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Background: Uncomplicated infections such as candidiasis, bacterial vaginosis (BV), or trichomoniasis are easy to diagnose and treat. However, about 8% of patients will have a more complicated course with failure to respond to treatment or rapid recurrence of symptoms. There are many suggestions in Traditional Persian Medicine like myrtle (Myrtus communis L.) and oak gall (Quercus infectoria G.Olivier) for treatment of vaginitis. Objectives: A clinical trial was designed to assess the efficacy of a novel herbal suppository, containing myrtle and oak gall (MOGS) in treatment of vaginitis. Methods: In a parallel randomized clinical trial, 120 women with vaginitis were randomly assigned to MOGS, metronidazole, or placebo. Formulation was simulated from traditional Persian manuscripts and MGOS was prepared after pharmaceutical optimization processing as well as quantification of gallic acid by HPLC. The study was double-blind for MOGS and placebo and single-blind for metronidazole group. Results: MOGS effectively improved vaginal discharge (p = 0.024 for BV and 0.018 for trichomoniasis) and pH (compared to placebo (p = 0.013) and metronidazole (p = 0.001)). Both MOGS and metronidazole could reverse whiff test. Metronidazole was the best medication for making Nugent score negative (p = 0.005) as well as the best therapy according to laboratory findings to treat BV in comparison with placebo (p = 0.021). While for trichomoniasis, MOGS could improve the disease more successfully (p = 0.001). Both MOGS and metronidazole treated mixed vaginitis (p = 0.002). Conclusion: MOGS would be a chance for developing new treatment for trichomoniasis. [ABSTRACT FROM AUTHOR]

OBJECTIVES: The aim of this study is to investigate the therapeutic property of hydroalcoholic extract of Fenugreek seeds in nonalcoholic fatty liver disease (NAFLD) in adult patients. METHODS: This randomized, placebo-controlled, parallel trial was conducted from November 2014 to June 2017. Patients aged between 18 and 70 years old with confirmed NAFLD were recruited from the Motahhari clinic, affiliated to Shiraz University of Medical Sciences, Iran. Participants either received 1 g hydroalcoholic extract of Fenugreek seeds or placebo daily for 3 months. The primary outcomes were changes in serum alanine transaminase and FibroScan controlled attenuation parameter score. Secondary outcome measures were changes in other laboratory data, liver stiffness measure, liver steatosis percent, and anthropometric variables. Participants were randomly assigned to the groups using blocked randomization method. Participants, investigators, and statistician were blinded to treatments allocation. RESULTS: After screening eighty patients, thirty patients met the inclusion criteria and were divided into two groups (1:1). After 3 months, two and four patients did not complete the trial in Fenugreek and placebo group, respectively. The changes in the anthropometrics, laboratories and FibroScan measurements were not statistically significant between the two groups. CONCLUSION: The evidence to prove the efficacy of the Fenugreek seeds' hydroalcoholic extract in NAFLD was not strong enough; hence, further experiments are still needed to assess the possible efficacy of Fenugreek on the treatment of NAFLD. [ABSTRACT FROM AUTHOR]

Herbal oils have been widely used in Iran as medicinal compounds dating back to thousands of years in Iran. Chamomile oil is widely used as an example of traditional oil. We remade chamomile oils and tried to modify it with current knowledge and facilities. Six types of oil (traditional and modified) were prepared. Microbial limit tests and physicochemical tests were performed on them. Also, principal component analysis, hierarchical cluster analysis, and partial least squares discriminant analysis were done on the spectral data of attenuated total reflectance–infrared in order to obtain insight based on classification pattern of the samples. The results show that we can use modified versions of the chamomile oils (modified Clevenger-type apparatus method and microwave method) with the same content of traditional ones and with less microbial contaminations and better physicochemical properties. [ABSTRACT FROM AUTHOR]

Migraine is a common type of headache which has a deep history dating back thousands of years. Avicenna (980-1032), a Persian scholar, made a great contribution to neurology including headache and migraine. The aim of this study is to consider Avicenna's description about migraine (Shaghighe in Persian language) including definition, etiology and intervention. Also, his definition and treatment approaches were considered based on current concepts and findings. Although Avicenna believed in humoral theory and divided migraine into two categories, hot and cold, and suggested special treatments for them as well as general considerations, most of his definitions and explained pathologies are supported by current concepts of medicine. He believed that the migraine can result from bone of skull and also intra-parenchymal; or from skull underneath membrane (dura-mater); or reaching substances from the painful side or from outer vein and arteries (extra cranial); or from brain and meninges (pia-mater). Furthermore, current findings show most medicinal plants mentioned by Avicenna for the treatment of migraine can have potentially significant effects such as remedies which stop central and peripheral sensitization [anti-neuroinflammatory agents, decreasing nitric oxide level, cyclooxygenase (COX)-2 inhibitors], as well as serotonergics, neuroprotective agents and analgesics. [ABSTRACT FROM AUTHOR]

Osteoarthritis affects about 50% of people aged older than 65 years. Pain is the most important symptom in this disease. Today public interest in the use of complementary medicine, especially traditional herbal medicines has increased. The present study was designed to investigate the efficacy of traditional preparation of Peganum harmala L oil on patients with knee osteoarthritis. The product has been analyzed and standardized by high-performance liquid chromatography. A double blind controlled randomized clinical trial consisting of 54 patients were performed. Patients rubbed the drug or control (olive oil) on the knee 4 drops 3 times a day for 4 weeks. The patients were asked to fill out the Western Ontario and McMaster Universities Arthritis Index and Visual Analogue Scale questionnaires at week 0 and 4. The adapted results from the questionnaires showed that pain and difficulty in function were significantly decreased in Peganum oil group after 4 weeks. There was no significant difference in stiffness change between 2 groups. [ABSTRACT FROM PUBLISHER]

The current study aimed to evaluate the efficacy of jollab, a well-known beverage from traditional Persian medicine in the treatment of depression among patients suffering from functional dyspepsia. In a randomized, double-blind, placebo-controlled trial, a pair of 80 patients were enrolled in 2 parallel groups as Jollab and placebo. The Beck Depression Inventory–II questionnaire was used for the assessment. At all, 133 patients enrolling in the treatment and placebo groups ended the protocol. According to the outcomes, changes in scores between the 2 groups were statistically significant at the end of trial (P ≤ .001). Taken as a whole, treatment group was significantly more effective than the placebo. Focusing on nutritional and pharmaceutical properties, jollab may be introduced not only as a medication for depression and allied ailment but also a pleasant daily drink. [ABSTRACT FROM PUBLISHER]

The article presents information on a study conducted to evaluate the effects of the drugs Cuscuta planiflora and Nepeta menthoides in patients suffering from major depression. The study was conducted on three groups of patients, who were treated with Nepeta menthoides capsules, Cuscuta planiflora capsules, and conventional drugs respectively. The study concluded that Cuscuta planiflora and Nepeta menthoides capsules could be effective herbal medicines for the treatment of major depression.

Introduction: Historically, education is the prominent part of medical systems of different cultures. It has been surveyed in some cultures. In this study, we tried to uncover educational practices applied and present a sketch of medical education in ancient Persia (from beginning to 637 AD) based on the available evidence. Methods: In this study, old Persian scripts and other written documents like Avesta, Dinkerd, histories of Herodotus and Cyropedia and also recent literature were studied tocome up with a sketch of medical education in ancient Persia. Results: The pattern of medical education in ancient Persia was presented based on (a) handwriting- a principle for education, (b) public education in ancient Persia, (c) schools of medicine in Persia, (d) organizations and medical centers; and (e) medical fields. Conclusion: The importance of knowledge and education among ancient Persians can be observed even in their early childhood education.This attention to education ,and especially to medical education, has been an important key feature of Persian culture and its dynamic civilization. [ABSTRACT FROM AUTHOR]

Biotransformation of several monoterpene ketones, including carvone, pulegone, piperitone, menthone, and fenchone, was carried out by the locally isolated unicellular microalgae Chlorella vulgaris. The microalgal strain was isolated during a screening program from soil samples collected from paddy-fields of Fars Province, in the south of Iran. Chlorella vulgaris was cultured in 250 mL conical flasks, each containing 50 mL of BG-11 liquid medium and 20 μL levels of terpene substrates, incubated at a temperature of 28±2°C and illuminated continuously with fluorescent lamps with shaking at 80 rpm. The metabolites were identified by thin-layer chromatography and GC-MS. Chlorella vulgaris has the ability to reduce the C=C double bond of carvone to yield trans-dihydrocarvone and cis-dihydrocarvone. The cell line reduced menthone and pulegone to the same product and gave menthol. Study of Chlorella vulgaris with substrates of piperitone and fenchone showed no reaction in these substrates. Chlorella vulgaris MCCS 012 was assigned according to the 18S rRNA gene sequence. The DNA sequence of the 18S rRNA gene of Chlorella vulgaris MCCS 012 was recorded in the NCBI under the accession number EU374170. [ABSTRACT FROM AUTHOR]

Pistacia terebinthus L. smoke has been used traditionally in Iran as disinfectant and air purifier. Smoke was collected by a simple method, and the chemical constituents and antimicrobial activity of the smoke were analyzed. The chemical constituents of the smoke were α-pinene (65.1%), limonene (11.5%) and allo-ocimene (2.8%). The non polar phase of smoke noticeably inhibited the growth of different microorganisms. MIC test shows that non polar fraction of smoke can inhibit the growth of some bacteria. The results indicating that the properties of the smoke as a flavoring and preservative agent could be a potential subject for future studies. [Copyright &y& Elsevier]

The development of surgery is indebted to scientists and surgeons from various civilizations throughout history. The present study considers surgery in the ancient Persian civilization. It highlights aspects of the subject, such as findings of the first trephinated skulls in Iran; surgeons' social class ( kareto baēšaza in the Avestan language-dating back 3,000 years); surgical operations such as cesarean section and procedures to treat breast cancer; and the use of anesthetic compounds and surgical practice in the military. It is hoped that this catalogue of historical evidence of surgical practice in ancient Persian civilization will contribute to the history of surgery, as an important field in medical science. [ABSTRACT FROM AUTHOR]

The pivotal role of plaster of Paris (POP) cast as an immobilization tool to promote healing in complex and/or other types of fractures is irrefutable. We dearly know that Antonius Mathysen extensively applied plaster cast during Crimea and/or other wars and reportedly saved thousands of lives. However, the exact origin of using POP in orthopedic cast is yet to be clear. In his famous report from Bandar-e Rig, a city in Iran, William Eton paved the way for the conclusion that POP cast might have originated from the Persian Empire. In this paper, we provide more supporting evidences which make the aforementioned claim more probable. [ABSTRACT FROM AUTHOR]

Ethnopharmacological Relevance: Rosa × damascena Herrm., known as damask rose, is a bushy shrub that is found abundantly in Fars province, Iran. This species has been used in Iranian traditional practices for the treatment of abdominal pain and constipation, as gastrointestinal diseases. Brown sugar (Saccharum officinarum L.) has also shown laxative effects in pediatric patients with functional constipation., Aim of Study: This study aimed to compare the effects of Polyethylene Glycol (PEG) and a syrup made of R. damascena and brown sugar on the treatment of functional constipation in children aged above 12 months., Materials and Methods: This double-blind randomized clinical trial was performed on 100 patients. One group received PEG and the other received an herbal syrup containing the decocted extract of 0.1 g R. damascena petals mixed with 0.85 g brown sugar per 1 mL. The patients were followed up for two and four weeks and their progresses were recorded., Results: The cure rate was 100% in the R. damascena group and 91.7% in the control group. R. damascena and brown sugar syrup had an odds ratio of 1.09 in the treatment of functional constipation compared to PEG, but the difference was not statistically significant. The only adverse effect detected in the R. damascena group after four weeks was the bad taste of the medication that was too sweet. Nonetheless, this could be solved during the pharmaceutical processes., Conclusion: The R. damascena extract and brown sugar syrup can be used as an effective, safe, and inexpensive agent in the treatment of functional constipation., Competing Interests: Declaration of competing interest None declared., (Copyright © 2022 Elsevier B.V. All rights reserved.)

Background: Gastroesophageal reflux disease (GERD) is one of the most common diseases in society, affecting up to 40% of the population. It has major impact on the quality of life and a high burden on medical expenditure. In this work, herbs used by ancient Iranians to treat GERD have been introduced., Methods: Different well-known Persian textbooks and recent electronic databases were searched to explore the treatment of GERD and the pharmacological mechanisms of the identified medicinal plants., Results: GERD has been known for many centuries, and many herbal remedies for its treatment have been elucidated in traditional medical literature. We found 25 medicinal herbs in Persian medicine books and searched for evidence to support them in the current literature., Conclusion: Although their active components or the mechanism of action were not known by the ancient Persians at that time, their persistent use during different centuries might indicate their effectiveness. Owing to their potential, medicinal herbs are a viable option for the treatment of diseases like GERD even today., (Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.)

Background: Functional dyspepsia (FD) is a common gastrointestinal disease that is highly prevalent worldwide. Because of its heterogeneous pathophysiology, treatment options for FD can be difficult to choose; in this context, complementary and alternative medicine modalities have been suggested as promising options., Aim: To evaluate the efficacy of a traditional Persian medicine, jollab, in reducing patients' FD symptoms., Methods: In a double-blind randomized clinical trial, 160 patients with a diagnosis of FD were enrolled and treated with either jollab or placebo (15ml, t.i.d., four weeks, orally). The outcomes reported were changes in symptom frequency and severity as recorded in patients' diaries and evaluated with the Short Form of the Leeds Dyspepsia Questionnaire (SF-LDQ), and physical examination., Results: The response rate was higher in the treatment group (78%) than in the placebo group (31%) according to per-protocol sample analysis (P < .001). Symptoms of FD disappeared significantly more frequently, and the rate of concomitant synthetic drug consumption was significantly lower, in the jollab group compared to the placebo group at the end of the trial. Mean total symptom frequency and severity according to the SF-LDQ score was 1.55 ± 2.78 in the treatment group versus 5.61 ± 3.80 in the placebo group at the last follow-up time point (P < .001). A promising safety profile for jollab was observed throughout the trial., Conclusions: In patients with FD, jollab appeared to be more effective than the placebo. Complementary and alternative therapies such as the use of this traditional medicinal substance may be beneficial in relieving symptoms of dyspepsia [ACTRN12613000584730]., (Copyright © 2015 Elsevier Inc. All rights reserved.)

Insomnia is a sleep disorder which affects 10-48% of general population. Different measures, such as pharmacotherapy and behavioral management, are applied for insomnia and associated complaints. In traditional medical systems, herbal medicines are considered beneficial. Therefore, the present paper compiles pharmacological and medical insights into the management of insomnia according to Traditional Persian Medicine. Herein, preserved medical and pharmaceutical manuscripts of Persian medicine from 10th to 18th century A.D. were investigated for information about concepts of insomnia treatment and herbal remedies. Additionally, for all herbal remedies, an extensive search of scientific databases, such as MEDLINE and Scopus, has been performed to find related works concerning hypnotic, sedative, and anxiolytic as well as narcoleptic effects. Insomnia (generally called Sahar in Persian manuscripts) is a well-known disorder. Herbal medical intervention was the major treatment prescribed by Iranian physicians. Totally, 36 medicinal herbs related to 25 plant families are derived from the searched literature. These remedies were applied orally, topically, and nasally. Based on scientific data, 50% of reported herbs have relevant pharmacological effects. Besides historical elucidation, this paper presents medical and pharmacological approaches that had been applied by Persian practitioners in order to deal with sleep complications. Considering the fruitful results of these findings, this essay should encourage researchers to conduct more investigations in this field in order to understand the mechanisms and effects of traditionally applied herbs still unknown to modern medicine., (© 2014 S. Karger GmbH, Freiburg.)

Callus, suspension, and normal and hairy root cultures of Linum austriacum produced a new arylnaphthalene lignan, 3,4-dimethoxy-3',4'-methylenedioxy-2,7'-cycloligna-7,7'-dieno-9,9'-lactone (1, 0.03-0.73% dry wt), together with justicidin B (2, 0.18-1.69% dry wt). The structure of 1 was established using spectroscopic methods.