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require a prolonged time to heal or recur frequently. repair mechanisms in the natural way. Extensive research
Local infection, hypoxia, trauma, foreign bodies and has been carried out in the area of wound healing
systemic problems such as diabetes mellitus, management through medicinal plants. Herbal medicines
malnutrition, immunodeficiency or medications are the in wound management involve disinfection, debridement
13,14
most frequent causes of chronic wounds . and providing a moist environment to encourage the
establishment of the suitable environment for natural
MECHANISM OF WOUND HEALING
healing process19.
The response to injury, either surgically or traumatically
MEDICINAL PLANTS WITH SIGNIFICANT WOUND
induced, is immediate and the damaged tissue or wound
HEALING ACTIVITY
then passes through three phases in order to affect a final
repair: Recent studies with significant findings for wound healing
characteristic of some medicinal plants are emphasized
The inflammatory phase
here.
The fibroplastic phase
Rubia cordifolia Linn.
The remodelling phase
Rubia cordifolia Linn. (Rubiaceae) also known as,
The inflammatory phase prepares the area for healing
Manjistha, Indian madder, distributed throughout India.
and immobilizes the wound by causing it to swell and
The roots of this plant are of high medicinal value and are
become painful, so that movement becomes restricted.
recognized as official. Rubia cordifolia has a variety of
The fibroplastic phase rebuilds the structure, and then
uses such as blood purifier, immunomodulator, anti-
the remodelling phase provides the final form
inflammatory and antioxidant. It is helpful in treating skin
The Inflammatory phase diseases, in blood purification, increasing appetite and in
stimulation and contraction of uterus. Ethanol extract
The inflammatory phase starts immediately after the
showed the presence of anthraquinone glycosides,
injury that usually last between 24 and 48 hrs and may
saponins, tannins and phytosterols. Tannins and
persist for up to 2 weeks in some cases The inflammatory
anthraquinones are the major phyto-constituent present
phase launches the haemostatic mechanisms to
in this plant which may be responsible for wound healing
immediately stop blood loss from the wound site.
action20,21.
Clinically recognizable cardinal sign of inflammation,
rubor, calor, tumor, dolor and function-laesa appear as Ocimum kilimandscharicum
the consequence. This phase is characterized by
Ocimum kilimandscharicum, belonging to family
vasoconstriction and platelet aggregation to induce blood
Laminaceae. It is an aromatic undershrub with pubscent
clotting and subsequently vasodilatation and
quadrangular branchlets. It is an indigenous medicine for
phagocytosis to produce inflammation at the wound
a variety of ailments like cough, bronchitis, viral
site15.
infections, anorexia, and also wounds. It contains tannins,
The fibroplastic phase flavonoids, proteins and other important constituents.
Flavonoids possess antioxidant and free radical
The second phase of wound healing is the fibroplastic
scavenging effect, wound healing, antibacterial
phase that lasts upto 2 days to 3 weeks after the
property22.
inflammatory phase. This phase comprises of three steps
viz., granulation, contraction and epithelialisation. In the Tephrosia purpurea Linn.
granulation step fibroblasts form a bed of collagen and
Tephrosia purpurea Linn. belonging to family
new capillaries are produced. Fibroblast produces a
Leguminosae. It also called as “Sarwa Wranvishapaka”. It
variety of substances essential for wound repair including
contains glycosides, rotenoids, isoflavones, flavnones,
glycosaminoglycans and collagen. Under the step of
chalcones, flavonoids and sterols. According to Ayurvedic
contraction wound edges pull together to reduces the
system of medicine various parts of this plant are used as
defects in the third step epithelial tissues are formed over
16 remedy for impotency, asthma, diarrhoea, gonorrhoea,
the wound site .
rheumatism, ulcer and urinary disorders. An also it cures
The Remodeling phase diseases of kidney, liver, spleen, heart and blood. The
dried herb is tonic, laxative, diuretic and also used in the
This phase last for 3 weeks to 2 years. New collagen is
treatment of bronchitis, boils, bleeding piles, pimples,
formed in this phase. Tissue tensile strength is increased
roots and seeds are used as insecticidal, vermifuge,
due to intermolecular cross-linking of collagen via
leprous wound. And the juice is used for the eruption on
vitamin-C dependent hydroxylation. The scar flattens and
skin. Decoction is used in vomiting. An extract of pods is
scar tissues become 80% as strong as the original17,18.
effective for pain, inflammation23.
The wound healing activities of plants have since been
Aloe vera Linn.
explored in folklore. Many Ayurvedic herbal plants have a
very important role in the process of wound healing. Aloe vera Linn. (Liliaceae) is one of the oldest healing
Plants are more potent healers because they promote the plants known to mankind. It is used topically for cuts,
burns, insects stings, bruises, acne and blemishes, India. The leaves are applied to the wounds act as septic
poisoning, welts, skin lesions, eczema, sunburns. A 62.5% and healed quickly30.
reduction in wound diameter was noted in mice receiving
Hyptis suaveolens Linn.
100 mg/kg/day oral Aloe vera and a 50.80% reduction
was recorded in animals receiving topical 25% Aloe vera. The plant, Hyptis suaveolens Linn. belongs to family
These data suggest that Aloe vera is effective in wound Lamiaceae. The extract of Hyptis suaveolens contains
healing. Aloe vera leaf contains Vitamin C, Vitamin E and steroids, alkaloids, carbohydrates, proteins, flavonoids,
amino acids which are essential for wound healing24. tannins, glycosides, leaves of this plant used as stimulant,
carminative, sudorific, galactogogue, parasitic cutaneous
Kigelia pinnata Sausage
disease, leaf extracts used as a relief to colic and
Kigelia pinnata Sausage belonging to Bignoniaceae is a stomachaches leaves and twigs are acts as anti-rheumatic
small tree found in south, central and west Africa and also and anti-suporific bats, anti-inflammatory anti-fertility.
in India. The main constituents found in the bark of The plant continues to use in the treatment of wound31.
Kigelia pinnata are naphthoquinones lapachol, phenyl
Tectona grandis Linn.
propanoid, stigmasterol, β-sitosterol and small amounts
of free ferlic acid, p-coumeric acid and 6- Tectona grandis Linn. is commonly known as Indian teak,
methoxymelenin. The bark have also been and belongs to family Verabinaceae. It contains mainly
pharmacologically documented to possess antiamoebic, carbohydrates, tannins and anthraquinone glycosides.
antifungal, antiulcer, antibacterial, antioxidant activities Tectona grandis is used as anti-inflammatory agents and
and also shows significant wound healing activity25. also used topically for the treatment of burns. It is mainly
used for the injuries like burn, inflicted wound and skin
Musa sapientum var. paradisiacal
ulcers. The extract applied topically or given orally
Musa sapientum var. paradisiacal belonging to family promoted the breaking strength, wound contraction and
Musaceae. It contains flavonoids (leucocyanidin) collegenation32.
sterylacyl glycosides and sitoindisides I-IV. Sitoindoside IV
Tephrosia purpurea Linn.
was reported to mobilize and activate peritoneal
macrophages with increase in DNA and [3H] thymidine Tephrosia purpurea Linn. belongs to family Leguninosae.
uptake. Flavonoids are known to reduce lipid It also called as “Sarwa Wranvishapaka”. It contains
peroxidation flavonoids are also known to promote the glycosides, rotenoids, isoflavones, flavnones, chalcones,
wound healing process mainly due to their astringent and flavonoids and sterols. According to Ayurvedic system of
antimicrobial property, which results to be responsible for medicine various parts of this plant are used as remedy
wound contraction and increased rate of epithelialisation. for impotency, asthma, diarrhoea, gonorrhoea,
Extensive investigations regarding anti-ulcerogenic and rheumatism, ulcer and urinary disorders. It is also used in
ulcer healing activities of plantain banana have been the treatment of bronchitis, boils, bleeding piles, pimples,
carried out for the past 30 years. Both methanolic and roots and seeds are used as insecticidal, vermifuge,
aqueous extracts (100 mg/kg) when studied for incision leprous wound and the juice is used for the eruption on
and dead space wounds parameters, increased wound skin33.
breaking strength and levels of hydroxyproline, hexuronic
Carica papaya Linn.
acid, hexosamine, superoxide dismutase, reduced
glutathione in the granulation tissue and decreased Carica papaya Linn. belongs to family Caricaceae. Papaya
percentage of wound area, scar area and lipid fruits contains a mixture of cysteine endopeptidases such
26,27
peroxidation when compared with the control group . as papain. Chympopapain A and B, papaya endopeptidase
II, papaya endopeptidase IV, omega endopeptidase,
Sphaeranthus indicus Linn.
chinitase, protease-inhibitors, and proteins. Papaya fruits
Sphaeranthus indicus Linn. belongs to family Asteraceae. posses wound healing properties, papaya latex was
The plant is mainly used for the epileptic conditions applied to the burn wound using hydrogel as a vehicle
(Convulsions), mental illness and hermicranias. The system34.
external application of this paste is used for the
Allium cepa Linn.
treatment of prurtius and edema, arthritis, filariasis, gout
and cervical adenopathy. It mainly contains essential oil, Allium cepa Linn. is a member of the Liliaceae, which
ocimene, α-tempinene, methyl-chavical, α-citrol, α-ionon, consists of over 250 genera and 3700 species. Allium cepa
β-ionone, d-cadinene, ρ-methoxycin, unamaldehyde and Linn. is proved to shown the anti-diabetic, anti-oxidant,
28,29
alkaloid Sphaeranthine . anti-hypertensive, anti-thrombotic, hypoglycemic, anti-
hyperlipidemic. The bulb of Allium cepa contains
Ageratum conyzoides Linn.
Kampferol, β-sitosterol, ferulic acid, myritic acid,
Ageratum conyzoides Linn. belonging to Asteraceae is a prostaglandins. Bulb extract shown to have ecobolic
common weed found everywhere in India and commonly effect in rats. Traditionally plant containing these
known as goat weed, white weed, in various parts of constituents used as abortifaciant, the bulb extract of
Allium cepa had showed ecobolic effect in mice and rats.
Allium cepa treated group showed extensive growth of compared with the control rats which received plain
granulation started along its surface. The treated group of water38.
wound showed complete healing of wounds with almost
Anthocephalus cadamba Roxb.
normal architecture of the collagen and reticulin. Increase
in tensile strength of treated group wound may be due to Anthocephalus cadamba Roxb. (Rubiaceae) is widely
increase in collagen concentration, alcoholic extract of distributed throughout the greater part of India and is
Allium cepa increase the collagen synthesis35. used as a folk medicine in the treatment of fever,
anaemia, uterine complaints, blood diseases, skin
Tribulus terrestris Linn.
diseases, leprosy, dysentery, and for improvement of
Tribulus terrestris Linn. is a flowering plant in the family semen quality. The leaves are recommended as a gargle
Zygophyllaceae, native to warm temperate and tropical in cases of stomatitis. The major constituents of bark are
regions of the southern asia, through out Africa. Tribulus triterpenes, saponins, indole alkaloids cadambine, 3a-
terrestris has long been a constituent in tonics in Indian dihydrocadambine, cadamine, isocadamine and
ayurveda practice. Animals studies in rats, rabbits and isodihydrocadambine. The wound healing activity results
primates have demonstrated that administration of showed that upon application of hydro-alcoholic
Tribulus terrestris extract produce aphrodisiac activity by ointment there was a decrease in the epithelization
increasing the levels of testosterone. The active chemical period, along with a visibly decreased scar area. There
in Tribulus terrestris is likely to be protodioscin. Apart was also a significant increase in the tensile strength and
from these it has diuretic, anthelmintic, cytotoxic, Anti- hydroxyproline content. The crude hydro-alcoholic
microbial and Anti-fungal activity. Decoction of entire extract showed significantly stimulated wound
plant is efficacious for anuria, burning micturation, UTI, contraction. Thus, the plant extract might be useful as a
Obstruction due to growth. The gel containing crude wound healing agent39.
extracts of leaves of Tribulus terrestris promoted the
Arnebia densiflora Ledeb.
breaking strength, wound contraction and period of
period of epithalialization. The wound healing activity of The genus Arnebia are represented by 4 species in the
Tribulus terrestris aqueous leaves extract may at least be flora of Turkey, one of which, Arnebia densiflora Ledeb.
in part due to its potent antioxidant activity36. belongs to family Boraginaceae, is widespread in Sivas
district and known as egnik by local people and used as
Gymnema sylvestre R.Br.
red colouring for dying the carpets and the rugs. Arnebia
Gymnema sylvestre R. Br. is a member of Asclepiadaceae. densiflora roots soaked in butter are used in local wound
The leaf has been widely used in Ayurvedic traditional healing care. The roots of this plant have been reported
medicine leaves of the plant as anti-diabetes, astringent, to contain alkannin derivatives, namely β,β dimethyl-
bitter, acrid, thermogenic, anti-inflammatory, anodyne, acrylalkannin, teracrylalkannin, isovalerylalkannin, α-
digestive and liver tonic. Tannins and saponin are the methyl-n-butylalkannin. Rats treated with Arnebia
chief chemical constituents present in Gymnema sylvestre densiflora showed rapid healing than the control group.
and are known to possess wound healing property. In Wound closure and collagen production were faster and
excision wound models, the percentage of wound area healing occurred on the 14th day after wounding40.
was found to be significantly increased in the animal
Trigonella foenum-graceum Linn.
grouped treated with the extract (16.73%)37.
Trigonella foenum graceum Linn. is a member of the
Morinda citrifolia Linn.
Liliaceae. The medicinal attributes of Trigonella foenum
Morinda citrifolia Linn. (Rubiaceae), also known as noni or graceum, commonly referred to as fenugreek, have been
Indian mulberry, is a small evergreen tree. Morinda known for a long time. The seed is astringent and is useful
citrifolia has been heavily promoted for a wide range of for treatment of dysentery and diarrhea. It is a purgative
uses; including arthritis, atherosclerosis, bladder tonic and carminative, and enriches the blood.
infections, boils, burns, cancer, chronic fatigue syndrome, Furthermore, it is effective in the treatment for
circulatory weakness, colds, cold sores, congestion, ophthalmia, spleen disease, piles, and paralysis. The
constipation, diabetes, drug addiction, eye inflammations, seeds of the plant are also used as an emollient and anti-
fever, fractures, gastric ulcers, gingivitis, headaches, heart diabetic. It is reported to promote milk secretion in
disease, hypertension, immune weakness, indigestion, nursing mothers, probably through increased prolactin
intestinal parasites, kidney disease, malaria, menstrual secretion. The seeds also contain a large quantity of folic
cramps and irregularities, mouth sores, respiratory acid, and they are used as wound healing agent in
disorders, ringworm, sinusitis, sprains, stroke, skin households. The seed suspension of Trigonella foenum
inflammation and wounds. A significant increase in the graceum promoted epithelization and an early decrease
wound-healing activity was observed in the animals in the wound surface area. The kinetics of wound
treated with the Morinda citrifolia extract compared with contraction and epithelization were improved to a
those who received the placebo control treatments. The significant level upon oral as well as topical
41
extract treated animals showed a more rapid decrease in administration of the seed suspension .
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