna, och dolda ögonbrynen.

Hon ville höra hvad han sade, höll andedrägten, och lyssnade.

Det var alldeles skymt i rummet, lampan lyste så dåligt som om


den höll på att slockna. Om hon tordes vända sig om, och öppna
ögonen, bara en liten smula?

Men nej, hon tordes icke.

Hon ville inte heller, ty då kunde han ju försvinna. Och nu var han
där, klädd i något svart, hvilket omslöt honom som en mantel. Det
knittrade som silke, det häfde sig som under tunga andedrag.

Hon försökte att halföppna ögonen, men såg inte! Hon tyckte sig
skymta hans stora svarta vingar som till hälften fyllde rummet och
sakta och svalkande flägtade.

Ja, han hviskade! kunde hon blott urskilja orden!

Hon tyckte sig känna hans andedrägt i sin nacke, het darrade den
genom hennes hår och gick upp mot hjärnan som däraf blef än mer
omtöcknad. Men nu, nu började hon höra hans tal, hon visste ej
hvad han sade, hon förnam orden utan att förstå.

Han talade som hennes romaneska, uppjagade fantasi dikterade,


som hjeltarne ifrån hennes romaner brukade tala, hon igenkände
talesätten, accenterna, ja sjelfva orden, men hon förstod honom
ändock icke.
"Luba, Luba", sade han, "här är jag! — Älska mig! Du har mig
ändtligen, med kropp och själ, så se på mig! Du har ju längtat efter
mig, tränat efter denna stund, hvarför dröjer du?

"Är du nu, när jag ändtligen är kommen, är du nu rädd för mig,


fruktar du? Det hjelper icke, ty du undgår mig icke, och du är lika fast
bunden vid mig som vid ditt eget öde.

"Luba, Luba, hädanefter är jag hos dig alltid då du är ensam, jag


kommer sakta, kallad af din längtan och dina böner.

"Minns du demonen på den stora och sällsama bilden du en gång


säg? Det är jag, — och klosterjungfrun hvars världsliga själ behöfdo
jordisk, men icke himmelsk kärlek, det är du!

"Ja, jag älskar dig, och din lidelsefulla själ! Såsom du där ligger
darrande och skälfver, upphettad af dansen, förstår du dig icke sjelf,
men jag känner dig! Och jag är kommen som inkarnationen af dina,
för dig sjelf oförklarade passioner, kommen, icke att med mina vingar
flägta dig sval, men att hetsa upp dig än mer!"

Den unga flickan drog sig närmare mot väggen, tryckte ansigtet
fastare i kudden; hon kände kalla kåror gå sig öfver ryggen, men hon
vågade inte röra sig för att ta upp täcket och svepa sig in i det.

Hon hörde rösten hviska vidare:

"Luba, känner du mig nu? Vet du hvem jag är? Du älskar mig, och
tillhör mig, men känner ej ens mitt namn!

"Jag är din hjelte, din själs begär, ditt lifs innehåll, och du känner
mig icke!
"När du efter uppeldande, yra balnätter ligger där utsträckt i din
bädd, så vet att ditt hjärtas längtan har löst den trollformel, som hållit
mig fängslad, och så är jag här, lutad öfver din späda, sköna gestalt,
och fyllor dina öron med djärfva sånger, ditt väsen med på engång
tjusning och ängslan!"

Nu var hon åter het, och hennes blod rusade i en ström från hjärtat
och upp öfver hals, kinder och panna. Hon skulle i detta ögonblick
gifvit mycket om hon med en häftig rörelse kunnat jaga honom bort
för att få en smula luft; ty hans ord gjorde ju henne orolig och
skrämd.

Men hon kunde icke. Hon låg som fängslad. Och hon förmådde ej
mer hålla emot, drömmen tog henne allt starkare, hon var ej mer
Luba, postmästar Donners yngsta dotter, hon var värkligen
klosterjungfrun som i sin cell låg och lyssnade till demonen,
demonen som ville föra henne ut till världen och till ett lif i synd och
oro.

"Blir du snart färdig?" sade rösten. "Så skynda dig, eljest blir det
för sent! Vågar du inte följa ditt hjärtas röst? Hvad fruktar du?
(Världen kanske, världen, hvars dom du ännu ej vet vigten af). Är du
feg, Luba, och törs ej se mig i ansigtet? Tänk då hur skönt det
okända är, dit jag ville föra dig, det fremmande, framtidslandet! Och
kom, kan du ännu stå emot, så vackert jag ber dig? Slå dina armar
om min bals så fly vi, mina vingar är starka nog att bära oss tusen
mil bort — kom".

Hon ryste, men rörde sig icke. Igenom hennes hjärna for, som en
svag erinring, minnet om legendens demon. Hon tyckte sig minnas
att han där talade så mycket om prester och vigselceremonier, och
dyra, heliga eder.
— "Luba" fortsatte rösten, nu i en annan ton, liksom hånande: —
"Är du kanske min täcka, blyga klostermö? Den af världen oberörda,
den drömmande novisen från St. Istara Monastér vid Krim! Är det
du?

"Nåväl, men minnes du då hvad himlen fordrar af henne, hvad


öfverguden befallt? Din kärlek skall vara sådan Gud vill, och sådan
människorna vilja, eljes frälsar du icke den irrande, kropplösa
demonen, som blott kan räddas af den rena jungfru, som i oskyldig
kärlek vill offra sig!

"Sä gå ofta, dagligen och stundligen i kyrkan, bed till helgonen,


späk dig, offra!

"Luba, blif helig, eljes kan du ej hjelpa mig från den eviga elden
som förtär mig! Blif helig, kväf dina syndiga tankar och räck mig din
hand, men blott vid altaret där den brune arkimandriten välsignar
oss! Så kunna vi bli saliga ett helt långt människolif."

Rösten tystnade. Luba kände sig tryggare och var färdig att vända
sig om och i tillitsfull förtröstan betrakta honom. Men så började han
åter, med förändrade tonfall, mer inträngande än förr, mer
passioneradt, än eldigare:

"Nej — tro ej legenden. Du är Luba, världsbarnet, den vackra,


firade baldockan från i går. Hvem skulle äga din skönhet och ej
begagna den! Slå fritt dina armar om min hals, och känn hur mitt
hjärta slår! Vildt och fullt som ditt eget!

"Kom och låt mig känna den första kyssen på mina läppar som
brinna. Kom — snart randas morgonen. Tänk ej på arkimandriten!
När du blir äldre, så kan det vara tid att be till helgonen, att göra
hjärtat kallt och otillgängligt, att bli tvär som de andra. Kom —
hvarför vor' du väl eljes så skön — kom!

"Kom, se upp, blicka in i mina ögon. Haf mod! Luba… Luba…


Luba!"

Hon tordes icke. Hans tal blef allt oredigare, hon hörde nu endast
som en sakta susning.

Var det lampan som slocknande sjöng så där? Eller var det suset
af hans vingar? Ljudet blef allt svagare. Så dog det hän.

Och allt var stilla, alldeles stilla.

*****

"Nu är det tid att stiga upp. Fröken lilla, klockan är nio, och
frukosten väntar. De andra ha ren länge varit uppe!"

Katrina drog upp rullgardinerna och gick och pysslade af och an i


rummet. Plötsligen kom hon att kasta en blick på sängen.

"Hjärtandes! Så hon ligger! Stackare, alldeles naken! Och krupen


åt väggen som om hon var rädd! Upp nu, lilla fröken, vakna! Och
lampan osar ännu! Så styggt med luften här inne… lite för varmt har
hon haft, det glöder ju än i kakelugnen, nå, vaknar hon inte,
sötungen min?"

Den gamla tjenarinnan tog Luba om lifvet och reste henne upp.
Med yrvakna, skrämda blickar stirrade den unga flickan omkring sig i
rummet, en glödande rodnad slog upp öfver kinderna, spred sig
öfver pannan och ända ned till halsen.
"Hvar är han — hvar?" sade hon och spärrade upp ögonen.

"Jessos, barnungen min, sofver hon än?" klagade Katrina och


stödde Lubas hufvud med handen medan hon jemkade om
kuddarne så hufvudgärden blef högre.

"Sof mitt lilla gull", småpratade hon, "sof ut balosot sitt. Kommer
nog den tid då hon får rusa upp bitti och vagga sina ungar eller koka
kaffe till mannen sin. Sof ut! Jag skall öppna spjellet så får hon luft,
och städa härinne. Här har hon täcket sitt. Sof ut min docka! Om inte
postmästarn går på tåspetsarne, så blir jag arg! Sof min dufva, min
lilla oskyldiga dufunge… gamla Kati skall nog se att hon inte störs!
Sof mitt lam, och dröm om himlens små englar! Den som stör dig
skall få med gamla Kati att göra Sof mitt socker! Voj voj, så blek och
så vacker hon är! Sof. Sof och dröm om små englar. Sof!"
LUBA.

Sommarn hade kommit och på de fjärdar, som för några veckor sen
lågo fjättrade i is, svallade nu vågorna fria, och skummade upp mot
grönklädda stränder.

Träden stodo i vårfrisk bladkostym och från marken doftade det


svagt af nyssutspruckna blommor.

Det var ett jublande uppe i trädtopparne, i boen lågo honorna på


sina ägg och besvarade med sina späda och svaga stämmor
hanarnes ljudeliga sång. Ekorren hoppade från tall till tall och innerst
ifrån skogen hördes göken, det var de sista tonerna, ty snart kom
midsommar…

Där viken vidgade sig till fjärd låg en liten hvit sommarvilla mellan
tallarne. Postmästarn hade hyrt den för sommarn, hans döttrar hade
godt af frisk luft och af salta bad, isynnerhet den yngsta som hade så
ömtålig hälsa.

Hon var bara själ, bara nerver, en högst ömtålig natur. Ja, hon var
ett söderns barn liksom han, alltför varmblodig för Finlands kalla och
hårda klimat. Och så hade hon naturligtvis dansat för mycket i

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