Abstract
Envenomation is a common medical problem. The Canon of Medicine written by Avicenna is one of the reliable sources of Persian medicine. The present study aims to identify Avicenna’s clinical pharmacology approach and the pharmacopeia used for the treatment of animal envenomations and also to evaluate the related data in light of the current medicine. The Canon of Medicine was searched using related Arabic keywords for the contents about the treatment of animal bites. A literature search was conducted in scientific databases including PubMed, Scopus, Google Scholar, and Web of Science to obtain relevant data. Avicenna recommended one hundred and eleven medicinal plants for the treatment of bites of vertebrate and invertebrate venomous animals including snakes, scorpions, spiders, wasps, and centipedes. He mentioned different methods of administrating these drugs including oral drugs, lotions, sprayed drugs, slow-dissolving tablets in the mouth, and enemas. Moreover, he paid special attention to pain relief in addition to specific treatments for animal bites. In the Canon of Medicine, Avicenna recommended several medicinal plants alongside analgesics for the management and treatment of animal envenomations. The current research elucidates the clinical pharmacology and pharmacopeia of Avicenna for the treatment of animal envenomations. Further research is encouraged to evaluate the efficacy of these therapeutic agents for the treatment of animal bites.
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The datasets used and analyzed during the current study are available from the corresponding authors upon reasonable request.
References
Aciduman A, Arda B, Özaktürk FG, Telatar ÜF (2009) What does Al-Qanun Fi Al-Tibb (The Canon of Medicine) say on head injuries? Neurosurgical review 32, pp. 255-263
Adrião AA, Dos Santos AO, De Lima EJ, et al. (2022) Plant-derived toxin inhibitors as potential candidates to complement antivenom treatment in snakebite envenomations. Frontiers in Immunology 13
Alangode A, Rajan K, Nair BG (2020) Snake antivenom: challenges and alternate approaches. Biochem Pharmacol 181:114135. https://doi.org/10.1016/j.bcp.2020.114135
Asante-Kwatia E, Mensah AY, Fobi E (2021) An ethnobotanical study on medicinal plants used as antidote for snakebite and as snake repellent in the Ejisu-Juabeng District of Ghana. Res J Pharmacogn 8(4):53–62
Avicenna H (2005) The Canon of Medicine (Al-Qanon fi al-Tibb). Dar Ihyaa al-Turaath al-Arabi, Beirut, Lebanon
Bala AA, Mohammed M, Umar S, et al. (2022) Preclinical efficacy of African medicinal plants used in the treatment of snakebite envenoming: a systematic review protocol. Ther Adv Infect Dis 9:20499361211072644 https://doi.org/10.1177/20499361211072644
Calixto JB, Beirith A, Ferreira J, Santos AR, Filho VC, Yunes RA (2000) Naturally occurring antinociceptive substances from plants. Phytotherapy Research: An Int J Devoted Pharmacol Toxicol Eval Nat Prod Derivatives 14(6):401–418
Calixto JB, Scheidt C, Otuki M, Santos AR (2001) Biological activity of plant extracts: novel analgesic drugs. Expert opinion Emerg Drugs 6(2):261–279
Chifundera K (2001) Contribution to the inventory of medicinal plants from the Bushi area, South Kivu Province, Democratic Republic of Congo. Fitoterapia 72(4):351–368
Devlin S, Devlin J (2022) Envenomation, bites and stings pediatric trauma care. Springer, pp 475–493
Faucon C, Godefroy N, Itani O et al (2022) Arthropod exposure accounts for about half of skin disorders in returning travellers. J Travel Med 29(2):taab189
Giles T, Čačala S, Wood D, Klopper J, Oosthuizen G (2022) A retrospective study of antivenom-associated adverse reaction and anaphylaxis at Ngwelezana Hospital, South Africa. Toxicon 217:1–4
Giovannini P, Howes M-JR (2017) Medicinal plants used to treat snakebite in Central America: review and assessment of scientific evidence. J Ethnopharmacol 199:240–256
Hedayati-Moghadam M, Moezi SA, Kazemi T et al (2022) The effects of Papaver somniferum (Opium poppy) on health, its controversies and consensus evidence. Toxin Rev 41(3):1030–1043
Hernández-Cruz EY, Silva-Islas CA, Maldonado PD, Pedraza-Chaverri J, Carballo-Villalobos AI (2022) Antinociceptive effect of garlic, garlic preparations and derivative compounds. Eur J Pain 26(5):947–964. https://doi.org/10.1002/ejp.1935
Hifumi T, Sakai A, Kondo Y et al (2015) Venomous snake bites: clinical diagnosis and treatment. J Intensive Care 3(1):16. https://doi.org/10.1186/s40560-015-0081-8
Ibrahim-Maigandi H, Aishatu S, Abdulkadir UZ, Mohammed GM, Jamilu Y (2020) Ethnobotanical survey of medicinal plants commonly used in snakebites in North Western Nigeria. J Med Plants Res 14(9):468–474
Ibrahim M, Aliyu A, Abusufiyanu A, Bashir M, Sallau A (2011) Inhibition of Naja nigricolis (Reinhardt) venom protease activity by Luffa egyptiaca (Mill) and Nicotiana rustica (Linn) extracts.
Khaki MRA, Pahlavan Y, Sepehri G, Sheibani V, Pahlavan B (2013) Antinociceptive effect of aqueous extract of origanum vulgare l. in male rats: possible involvement of the GABAergic system. Iranian J Pharma Res: IJPR 12(2):407
Konrath EL, Strauch I, Boeff DD, Arbo MD (2022) The potential of Brazilian native plant species used in the therapy for snakebites: a literature review. Toxicon 217, pp. 17-40 https://doi.org/10.1016/j.toxicon.2022.08.002
Lacerda AB, Lorenz C, De Azevedo TS et al (2022) Scorpion envenomation in the state of São Paulo, Brazil: spatiotemporal analysis of a growing public health concern. PLoS One 17(4):e0266138
Laribi B, Kouki K, M'Hamdi M, Bettaieb T (2015) Coriander (Coriandrum sativum L.) and its bioactive constituents. Fitoterapia 103:9–26
León G, Herrera M, Segura Á, Villalta M, Vargas M, Gutiérrez JM (2013) Pathogenic mechanisms underlying adverse reactions induced by intravenous administration of snake antivenoms. Toxicon 76:63-76
Liaqat A, Mallhi TH, Khan YH, Khokhar A, Chaman S, Ali M (2022) Anti-snake venom property of medicinal plants: a comprehensive review of literature. Brazilian Journal of Pharmaceutical Sciences 58
Maroyi A (2013) Traditional use of medicinal plants in south-central Zimbabwe: review and perspectives. J Ethnobiol Ethnomed 9(1):1–18
Matak I, Bach-Rojecky L, Filipović B, Lacković Z (2011) Behavioral and immunohistochemical evidence for central antinociceptive activity of botulinum toxin A. Neuroscience 186, pp. 201-207
Molander M, Nielsen L, Søgaard S, et al. (2014) Hyaluronidase, phospholipase A2 and protease inhibitory activity of plants used in traditional treatment of snakebite-induced tissue necrosis in Mali, DR Congo and South Africa. Journal of Ethnopharmacology 157, pp. 171-180
Moosavi J (2009) The place of Avicenna in the history of medicine. Avicenna J Med Biotechnol 1(1):3–8
Nalbantsoy A, Erel ŞB, Köksal Ç, Göçmen B, Yıldız MZ, Yavaşoğlu NÜK (2013) Viper venom induced inflammation with Montivipera xanthina (Gray, 1849) and the anti-snake venom activities of Artemisia absinthium L. in rat. Toxicon 65:34–40
Nurhussein MA (1989) Rhazes and Avicenna. Ann Intern Med 111(8):691–692
Owuor BO, Kisangau DP (2006) Kenyan medicinal plants used as antivenin: a comparison of plant usage. J Ethnobiol Ethnomed 2(1):1–8
Patikorn C, Ismail AK, Abidin SAZ et al (2022) Situation of snakebite, antivenom market and access to antivenoms in ASEAN countries. BMJ Glob Health 7(3):e007639
Pereira JA, Oliveira I, Sousa A, Ferreira ICFR, Bento A, Estevinho L (2008) Bioactive properties and chemical composition of six walnut (Juglans regia L.) cultivars. Food Chem Toxicol 46(6):2103–2111
Premkumar LS (2014) Transient receptor potential channels as targets for phytochemicals. ACS Chem Neurosci 5(11):1117–1130
Putnik P, Gabrić D, Roohinejad S, et al. (2019) An overview of organosulfur compounds from Allium spp.: from processing and preservation to evaluation of their bioavailability, antimicrobial, and anti-inflammatory properties. Food chemistry 276, pp. 680-691
Puzari U, Fernandes PA, Mukherjee AK (2022) Pharmacological re-assessment of traditional medicinal plants-derived inhibitors as antidotes against snakebite envenoming: a critical review. Journal of Ethnopharmacology 292, p. 115208
Raafat K (2018) Phytochemical analysis of Juglans regia oil and kernel exploring their antinociceptive and anti-inflammatory potentials utilizing combined bio-guided GC-FID, GC-MS and HPLC analyses. Rev Bras 28(3):358–368
Rahimi R, Irannejad S, Noroozian M (2017) Avicenna's pharmacological approach to memory enhancement. Neurolog Sci : official J Italian Neurolog Soc Italian Soc Clin Neurophysiol 38(7):1147–1157. https://doi.org/10.1007/s10072-017-2835-7
Rezaei J, Orimi EN, Moallemi M, Padashi S (2019) A review on the diagnosis and management of bites in the Canon of Medicine of Avicenna. J Mazandaran Univ Med Sci 29(176):175–188
Sadeghi M, Miroliaei M, Fateminasab F, Moradi M (2021) Screening cyclooxygenase-2 inhibitors from Allium sativum L. compounds: in silico approach. J Mol Model 28(1):24. https://doi.org/10.1007/s00894-021-05016-4
Sajadi MM, Mansouri D, Sajadi M-RM (2009) Ibn Sina and the clinical trial. Ann Intern Med 150(9):640–643
Sarkhel S (2014) Ethnobotanical survey of folklore plants used in treatment of snakebite in Paschim Medinipur district, West Bengal. Asian Pac J Trop Biomed 4(5):416–420
Sedaghat M, Salehi M, Dehghani R (2012) Mapping the distribution of some important scorpions collected in the past five decades in Iran.
Seifert SA, Armitage JO, Sanchez EE (2022) Snake envenomation. N Engl J Med 386(1):68–78
Selvam C, Jachak SM (2004) A cyclooxygenase (COX) inhibitory biflavonoid from the seeds of Semecarpus anacardium. J Ethnopharmacol 95(2):209–212
Seoudi D, Medhat A, Hewedi I, Osman S, Mohamed MK, Arbid M (2009) Evaluation of the anti-inflammatory, analgesic, and anti-pyretic effects of Origanum majorana ethanolic extract in experimental animals. J Radiat Res Appl Sci 2(3):513–534
Shi Z, Zou W, Zhu Z et al (2022) Tropane alkaloids (hyoscyamine, scopolamine and atropine) from genus Datura: extractions, contents, syntheses and effects. Ind Crop Prod 186:115283
Singh P, Yasir M, Tripathi MK, Shrivastava R (2016) A review on in vitro screening assay for inhibitory effect against venom enzymes using medicinal plants. Toxicology International, pp. 207-211
Soares AM, Ticli FK, Marcussi S et al (2005) Medicinal plants with inhibitory properties against snake venoms. Curr Med Chem 12(22):2625–2641
Sobhani Z, Mohtashami L, Amiri MS, Ramezani M, Emami SA, Simal-Gandara J (2022) Ethnobotanical and phytochemical aspects of the edible herb Coriandrum sativum L. J Food Sci 87(4):1386–1422
Sun W, Zhang S, Wang H, Wang Y (2015) Synthesis, characterization and antinociceptive properties of the lappaconitine salts. Med Chem Res 24(9):3474–3482
Süntar I (2020) Importance of ethnopharmacological studies in drug discovery: role of medicinal plants. Phytochem Rev 19(5):1199–1209
Sutherland SK (1992) Antivenom use in Australia: premedication, adverse reactions and the use of venom detection kits. Med J Aust 157(11):734–739
Taghouti M, Martins-Gomes C, Schäfer J et al (2018) Thymus pulegioides L. as a rich source of antioxidant, anti-proliferative and neuroprotective phenolic compounds. Food Funct 9(7):3617–3629. https://doi.org/10.1039/C8FO00456K
Telli A, Chedad A, Sadine SE (2022) Ethnobotanical study of medicinal plants used for scorpion sting envenoming treatments in Algerian Septentrional Sahara. International Journal of Environmental Studies:1-23
Tupetz A, Barcenas LK, Phillips AJ, Vissoci JRN, Gerardo CJ (2022) BITES study: a qualitative analysis among emergency medicine physicians on snake envenomation management practices. PLoS One 17(1):e0262215
Vásquez J, Alarcón JC, Jiménez SL, et al. (2015) Main plants used in traditional medicine for the treatment of snake bites n the regions of the department of Antioquia, Colombia. Journal of Ethnopharmacology 170:158-166
Vasudev S, More VS, Ananthraju K, More SS (2021) Potential of herbal cocktail of medicinal plant extracts against ‘big four’snake venoms from India. J Ayurveda Integra Med 12(3):458–464
Warrell DA (2012) Venomous bites, stings, and poisoning. Infect Dis Clin N Am 26(2):207–223. https://doi.org/10.1016/j.idc.2012.03.006
Wei H, Zhang Y, Fan Z-Z et al (2013) Effects of colchicine-induced microtubule depolymerization on TRPV4 in rats with chronic compression of the dorsal root ganglion. Neurosci Lett 534:344–350
World Health Organization (2007) Rabies and envenomings: a neglected public health issue: report of a consultative meeting, World Health Organization, Geneva, 10 January 2007. World Health Organization
Yirgu A, Chippaux J-P (2019) Ethnomedicinal plants used for snakebite treatments in Ethiopia: a comprehensive overview. Journal of Venomous Animals and Toxins including Tropical Diseases 25
Zakaria A, Sharoni S, Fauzi R, Said N, Rahman P, Abd Majid H (2021) Prevalence, types and belief of complementary and alternative medicine (CAM) use among patients with chronic diseases: a systematic review. Mal J Med Health Sci 17:288-298
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Conceptualization: Ebrahim Nasiri, Mohammad Amrollahi-Sharifabadi, Jamal Rezaei Orimi; Methodology, software, validation, analysis, and investigation: Mohammad Amrollahi-Sharifabadi, Ebrahim Nasiri, Jamal Rezaei Orimi, Zahra Aghabeiglooei, Kathleen Walker-Meikle; Data curation, original draft preparation, editing, and reviewing: Mohammad Amrollahi-Sharifabadi, Ebrahim Nasiri, Zahra Aghabeiglooei, Jamal Rezaei Orimi, Kathleen Walker-Meikle; Visualization, supervision, and project administration: Ebrahim Nasiri, Mohammad Amrollahi-Sharifabadi, Jamal Rezaei Orimi, Zahra Aghabeiglooei, Kathleen Walker-Meikle.
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Nasiri, E., Orimi, J.R., Aghabeiglooei, Z. et al. Avicenna’s pharmacopeia for the treatment of animal bites. Naunyn-Schmiedeberg's Arch Pharmacol 396, 3375–3393 (2023). https://doi.org/10.1007/s00210-023-02586-3
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DOI: https://doi.org/10.1007/s00210-023-02586-3