Abstract
Traditional medicine is the earliest healthcare system of humanity, which relies on the revered traditional legacy of healing powers hidden in the natural objects like medicinal plants, animals, etc. It encompasses the Indian Ayurveda, traditional Chinese medicine, Arabic Unani medicine, and other forms of indigenous medicine. The Ayurveda is the most commonly practised system of traditional medicine in the Indian subcontinent and has been carving niche in the Western countries. It is based on the Vedic hypothesis that there are some common cardinal premises underlying the harmony and homeostasis maintained in the microcosm (individual body) and macrocosm (nature/universe). Both man and the universe are composed of the same basic elements, and disease manifests when the balance is destabilized. Some heavy metal(oid)s are added intentionally in Ayurvedic products as it is thought that the equilibrium of lead, copper, gold, iron, mercury, silver, tin, zinc thallium, and arsenic is essential for normal functioning of the human body. Similarly, traditional Chinese medicine believes that the human body has an organic unity based on the opposing and complementary relationships of yin and yang. Such medicine also contains heavy metals which come from contaminated soil source or are deliberately added as ingredients for specific curative cause. Traditional medicine focuses on causes, not the symptoms, heal the “whole”, not the “part” by only correcting the symptoms, like the modern medicine. These low-cost medicines are thought of treating diseases and disorders without posing any risk of side effects. But it is wrong in reality, raising human health concerns and side effects due to their pharmaceutically non-validated nature and indiscriminate and irrational use. The quality, safety, and toxicity of herbal medicines have become a major concern for public health, health authorities, and pharmaceutical industries. Herbal medicines and products may contain highly active pharmacological components or contaminants including several toxic metals and metaloids. The metal(oid) contaminants or additives may be introduced during different phases such as cultivation, harvesting, collecting, cleaning, and drying of the medicinal plants in contaminated environment and/or during the processing and formulation of the herbal products. The objective of the present chapter is to show how through traditional medicine humans may be exposed to a cocktail of heavy metal(oid)s—the nonbiodegradable toxic group of environmental chemicals. Citing selected priority heavy metal(oid)s like lead, cadmium, chromium, arsenic, and mercury, it presents the spectra of vast array of toxic insults and injuries inflicted by them, ranging from cell to system levels, as well as the unique biochemical/molecular fingerprints the toxicants leave on human body.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ababneh FA (2017) The hazard content of cadmium, lead, and other trace elements in some medicinal herbs and their water infusions. Intern J Anal Chem 2017. Article ID 6971916. https://doi.org/10.1155/2017/6971916
Adepoju-Bello AA, Isa OA, Oguntibeju OO, Ayoola GA, Adejumo OO (2012) Analysis of some selected toxic metals in registered herbal products manufactured in Nigeria. Afr J Biotech 11(26):6918–6922
Agarwal P, Fatima A, Singhm PP (2012) Herbal medicine scenario in India and European Countries. J Pharmacognosy Phytochem 1:4105–4117
Agency for Toxic Substances and Disease Registry (ATSDR) (2007) Toxicological profile for lead (update), Public Health Service. Department of Health and Human Services, Atlanta, GA, USA, US
Ang HH, Lee EL, Matsumoto K (2003) Analysis of lead content in herbal preparations in Malaysia. Hum Exp Toxicol 22:445–451
Asmuss M, Mullenders LH, Hartwig A (2000) Interference by toxic metal compounds with isolated zinc finger DNA repair proteins. Toxicol Lett 112–113:227–231
Bahall M (2017) Use of complementary and alternative medicine by patients with end-stage renal disease on haemodialysis in Trinidad: a descriptive study. BMC Complement Altern Med 17:250. https://doi.org/10.1186/s12906-017-1755-7
Bellanger M, Pichery C, Aerts D, Berglund M, Castaño A, Čejchanová M et al (2013) Economic benefits of methylmercury exposure control in Europe: monetary value of neurotoxicity prevention. Environ Health 12:3. https://doi.org/10.1186/1476-069X-12-3
Bernard A (2008) Cadmium & its adverse effects on human health. Indian J Med Res 128(4):557–564
Casalino E, Calzaretti G, Sblano C, Landriscina C (2002) Molecular inhibitory mechanisms of antioxidant enzymes in rat liver and kidney by cadmium. Toxicology 179:37–50
Castagnetto JM, Hennessy SW, Roberts VA, Getzoff ED, Tainer JA, Pique ME (2002) MDB: the metalloprotein database and browser at the Scripps Research Institute. Nucleic Acids Res 30(1):379–382
Chakraborty S, Dutta AR, Sural S, Gupta D, Sen S (2013) Ailing bones and failing kidneys: a case of chronic cadmium toxicity. Ann Clin Biochem 50(5):492–495
Chan K (2003) Some aspects of toxic contaminants in herbal medicines. Chemosphere 52(9):1361–1371
Chen H, Li S, Liu J, Diwan BA, Barrett JC, Waalkes MP (2004) Chronic inorganic arsenic exposure induces hepatic global and individual gene hypomethylation: implications for arsenic hepatocarcinogenesis. Carcinogenesis 25:1779–1786
Cheng JT (2000) Review: drug therapy in Chinese traditional medicine. J Clin Pharmacol 40:445–450
Chopra A, Doiphode VV (2002) Ayurvedic medicine. Core concept therapeutic principles and current relevance. Med Clin North Am 86:75–89
Cooper K, Noller B, Connell D, Yu J, Sadler R, Olszowy H et al (2007) Public health risks from heavy metals and metalloids present in traditional Chinese medicines. J Toxicol Environ Health A70:1694–1699
Dally H, Hartwig A (1997) Induction and repair inhibition of oxidative DNA damage by nickel(II) and cadmium(II) in mammalian cells. Carcinogenesis 18:1021–1026
Dghaim RS, AlKhatib HR, Khan MA (2015) Determination of heavy metals concentration in traditional herbs commonly consumed in the United Arab Emirates. J Environ Public Health 2015. Article ID 973878. http://dx.doi.org/10.1155/2015/973878
Ernst E (2002a) Toxic heavy metals and undeclared drugs in Asian herbal medicines. Trends Pharmacol Sci 23(3):136–139
Ernst E (2002b) Heavy metals in traditional Indian remedies. Eur J Clin Pharmacol 57:891–896
Fabricant DS, Farnsworth NR (2001) The value of plants used in traditional medicine for drug discovery. Environ Health Perspect 109(1):69–75
Fakankun OA, Babayemi JO, Utiaruk JJ (2014) Variations in the mineral composition and heavy metals content of Moringa oleifera. African J Environ Sci Technol 7(6):372–379
Flora S, Saxena G, Gautam P, Kaur P, Gill KD (2007) Response of lead-induced oxidative stress and alterations in biogenic amines in different rat brain regions to combined administration of DMSA and MiADMSA. Chem Biol Interact 170:209–220
Franco R, Schoneveld O, Georgakilas AG, Panayiotidis MI (2008) Oxidative stress DNA methylation and carcinogenesis. Cancer Lett 266:6–11
Gesler WM (1992) Therapeutic landscapes: medical issues in light of the new cultural geography. Soc Sci Med 34(7):735–746
Giaginis C, Gatzidou E, Theocharis S (2006) DNA repair systems as targets of cadmium toxicity. Toxicol Appl Pharmacol 213:282–290
Gibert TF (1998) Reflections on traditional Chinese medicine and its pharmacopoeia. Annales Pharmaceutiques Françaises 56:282–285
Gogtay NJ, Bhatt HA, Dalvi SS, Kshirsagar NA (2002) The use and safety of nonallopathic Indian medicines. Drug Saf 25:1005–1019
Han XL, Zhang XB, Guo LP, Huang LQ, Li MJ, Sun YZ et al (2008) Statistical analysis of residues of heavy metals in Chinese crude drugs. China J Chin Mater Med 33:2041–2048
Hart BA, Lee CH, Shukla GS, Shukla A, Osier M, Eneman JD, Chiu JF (1999) Characterization of cadmium-induced apoptosis in rat lung epithelial cells: evidence for the participation of oxidant stress. Toxicology 133:43–58
Henson MC, Chedrese PJ (2004) Endocrine disruption by cadmium a common environmental toxicant with paradoxical effects on reproduction. Exp Biol Med (Maywood) 229(5):383–392
Hong FF (2004) History of medicine in China. McGill J Med 8:7984
Jarup L (2003) Hazards of heavy metal contamination. Br Med Bull 68(1):167–182
Jiang LF, Yao TM, Zhu ZL, Wang C, Ji LN (2007) Impacts of Cd (II) on the conformation and self-aggregation of Alzheimer’s tau fragment corresponding to the third repeat of microtubule-binding domain. Biochem Biophys Acta 1774:1414–1421
Kayama F, Yoshida T, Elwell MR, Luster MI (1995) Role of tumor necrosis factor-alpha in cadmium-induced hepatotoxicity. Toxicol Appl Pharmacol 131:224–234
Kitchin KT, Conolly R (2009) Arsenic-induced carcinogenesis-oxidative stress as a possible mode of action and future research needs for more biologically based risk assessment. Chem Res Toxicol 23:327–335
Klaassen CD, Liu J, Choudhuri S (1999) Metallothionein: an intracellular protein to protect against cadmium toxicity. Annu Rev Pharmacol Toxicol 39:267–294
Koh HL, Woo SO (2000) Chinese proprietary medicine in Singapore regulatory control of toxic heavy metals and undeclared drugs. Drug Saf 23:351–362
Korfali SI, Mroueh M, Al-Zein M, Salem R (2013) Metal concentration in commonly used medicinal herbs and infusion by Lebanese population: health impact. J Food Res 2(2):70–80
Lad V (1985) The human constitution. Ayurveda: the science of self-healing. Lotus Press, Wilmot, pp 26–36
Lai HY, Chen ZS (2005) The EDTA effect on phytoextraction of single and combined metals contaminated soils using rainbow pink (Dianthus chinensis). Chemosphere 60:1062–1071
Lanphear BP, Hornung R, Khoury J, Yolton K, Baghurst P, Bellinger DC et al (2005) Low-level environmental lead exposure and children’s intellectual function: an international pooled analysis. Environ Health Perspect 113:894–899
Lin CG, Schaider LA, Brabander DJ, Woolf AD (2010) Pediatric lead exposure from imported Indian spices and cultural powders. Pediatrics 125:E828–E835
Liu F, Jan KY (2000) DNA damage in arsenite and cadmium-treated bovine aortic endothelial cells. Free Radic Biol Med 28:55–63
Liu J, Lu YF, Wu Q, Goyer R, Waalkes MP (2008a) Mineral arsenicals in traditional medicines: orpiment realgar and arsenolite. J Pharmacol Exp Ther 326:363–368
Liu J, Shi JZ, Yu LM, Goyer RA, Waalkes MP (2008b) Mercury in traditional medicines: is cinnabar toxicologically similar to common mercurials? Exp Biol Med 233:810–817
Lu FL, Chen YH, Tseng MC, Lo CF, Lin JH (2009) Survey on heavy metals in raw material of traditional Chinese medicine (V). Annual report BFDA Taiwan ROC 27:51–64
Lynch E, Braithwaite R (2005) A review of the clinical and toxicological aspects of “traditional” (herbal) medicines adulterated with heavy metals. Expert Opin Drug Saf 4:769–778
Martena MJ, Van Der Wielen JC, Rietjens IM, Klerx WN, De Groot HN, Konings EJ (2010) Monitoring of mercury arsenic and lead in traditional Asian herbal preparations on the Dutch market and estimation of associated risks. U.S. National Library Med Control Expo Risk 27:190–205
Martin S and Griswold W (2009) Human health effects of heavy metals. Environ Sci Technol Briefs Cit 15:1–6. Center for Hazardous Substance Research Manhattan Kan, USA
Mathew BB, Tiwari A, Jatawa SK (2011) Free radicals and antioxidants: a review. J Pharm Res 4(12):4340–4343
Molyneux MJ, Davies MJ (1995) Direct evidence for the hydroxyl radical-induced damage to nucleic acids by chromium(VI)-derived species: implications for chromium carcinogenesis. Carcinogenesis 16:875–882
Mosby CV, Glanze WD, Anderson KN (1996) Mosby medical encyclopedia the signet: revised edition. St. Louis
Nair AR, DeGheselle O, Smeets K, Van Kerkhove E, Cuypers A (2013) Cadmium-induced pathologies: where is the oxidative balance lost (or not)? Int J Mol Sci 14(3):6116–6143
Nunn FJ (2002) Ancient Egyptian medicine. University of Oklahoma Press, p 151
O’Brien TJ, Ceryak S, Patierno SR (2003) Complexities of chromium carcinogenesis: role of cellular response repair and recovery mechanisms. Mutat Res 533:3–36
Orlowski C, Piotrowski JK (2003) Biological levels of cadmium and zinc in the small intestine of non-occupationally exposed human subjects. Hum Exp Toxicol 22:57–63
Papanikolaou NC, Hatzidaki EG, Belivanis S, Tzanakakis GN, Tsatsakis AM (2005) Lead toxicity update. A brief review. Med Sci Monit 11(10):RA329
Patrick L (2002) Mercury toxicity and antioxidants: part 1: role of glutathione and alpha-lipoic acid in the treatment of mercury toxicity. Altern Med Rev 7(6):456–471
Patwardhan B, Warude D, Pushpangadan P, Bhatt N (2005) Ayurveda and traditional chinese medicine: a comparative overview. eCAM 2(4):465–473
Piatek K, Schwerdtle T, Hartwig A, Bal W (2008) Monomethylarsenous acid destroys a tetrathiolate zinc finger much more efficiently than inorganic arsenite: mechanistic considerations and consequences for DNA repair inhibition. Chem Res Toxicol 21:600–606
Pizzino G, Bitto A, Interdonato M, Galfo F, Irrera N, Mecchio A, Squadrito F (2014) Oxidative stress and DNA repair and detoxification gene expression in adoles-cents exposed to heavy metals living in the milazzo-valle del Mela area (Sicily Italy). Redox Biol J 2:686–693
Proctor DM, Suh M, Mittal L, Hirsch S, Valdes Salgado R, Bartlett C, van Landingham C, Rohr A, Crump K (2016) Inhalation cancer risk assessment of hexavalent chromium based on updated mortality for painesville chromate production workers. J Eposure Sci Environ Epidemiol 26:224–231
Robert BS, Russel SP, Awusha S, Nadia K, Roger BD, Janet P, Venkatesh T, De Stefano T (2008) Lead mercury and arsenic in US and Indian-manufactured ayurvedic medicines sold via the internet. JAMA 300(8):915–923
Robson B, Baek OK (2009) The engines of hippocrates: from the dawn of medicine to medical and pharmaceutical informatics. Wiley, p 50
Saad B, Azaizeh H, Abu-Hijleh G, Said O (2006) Safety of traditional Arab herbal medicine. Evid-Based Complem Altern Med 3(4):433–439
Saeed M, Muhammed N, Khan H, Khan SA (2010) Analysis of toxic heavy metals in branded Pakistani herbal products. J Chem Soc Pak 32(4):471–475
Saper RB, Kales SN, Paquin J, Burns MJ, Eisenberg DM, Davis RB et al (2004) Heavy metal content of ayurvedic herbal medicine products. JAMA 292:2868–2873
Saper RB, Phillips RS, Sehgal A, Khouri N, Davis RB, Paquin J et al (2008) Lead mercury andarsenic in US- and Indian-manufactured ayurvedic medicines sold via the internet. JAMA 300:915–923
Sharma N, Kala CP (2017) Harvesting and management of medicinal and aromatic plants in the Himalaya. J Appl Res Med Aromat Plants. https://doi.org/10.1016/j.jarmap.2017.09.003
Shi X, Leonard SS, Liu KJ, Zang L, Gannett PM, Rojanasakul Y, Castranova V, Vallyathan V (1998) Cr(III)-mediated hydroxyl radical generation via Haber-Weiss cycle. J Inorg Biochem 69:263–268
Smith AH, Lingas EO, Rahman M (2000) Contamination of drinking-water by arsenic in Bangladesh: a public health emergency. Bulletin World Health Organization 78(9):1093–1103
Tavakkoli L, Nasab ZZ, Khanjani N (2017) Environmental and occupational exposure to chromium in Iran: a systematic review. J Epidemiol Res 3:31–39
Tchounwou PB, Yedjou CG, Patlolla AK, Sutton DJ (2012) Heavy metal toxicity & the environment. EXS 101:133–164
Thatte UM, Rege NN, Phatak SD, Dahanukar SA (1993) The flip side of ayurveda. J Postgrad Med 39:179–182
Thompson KH, Orvig C (2003) Boon and bane of metal ions in medicine. Science 300(5621):936–939
Turan M, Bringu A (2007) Phytoremediation based on canola (Brassica napus L.) and Indian mustard (Brassica juncea L.) planted on spiked soil by aliquot amount of Cd Cu Pb and Zn. Plant Soil Environ 53:7–15
Waalkes MP (2003) Cadmium carcinogenesis. Mutat Res 533:107–120
Waalkes MP, Liu J, Ward JM, Diwan BA (2004) Animal models for arsenic carcinogenesis: inorganic arsenic is a transplacental carcinogen in mice. Toxicol Appl Pharmacol 198:377–384
Wadhwa N, Mathew BB, Jatawa S, Tiwari A (2012) Lipid peroxidation: mechanism models and significance. Intern J Current Sci 3:29–38
Waisberg M, Joseph P, Hale B, Beyersmann D (2003) Molecular and cellular mechanisms of cadmium carcinogenesis. Toxicology 192:95–117
Wang Y, Fang J, Leonard SS, Rao KM (2004) Cadmium inhibits the electron transfer chain and induces reactive oxygen species. Free Radic Biol Med 36:1434–1443
Wei S, Zhou Q, Mathews S (2008) A newly found cadmium accumulator Taraxacum mongolicum. J Hazard Mater 159:544–547
Wetterhahn KE, Hamilton JW, Aiyar J, Borges KM, Floyd R (1989) Mechanism of chromium(VI) carcinogenesis. Reactive intermediates and effect on gene expression. Biol Trace Elem Res 21:405–411
World Health Organisation (WHO) (2004) Guidelines for drinking-water quality. Sixty-first meeting Rome 10–19 June 2003. Joint FAO/WHO expert committee on food additives. Available from www.ftp.fao.org/es/esn/jecfa/jecfa61sc.pdf
World Health Organisation (WHO) (2007) Guidelines for assessing quality of herbal medicines with reference to contaminants and residues. Geneva Switzerland
World Health Organisation (WHO) (2013) WHO traditional medicine strategy: 2014–2023. WHO Press, Geneva Switzerland, p 78
Wu J, Zou Y, Zhan X, Chen S, Lu G, Lai F (2008) Survey of heavy metal pollution in four Chinese crude drugs and their cultivated soils. Bull Environ Contam Toxicol 81:571–573
Yee SK, Chu SS, Xu YM, Choo PL (2005) Regulatory control of Chinese proprietary medicines in Singapore. Health Policy 71:133–149
Zalups RK, Ahmad S (2003) Molecular handling of cadmium in transporting epithelia. Toxicol Appl Pharmacol 186:163–188
Zhitkovich A (2005) Importance of chromium-DNA adducts in mutagenicity and toxicity of chromium(VI). Chem Res Toxicol 18:3–11
Zhu YP (1998) Chinese materia medica: chemistry pharmacology and applications. Harwood Academic Publishers
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG
About this chapter
Cite this chapter
Biswas, J.K., Rai, M., Mondal, M., Ingle, A.P. (2018). The Flop Side of Using Heavy Metal(oids)s in the Traditional Medicine: Toxic Insults and Injury to Human Health. In: Rai, M., Ingle, A., Medici, S. (eds) Biomedical Applications of Metals. Springer, Cham. https://doi.org/10.1007/978-3-319-74814-6_12
Download citation
DOI: https://doi.org/10.1007/978-3-319-74814-6_12
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-74813-9
Online ISBN: 978-3-319-74814-6
eBook Packages: Biomedical and Life SciencesBiomedical and Life Sciences (R0)