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Journal of Chinese Integrative Medicine ›› 2013, Vol. 11 ›› Issue (2): 125-134.

• Research Article • Previous Articles     Next Articles

Antidiarrheal properties of different extracts of Chinese herbal medicine formula Bao-Xie-Ning

Jing Lia, Xin-lin Wub, Yuling Chenc,d, Zhi Tanga, Yue-hong Xua, Jian-min Jianga, Yue-yu Gub, Jian-ping Chene, De-po Yanga, Dong-mei Wanga()   

  1. a. School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou 510006, Guangdong Province, China
    b. Department of Traditional Chinese Medicine, the First Affiliated Hospital, Sun Yat-sen University,Guangzhou 510080, Guangdong Province, China
    c. Faculty of Pharmacy, University of Sydney, NSW 2006, Australia
    d. Traditional Medicine Chinic, Kiang Wu Hospital, Macao, China
    e. School of Chinese Medicine, University of Hong Kong, Hong Kong, China
  • Received:2012-10-08 Accepted:2012-12-14 Online:2013-03-10 Published:2013-03-15

Objective

Bao-Xie-Ning (BXN), a traditional Chinese herbal medicine (CHM) formula composed of Fructus Evodiae, Flos Caryophylli and Cortex Cinnamomi, and used for the treatment of infant diarrheal illness, was subject to systematic assessment for its putative multiple pharmacodynamic effects and pharmacological antidiarrheal mechanisms.


Methods

High-performance liquid chromatography-diode array detector-electrospray ionization-mass spectrometric/mass spectrometry was developed and validated for identification and quantification of the main constituents in different extracts of BXN. Male Kunming mice weighing 20 to 25 g were used for detecting the antidiarrheal activity of the extracts. Ethanolic extract (EE), volatile oil extract (VOE), and aqueous extract (AE) of BXN were respectively subjected to pharmacodynamic and pharmacological comparison in assessing antidiarrheal effects with senna-induced diarrhea, castor oil-induced diarrhea, acetic acid-induced writhing assay, and isolated duodenum test.


Results

The highest yields of three detected components of BXN, rutaecarpine, eugenol and cinnamaldehyde were observed in EE. EE showed the most remarkable antidiarrheal activity in dose-dependent and time-dependent manners in both senna- and castor oil-induced diarrhea models, and presented dose-dependent analgesic activity in acetic acid-induced algesthesia model. In addition, EE extract of BXN also exhibited strong antimobility action on the intestine and strongest depression on spontaneous contraction of isolated duodenum.


Conclusion

Ethanol extraction is an efficient method to extract the active constituents of BXN. BXN extract demonstrated multiple pharmacological activities affecting the main mechanisms of diarrhea, which validated BXN’s usage in the comprehensive clinical treatment of diarrhea.

Key words: Drugs, Chinese herbal, Antidiarrhea, Pain, Analgesic and Spasmolytic activities

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Figure 1

HPLC chromatograms of three extracts of Bao-Xie-Ning and the standard mixture 169 mm×140 mm (96 × 96 DPI)"

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Figure 2

Inhibition rates of three extracts on spontaneous contractions of isolated duodenum in different concentrations EE: ethanolic extract; VOE: volatile oil extract; AE: aqueous extract."

Figure 3

Effects of three extracts on the contractile response of isolated duodenum pretreated by acetylcholine (ACH), BaCl2 or adrenalin (ADR) respectively. A: Ethanolic extract (EE) 32 mg/mL; B: Volatile oil extract (VOE) 12.56 mg/mL; C: Aqueous extract (AE) 90 mg/mL."

[1] U.S. Department of Health and Human services, Food and Drug Administration, Center of Drug Evaluation and Research (CDER). Guidance for industry on botanical drug products. June 2004.[ 2012-10-15]. .
[2] Lu AP, Jia HW, Xiao C, Lu QP . Theory of traditional Chinese medicine and therapeutic method of diseases[J]. World J Gastroenterol, 2004,10(13):1854-1856
doi: 10.3748/wjg.v10.i13.1854
[3] Yu LL, Liao JF, Chen CF . Anti-diarrheal effect of water extract of Evodiae fructus in mice[J]. J Ethnopharmacol, 2000,73(1-2):39-45
doi: 10.1016/S0378-8741(00)00267-1
[4] Chen G, Shen Y, Zhang M, Zhu Z, Wang D, Liu X, Ma S . Studies on warming the middle-jiao and analgesic effect of Flos Caryophylli[J]. Zhongguo Zhong Yao Za Zhi, 1991,16(7):429-432, 448
[5] National Research Council. Guide for the care and use of laboratory animals. Washington, District of Columbia: National Academy Press. 1996.
[6] Xu SY, Bian RL, Chen Xiu. Pharmacological research methodology. 3rd ed. Beijing: People’s Medical Publishing House. 2002.
[7] Bajad S, Bedi KL, Singla AK, Johri RK . Antidiarrhoeal activity of piperine in mice[J]. Planta Med, 2001,67(3):284-287
doi: 10.1055/s-2001-11999
[8] Shibata M, Ohkubo T, Takahashi H, Inoki R . Modified formalin test: characteristic biphasic pain response[J]. Pain, 1989,38(3):347-352
doi: 10.1016/0304-3959(89)90222-4
[9] Madeira SV, Matos FJ, Leal-Cardoso JH, Criddle DN . Relaxant effects of the essential oil of Ocimum gratissimum on isolated ileum of the guinea pig[J]. J Ethnopharmacol, 2002,81(1):1-4
doi: 10.1016/S0378-8741(02)00049-1
[10] Lee SH, Son JK, Jeong BS, Jeong TC, Chang HW, Lee ES, Jahng Y . Progress in the studies on rutaecarpine[J]. Molecules, 2008,13(2):272-300
doi: 10.3390/molecules13020272
[11] Wu D, Hu Z . Rutaecarpine induces chloride secretion across rat isolated distal colon[J]. J Pharmacol Exp Ther, 2008,325(1):256-266
doi: 10.1124/jpet.107.131961
[12] Chaieb K, Hajlaoui H, Zmantar T, Kahla-Nakbi AB, Rouabhia M, Mahdouani K, Bakhrouf A . The chemical composition and biological activity of clove essential oil, Eugenia caryophyllata(Syzigium aromaticum L. Myrtaceae): a short review[J]. Phytother Res, 2007,21(6):501-506
doi: 10.1002/(ISSN)1099-1573
[13] Bickers D, Calow P, Greim H, Hanifin JM, Rogers AE, Saurat JH, Sipes IG, Smith RL, Tagami H . A toxicologic and dermatologic assessment of cinnamyl alcohol, cinnamaldehyde and cinnamic acid when used as fragrance ingredients[J]. Food Chem Toxicol, 2005,43(6):799-836
doi: 10.1016/j.fct.2004.09.013
[14] Letizia CS, Cocchiara J, Lapczynski A, Lalko J, Api AM . Fragrance material review on cinnamic acid[J]. Food Chem Toxicol, 2005,43(6):925-943
doi: 10.1016/j.fct.2004.09.015
[15] Bhutta ZA, Nelson EA, Lee WS, Tarr PI, Zablah R, Phua KB, Lindley K, Bass D, Phillips A . Recent advances and evidence gaps in persistent diarrhea[J]. J Pediatr Gastroenterol Nutr, 2008,47(2):260-265
doi: 10.1097/MPG.0b013e318181b334
[16] Grimwood K, Forbes DA . Acute and persistent diarrhea[J]. Pediatr Clin North Am, 2009,56(6):1343-1361
doi: 10.1016/j.pcl.2009.09.004
[17] Navaneethan U, Giannella RA . Mechanisms of infectious diarrhea[J]. Nat Clin Pract Gastroenterol Hepatol, 2008,5(11):637-647
doi: 10.1038/ncpgasthep1264
[18] Izzo AA, Sautebin L, Rombola L, Capasso F . The role of constitutive and inducible nitric oxide synthase in senna- and cascara-induced diarrhoea in the rat[J]. Eur J Pharmacol, 1997,323(1):93-97
doi: 10.1016/S0014-2999(97)00023-X
[19] Ammon HV, Thomas PJ, Phillips SF . Effects of oleic and ricinoleic acids on net jejunal water and electrolyte movement. Perfusion studies in man[J]. J Clin Invest, 1974,53(2):374-379
doi: 10.1172/JCI107569
[20] Gaginella TS, Stewart JJ, Olsen WA, Bass P . Actions of ricinoleic acid and structurally related fatty acids on the gastrointestinal tract. II. Effects on water and electrolyte absorption in vitro[J]. J Pharmacol Exp Ther, 1975,195(2):355-361
[21] Akah PA, Aguwa CN, Agu RU . Studies on the antidiarrhoeal properties of Pentaclethra macrophylla leaf extracts[J]. Phytother Res, 1999,13(4):292-295
doi: 10.1002/(ISSN)1099-1573
[22] Nakielny S, Campbell DG, Cohen P . The molecular mechanism by which adrenalin inhibits glycogen synjournal[J]. Eur J Biochem, 1991,199(3):713-722
doi: 10.1111/ejb.1991.199.issue-3
[23] Peacock M . Calcium metabolism in health and disease[J]. Clin J Am Soc Nephrol, 2010,5(Suppl 1):S23-S30
doi: 10.2215/CJN.05910809
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