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<article article-type="research-article" dtd-version="1.2" xml:lang="en" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">compa</journal-id>
      <journal-title-group>
        <journal-title>CELLMED</journal-title>
        <trans-title-group>
          <trans-title xml:lang="ko">셀메드</trans-title>
        </trans-title-group>
      </journal-title-group>
      <issn pub-type="epub">2233-8985</issn>
      <publisher>
        <publisher-name>Cellmed Orthocellular Medicine and Pharmaceutical Association</publisher-name>
        <publisher-name xml:lang="ko">셀메드 세포교정의약학회</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="publisher-id">cellmed-2020-10-2-13.1</article-id>
      <article-id pub-id-type="doi">10.5667/CellMed.2020.0013</article-id>
      <article-categories>
        <subj-group>
          <subject>Article</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>MEDICINAL BENEFITS OF <italic>ADHATODA VASICA</italic> NEES.-IN UNANI AND CONTEMPORARY MEDICINE</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Khan</surname>
            <given-names>Rabia</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Shamsi</surname>
            <given-names>Yasmeen</given-names>
          </name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Nikhat</surname>
            <given-names>Sadia</given-names>
          </name>
          <xref ref-type="aff" rid="aff3">3</xref>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label><italic>MD Scholar, Dept. of Moalejat, School of Unani Medical Education and Research, Jamia Hamdard, India</italic>
      </aff>
      <aff id="aff2">
        <label>2</label><italic>Professor and Head, Dept. of Moalejat, School of Unani Medical Education and Research, Jamia Hamdard, India</italic>
      </aff>
      <aff id="aff3">
        <label>3</label><italic>Assistant Professor, Dept. of Ilaj bit Tadbeer, School of Unani Medical Education and Research, Jamia Hamdard, India.</italic>
      </aff>
      <author-notes>
        <corresp id="cor1">
          <label>*</label>Correspondence: Sadia Nikhat E-mail: <email>sadianikhat@jamiahamdard.ac.in</email>
        </corresp>
      </author-notes>
      <pub-date pub-type="ppub">
        <day>31</day>
        <month>05</month>
        <year>2020</year>
      </pub-date>
      <volume>10</volume>
      <issue>2</issue>
      <fpage>13.1</fpage>
      <lpage>13.7</lpage>
      <history>
        <date date-type="received">
          <day>10</day>
          <month>02</month>
          <year>2020</year>
        </date>
        <date date-type="accepted">
          <day>20</day>
          <month>03</month>
          <year>2020</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright &#x000a9; 2020, Cellmed Orthocellular Medicine and Pharmaceutical Association</copyright-statement>
        <copyright-year>2020</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
          <license-p>This is an open access article under the CC BY-NC license. (<uri>http://creativecommons.org/licenses/by-nc/3.0/</uri>)</license-p>
        </license>
      </permissions>
      <abstract>
        <p><italic>Arusa</italic> (<italic>Adhatoda vasica</italic>) is an important medicinal plant widely used in Unani system of medicine of (Family-Acanthaceae). The leaves of <italic>Adhatoda vasica</italic> contain several biologically active phytochemicals such as alkaloids, tannins, saponins, phenolics and flavonoids. It mainly consists of pyrroquinazoline, alkaloids, viz. vasicine, vasicol, vasicinone, peganine along with other minor constituents.</p><p>The plant possesses diverse pharmacological activities, In Unani system of medicine, the drug is described as having <italic>dafa-e-tashannuj </italic>(anti-spasmodic), <italic>qatil-e-jarasim</italic> (antibiotic), <italic>mukhrij-e-balgham</italic> (expectorant), <italic>dafa-e-humma</italic> (antipyretic) properties due to which it is prescribed in a wide range of ailments like influenza, tuberculosis, bronchitis, gastric ulcers etc. Leaf juice is beneficial in the treatment of dysentery and diarrhoea. Various other activities like radio modulation, hypoglycaemic effect, cardiovascular protection, antitubercular, antiviral, hepatoprotective and antioxidant activity have also been reported.</p>
      </abstract>
      <kwd-group>
        <kwd><italic>Adhatoda vasica</italic></kwd>
        <kwd>anti-spasmodic</kwd>
        <kwd>vasicine</kwd>
        <kwd>asthma</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="s1" sec-type="intro">
      <title>INTRODUCTION</title>
      <p><italic>Adhatoda vasica</italic> (L.) Nees commonly known as Vasaka is a well-known medicinal plant widely used in Unani and Ayurvedic system of medicine. (<xref ref-type="bibr" rid="r030">Lyengar, Jambaiah, Kamath, &#x26; Rao, 1994</xref>; <xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>) All the parts of the plant have been used for their therapeutic effects from ancient times, particularly in upper respiratory tract diseases such as bronchitis and asthma (<italic>Dama</italic>). The plant has been used in the indigenous system of medicine in India for over 2000 years. (<xref ref-type="bibr" rid="r011">Claseon, Malmfors, Wikman, &#x26; Bruhn, 2000</xref>; <xref ref-type="bibr" rid="r025">Iyengar, Jambaiah, Kamath, &#x26; Rao, 1994</xref>)</p>
      <p>The drug <italic>Arusa</italic> has been used for a very long time in Unani system of medicine. According to the classical Unani medical literature, <italic>Arusa</italic> is an important drug for diseases of the respiratory system. There are various vernacular names of <italic>Arusa</italic> or Bansa in different languages. It also is known as <italic>Hashishatus-sual</italic> in Arabic and word Sual is specific for cough which shows its association with the disease. Many eminent scholars of Unani medicine have described it as an effective drug for a variety of respiratory ailments, such as bronchitis, bronchial asthma and fever is described as <italic>Munaffis-e-balgham</italic>, expectorant in Unani medicine, this property makes it an elixir for respiratory ailments like bronchitis. This herb as a whole is useful in treating cold and cough, asthma and chronic bronchitis. In acute stages of bronchitis, it gives unfailing relief especially where the sputum is thick and sticky, it liquefies sputum so that it can come up more easily. Leaves are chiefly used in chest diseases particularly as an expectorant and bronchial antiseptic, also regarded as useful in tuberculosis. The leaves dried and made into cigarettes are smoked in asthma. The leaves when smoked in a pipe give relief in asthma because it produces an ammoniacal vapour which makes breathing easier. Its hypotensive, bronchodilator, expectorant, hypoglycemic, antibiotic, antitubercular and uterine activities have been proved by experimental and clinical studies.</p>
      <p>Since centuries, <italic>Adhusa</italic> or its parts like the leaves, flower, root etc. are extensively used in traditional Indian medicine in different forms like decoction, infusion, powder and fresh juice as an expectorant for treating cold, flu and chronic respiratory diseases like whooping cough, asthma and chronic bronchitis. (<xref ref-type="bibr" rid="r001">Ahmad, et al., 2009</xref>). It's all constituents used to clear the airway by decreasing the mucus secretion and clearing the air passages. The powder of herb, boiled with sesame oil, is used to heal ear infections and arrest bleeding. Boiled leaves are used to treat rheumatic pain, and to relieve the pain of urinary tract infections. (<xref ref-type="bibr" rid="r004">Medicinal Plants in Folklores of Orrisa, 2006</xref>) It is also believed to have abortifacient properties. It is used in some parts of India to stimulate uterine contractions, thus speeding childbirth. (<xref ref-type="bibr" rid="r021">Gupta O. P., Anand, Ghatak, Atal, 1978</xref>)</p>
      <sec id="s1a">
        <title>Taxonomical Classification (<xref ref-type="bibr" rid="r049">United State Department of Agriculture, 2013</xref>)</title>
        <p>Kingdom-<italic>Plantae</italic></p>
        <p>Subkingdom-<italic>Tracheobionta</italic></p>
        <p>Division-<italic>Magnoliophyta</italic></p>
        <p>Superdivision-<italic>Spermatophyta</italic></p>
        <p>Class-<italic>Magnoliopsida</italic></p>
        <p>Subclass- <italic>Asteridae</italic></p>
        <p>Order- <italic>Scrophulariales</italic></p>
        <p>Family-<italic>Acanthaceae</italic></p>
        <p>Genus-<italic>Justica L.</italic></p>
        <p>Species- <italic>Justica adhatoda L.</italic></p>
      </sec>
      <sec id="s1b">
        <title>Vernacular names</title>
        <p>Bengali: <italic>Basak</italic>; Tamil: <italic>adatodai</italic>; Gujrati: <italic>aradusi, adusa</italic>; Hindi: <italic>arusa, bansa, adlusa</italic>; Punjabi: <italic>bansa, basuti, bhukkar</italic>; Sanskirt: <italic>shwetavasa, vasa, vasaka</italic> English: <italic>Malabar nut</italic>; Malyalam: <italic>ata lotakam</italic> (<xref ref-type="bibr" rid="r004">Medicinal Plants in Folklores of Orrisa, 2006</xref>; <xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>).</p>
      </sec>
      <sec id="s1c">
        <title>Distribution</title>
        <p>The plant grows throughout the Indian peninsula up to an altitude of 1300m in the sub-Himalayan tract, also found in Nepal, Pakistan, Myanmar, Sri Lanka and Germany. It usually grows in waste places frequently near villages and often as an escape from cultivation as a hedge plant. (<xref ref-type="bibr" rid="r004">Medicinal Plants in Folklores of Orrisa, 2006</xref>; <xref ref-type="bibr" rid="r045">Shahwar et al., 2012</xref>; <xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>; <xref ref-type="bibr" rid="r003">Ali, 1998</xref>).</p>
      </sec>
      <sec id="s1d">
        <title>Botanical Description</title>
        <p>It is a shrub 1-2.5 metres high with opposite ascending branches. The leaves are simple, opposite, 7-19 cm long and 4-7 cm wide. The flowers are white, pink or purple with characteristic odour and bitter taste. Transverse section of the leaves showed two layers of palisade cells and diacytic stomata. Grandular and non-grandular trichomes are present on both the surfaces of leaves. In central India, the flowering season is from December to March and it bears fruits from January to April. (<xref ref-type="bibr" rid="r004">Medicinal Plants in Folklores of Orrisa, 2006</xref>; <xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>). The major alkaloid of the plant, vasicine, has been found to be biologically active and is the subject of many chemical and pharmacological studies, (<xref ref-type="bibr" rid="r015">Gangwar &#x26; Ghosh, 2014</xref>; <xref ref-type="bibr" rid="r001">Ahmad et al., 2009</xref>; <xref ref-type="bibr" rid="r048">Srinivasan, Sivasubramanian, &#x26; Kumaravel, 2014</xref>).</p>
      </sec>
    </sec>
    <sec id="s2" sec-type="other">
      <title>Description of <italic>Adhatoda vasica</italic> in Unani literature</title>
      <p><italic>Adhatoda vasica</italic> is a widely used drug in the Unani system of medicine. It is especially prescribed in diseases of respiratory ailments, and also in certain gastric and intestinal disorders. The leaves and flowers of the drug are used as a medicine, in the form of powder, decoction; or the whole herb is sometimes used as medicine. The general description of the drug is given below:</p>
      <sec id="s2a">
        <title>Temperament (<italic>miza’aj</italic>)</title>
        <p>Warm and dry in the first degree (<xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>).</p>
      </sec>
      <sec id="s2b">
        <title>Taste (<italic>maza</italic>)</title>
        <p>Bitter taste (<xref ref-type="bibr" rid="r011">Claseon, Malmfors, Wikman, &#x26; Bruhn, 2000</xref>).</p>
      </sec>
      <sec id="s2c">
        <title>Colour (<italic>rang</italic>)</title>
        <p>Leaves are dark green above and pale yellow below, flowers are white (<xref ref-type="bibr" rid="r027">Karthikeyan, shanthi, &#x26; Nagasathaya, 2009</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>).</p>
      </sec>
      <sec id="s2d">
        <title>Odour</title>
        <p>Unpleasant smell (<xref ref-type="bibr" rid="r011">Claseon, Malmfors, Wikman, &#x26; Bruhn, 2000</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>).</p>
        <p><bold>Main Actions</bold> (<italic>nafa e khas</italic>)</p>
        <p>Bronchodilator and Expectorant (<xref ref-type="bibr" rid="r032">Maurya &#x26; Singh, 2010</xref>) (<xref ref-type="bibr" rid="r027">Karthikeyan, shanthi, &#x26; Nagasathaya, 2009</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>).</p>
      </sec>
      <sec id="s2e">
        <title>Parts used</title>
        <p><list list-type="simple"> <list-item><p>&#x2B25; Stem-to stimulates uterine contraction during childbirth, antispasmodic, <italic>mudir-e-haiz</italic> (emmenagogue) and abortifacient.</p></list-item> <list-item><p>&#x2B25; Leaf-decoction of leaves is used to rheumatic fevers and urinary tract infections, dysentery and diarrhoea. It also has <italic>mudir-e-haiz</italic> (emmenagogue) activity. Fresh juice of leaves is particularly prescribed in <italic>zeeq-un nafas</italic> (asthma).</p></list-item> <list-item><p>&#x2B25; Flower-used to treat upper respiratory tract infections like cold and flu, Asthma, bronchitis, bronchiectasis, whooping cough. <italic>Qulqand</italic> (a confection made with petals and sugar) is said to be beneficial in all respiratory diseases. </p></list-item> <list-item><p>&#x2B25; Fruit and seeds-oil of its seed and fruit used to treat ear pain (<xref ref-type="bibr" rid="r004">Claseon, Malmfors, Wikman, &#x26; Bruhn, 2000</xref>; <xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>).</p></list-item> <list-item><p>&#x2B25; Root-used in tuberculosis and whooping cough.</p></list-item> <list-item><p>&#x2B25; The whole herb-decoction is used in fever, as a blood purifier, <italic>habis-u-dam</italic> (haemoptysis), especially for haemoptysis and epistaxis. The decoction is also prescribed in scabies and leprosy by Unani scholars (<xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>).</p></list-item> </list></p>
        <fig id="f001" position="float">
          <label>Fig. 1.1</label>
          <caption>
            <title><italic>Siras</italic> tree, showing leaves, pods and flowers.</title>
          </caption>
          <graphic xlink:href="../ingestImageView?artiId=ART002588453&amp;imageName=cellmed-2020-10-2-13.1-f001.jpg" position="float"/>
        </fig>
        <fig id="f002" position="float">
          <label>Fig.1.2</label>
          <caption>
            <title><italic>Adhatoda vasica</italic> (Flower).</title>
          </caption>
          <graphic xlink:href="../ingestImageView?artiId=ART002588453&amp;imageName=cellmed-2020-10-2-13.1-f002.jpg" position="float"/>
        </fig>
        <fig id="f003" position="float">
          <label>Fig.1.3</label>
          <caption>
            <title><italic>Adhatoda vasica</italic> (Roots).</title>
          </caption>
          <graphic xlink:href="../ingestImageView?artiId=ART002588453&amp;imageName=cellmed-2020-10-2-13.1-f003.jpg" position="float"/>
        </fig>
      </sec>
      <sec id="s2f">
        <title>Dose (<italic>mikhdar e khurak</italic>)</title>
        <p>Powder -3 gm, (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>) Decoction - 3 to 9 ml (<xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p>
      </sec>
      <sec id="s2g">
        <title>Toxicity (<italic>muzir</italic>)</title>
        <p>In large quantities, large doses may cause irritation diarrhoea and vomiting (<xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>).</p>
      </sec>
      <sec id="s2h">
        <title>Correctives (<italic>musleh</italic>)</title>
        <p>The adverse effects of <italic>Adhatoda vasica</italic> may be reduced by using it with <italic>filfil siyah</italic> (Black pepper, Piper nigrum) (<xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>).</p>
      </sec>
      <sec id="s2i">
        <title>Substitute (<italic>badal</italic>)</title>
        <p>If the drug cannot be used for some reason, then zufa (Hyssopus officinalis Linn.) may be prescribed in its place (<xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>).</p>
      </sec>
      <sec id="s2j">
        <title>Actions (<italic>afa’al</italic>) (<xref ref-type="bibr" rid="r040">Purohit &#x26; Gokhale, 2003</xref>)</title>
        <p><list list-type="simple"> <list-item><p>&#x2B25; <italic>Dafa e tashannuj</italic> (Antispasmodic) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; <italic>Musaffi-e-Dam</italic> (Blood purifier) (<xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>)</p></list-item> <list-item><p>&#x2B25; <italic>Nazla wa zukaam</italic> (Cold and flu) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; <italic>Muhallil e awram</italic> (Anti-inflammatory) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; <italic>Dafa e humma</italic> (Antipyretic) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; <italic>Qatil-e-Jarasim</italic> (Antibiotic) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; <italic>Qati-e-kirm-e-shikam</italic> (anti-helminthic) (<xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>) </p></list-item> <list-item><p>&#x2B25; Anti-haemorrhagic (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; Oxytocic (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; <italic>Munaffis e balgham</italic> (Expectorant) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; Bronchodilator (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; <italic>Muhafiz-e-Jigar</italic> (Hepatoprotective) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; <italic>Midammil</italic> (Wound healing) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; Antiulcer (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; Hypoglycemic (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; Cholagogue activity (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; Antitubercular activity (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> <list-item><p>&#x2B25; Insecticidal activity (Hakeem, 1999; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>) </p></list-item> <list-item><p>&#x2B25; Digestive (<italic>hazim</italic>) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</p></list-item> </list></p>
      </sec>
      <sec id="s2k">
        <title>Uses (<italic>istema’al</italic>) (<xref ref-type="bibr" rid="r023">Hakeem, 1999</xref>; <xref ref-type="bibr" rid="r026">Kabiruddin, 1996</xref>; <xref ref-type="bibr" rid="r028">Khan, 2014</xref>)</title>
        <p>
		<list list-type="simple">
		<list-item><p>&#x2B25; Asthma (<italic>dama</italic>) </p></list-item> 
		<list-item><p>&#x2B25; Bronchitis (<italic>zeeq un nafas</italic>) </p></list-item>
		<list-item><p>&#x2B25; Bronchiectasis (<italic>Ittesa&#x2019;-e-sho&#x2019;b</italic>)</p></list-item> 
		<list-item><p>&#x2B25; Tuberculosis (<italic>diq wa sil</italic>) (<xref ref-type="bibr" rid="r027">Karthikeyan, shanthi, &#x26; Nagasathaya, 2009</xref>)</p></list-item>
		<list-item><p>&#x2B25; Rheumatic Fever (<italic>humma-e-hudariya</italic>)</p></list-item>
		<list-item><p>&#x2B25; Dysentery and diarrhoea (<italic>zaheer wa ishaal</italic>) (<xref ref-type="bibr" rid="r037">Parrotta, 2001</xref>)</p></list-item> 
		<list-item><p>&#x2B25; Phytochemistry (<xref ref-type="bibr" rid="r039">Prathiba &#x26; Giri, 2018</xref>; <xref ref-type="bibr" rid="r012">Rastogi &#x26; Mehrotra, 2001</xref>)</p></list-item> 
		</list>
		</p>
		<table-wrap id="t001" position="float"> <label>Table 1.</label> <caption> <title>Important phytoconstituents of <italic>Adhatoda vasica</italic></title> </caption> <table rules="all" frame="box"> <tbody> <tr valign="middle"> <td align="center">Main alkaloids</td> <td align="left">&#x2B25; Vasicine<break/> &#x2B25; Vasicol<break/> &#x2B25; Vasicinone<break/> &#x2B25; Peganine</td> </tr> <tr valign="middle"> <td align="center">Minor alkaloids</td> <td align="left">&#x2B25; Adhatonine<break/> &#x2B25; Vascinol<break/> &#x2B25; Vasicinolone </td> </tr> <tr valign="middle"> <td align="center">Flower conten</td> <td align="left">&#x2B25; Kaempferol<break/> &#x2B25; Quercetin</td> </tr> <tr valign="middle"> <td align="center">New moiety in flower</td> <td align="left">&#x2B25; 2,4dihydroxychalcone and glucoside</td> </tr> <tr valign="middle"> <td align="center">Leaves</td> <td align="left">&#x2B25; Vsicoline<break/> &#x2B25; Adhatodine<break/> &#x2B25; Vasicolinine<break/> &#x2B25; Anisotine</td> </tr> <tr valign="middle"> <td align="center">Inflorescence</td> <td align="left">&#x2B25; Vasiconine<break/> &#x2B25; Vasicol</td> </tr> </tbody> </table> </table-wrap><table-wrap id="t002" position="float"> <label>Table 2.</label> <caption> <title>Phytochemical analysis of methanol extract of A. vasica (<xref ref-type="bibr" rid="r039">Prathiba &#x26; Giri, 2018</xref>)</title> </caption> <table rules="all" frame="box"> <tbody> <tr valign="middle"> <td align="center">Carbohydrate</td> <td align="center">+</td> </tr> <tr valign="middle"> <td align="center">Terrapins</td> <td align="center">+</td> </tr> <tr valign="middle"> <td align="center">Triterpenoids</td> <td align="center">+</td> </tr> <tr valign="middle"> <td align="center">Flavonoids</td> <td align="center">+</td> </tr> <tr valign="middle"> <td align="center">Saponins</td> <td align="center">-</td> </tr> <tr valign="middle"> <td align="center">Tannins</td> <td align="center">-</td> </tr> <tr valign="middle"> <td align="center">Amino acids</td> <td align="center">+</td> </tr> <tr valign="middle"> <td align="center">Glycosides</td> <td align="center">+</td> </tr> <tr valign="middle"> <td align="center">Alkaloids</td> <td align="center">+</td> </tr> <tr valign="middle"> <td align="center">Steroids</td> <td align="center">+</td> </tr> </tbody> </table> <table-wrap-foot> <p>Key: + Present, - Absent </p> </table-wrap-foot> </table-wrap>
      </sec>
    </sec>
    <sec id="s3" sec-type="other">
      <title>PHARMACOLOGICAL ACTIVITIES</title>
      <sec id="s3a">
        <title>Antibacterial activity</title>
        <p>In developing countries like India, the major and emerging cause of death is an infectious disease and the bacterial resistance and other side effects of existing antibiotics are hazardous to health. On the other hand, self-prescribed use of antibiotics is becoming a major problem worldwide, herbal medicine provides the source to overcome the side effects of currently available antimicrobial agents (<xref ref-type="bibr" rid="r020">Gupta, Ahirwar, Shinde, Choudhary, Rajput, &#x26; Singh, 2013</xref>). Many studies have established that <italic>Adhatoda vasica</italic> shows antibacterial activity. An experiment carried out by the Durre shehwaar et al. showed that vasicine remained inactive against N. asteroids and P. mirabilis and showed moderate activity against M. luteus, and S. Typhimurium. (<xref ref-type="bibr" rid="r045">Shahwar, Raza, Triq, Riasat, &#x26; Ajaib, 2012</xref>). The antibacterial activity of methanolic extract of <italic>Adhatoda vasica</italic> against all tested microorganisms was greater than the antibacterial activity of aqueous extract of <italic>Adhatoda vasica</italic>. <italic>Adhatoda</italic>’s antibacterial properties have been clinically evaluated by Brantner AH and Chakraborty A, 1998. While aqueous and methanolic leaf extract of <italic>Adhatoda vasica</italic> showed antibacterial activity against E.coli and Klebsiella at 15mm, 12mm and 17mm, 14mm respectively (<xref ref-type="bibr" rid="r010">Chauhan, Jaryal, Saxena, &#x26; Kanishak, 2012</xref>). Flowers, leaves, and roots are frequently added as antiseptic on internal use (<xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>).</p>
      </sec>
      <sec id="s3b">
        <title>Oxytocic/ Abortifacient</title>
        <p>During the last 20 years, several scientific studies and reports on abortifacient and uterotonic effects of alkaloid vasicine and another potent alkaloid present in the plant <italic>Adhatoda vasica</italic> have appeared. (<xref ref-type="bibr" rid="r033">Narimanian, et al., 2005</xref>). It’s one of the most important alkaloids named Vascine provides an oxytocic activity by releasing prostaglandin thus stimulate the uterine contractions and helps in the passage of birth during parturition and also as abortifacients as oxytocin. (<xref ref-type="bibr" rid="r043">Roy, Chandra, Shark, Munnan, Faruqee, &#x26; Md, 2013</xref>). Many experiments were carried out to validate the oxytocic activity of <italic>Adhatoda vasica</italic>, Rassins hamsters and guinea pigs were experimented with vasicine resulted as abortifacient which was possibly due to the release of prostaglandin. In this study, the effective dose of alkaloid was within the range of 2.5 to 10mg/kg. (<xref ref-type="bibr" rid="r008">Chandhoke, 1982</xref>).</p>
        <p>Another experiment was carried out on the uterine strips of the pregnant and non-preganant uterus and were treated with Adhatoda resulted in stimulating the uterine activity as similar to oxytocin (<xref ref-type="bibr" rid="r035">Pahwa, Zutshi, &#x26; Atal, 1987</xref>). The effects were more remarkable and prominent when <italic>Adhatoda vasica</italic> was primed with oestrogen (<xref ref-type="bibr" rid="r034">Nath, Sethi, Singh, &#x26; Jain, 1992</xref>). The dried powder root, mixed with black pepper is taken by kondh women in southwestern Orissa to expedite childbirth (Parrotta, 2001). It does not only work as the abortifacient, but its medical efficacy has also been claimed to use in postnatal care (<xref ref-type="bibr" rid="r004">Medicinal Plants in Folklores of Orrisa, 2006</xref>).</p>
      </sec>
      <sec id="s3c">
        <title>Wound healing</title>
        <p>Many studies have been done to validate the efficacy of <italic>Adhatoda vasica</italic> in wound healing. The methanolic extract ointment of <italic>Adhatoda vasica</italic> showed a significant effect in excision wound model as compared to standard drug and other two extracts of ointment, by calculating the parameters, percentage closure of excision wound model. (<xref ref-type="bibr" rid="r051">Vinothapooshan &#x26; Sundar, 2010</xref>). Another study showed that the rate of healing was found to be higher in the wounds of buffaloes who got treated with plant extract. (<xref ref-type="bibr" rid="r052">Zama, Singh, &#x26; Kumar, 1991</xref>). Chloroform and alcoholic extract of <italic>Adhatoda</italic> in powdered form on buffalo calves showed significant healing and reported to have more hydroxyproline hexosamine and zinc thus increase tensile strength extensibility in wound repair and healing. (<xref ref-type="bibr" rid="r006">Bhargava, Singh, &#x26; Kumar, 1988</xref>). The powdered leaves, as well as a strong decoction, are reported to used in a form of a poultice to relieve counter-irritant and inflammatory swellings and to treat fresh wounds and urticaria. The root paste is used as an external application for treating eczema among the munda in southern Bihar (<xref ref-type="bibr" rid="r037">Parrotta, 2001</xref>). <italic>Adhatoda vasica</italic> leaves are used in wounds and cuts and gave beneficial results in the experiment carried out in 2011. (<xref ref-type="bibr" rid="r002">Alam, Singh, &#x26; Singh, 2011</xref>; <xref ref-type="bibr" rid="r005">Arunachalam &#x26; Subhashini, 2010</xref>).</p>
      </sec>
      <sec id="s3d">
        <title>Hypoglycemic</title>
        <p>Its leaves have been used against diabetes in Asian countries such as in India and northeast of Pakistan. Ethanolic extract of leaves and roots at doses (50 and 100mg/kg) showed a significant reduction in blood glucose levels in acute toxic studies (<xref ref-type="bibr" rid="r019">Gulfarz, et al., 2011</xref>). Various other studies have established the remarkable effect of <italic>Adhatoda vasica</italic> in lowering the blood glucose level. The methanolic extract from the leaves of <italic>Adhatoda vasica</italic> Nees (Acanthaceae) showed the highest sucrase inhibitory activity with sucrose as a substrate (<xref ref-type="bibr" rid="r016">Gao, Huang, Gao, Li, Inagaki, &#x26; Kawabata, 2008</xref>).</p>
        <p>Madak &#x26; Rao studied the non-nitrogeneous principle of the leaves in suspension form at a particular dose (25 mg/kg) decreased the blood sugar level in rabbits in a very short period of time (<xref ref-type="bibr" rid="r012">Dhar, Dhar, Dhawan, Mehrotra, &#x26; Ray, 1968</xref>; <xref ref-type="bibr" rid="r031">Madak &#x26; Rao, 1996</xref>).</p>
      </sec>
      <sec id="s3e">
        <title>Antitussive</title>
        <p><italic>Adhatoda vasica</italic> is a popular and traditional medicine to treat upper respiratory tract ailments for a long time. Both principle alkaloid of <italic>Adhatoda vasica</italic> are known for their therapeutic effect (<xref ref-type="bibr" rid="r014">Dorsch &#x26; Wanger, 1991</xref>; <xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>). Both alkaloids are bronchodilator in vitro and bronchoconstrictor in vivo whereas combined in vitro effect exhibited bronchodilator activity both in vivo and in vitro (<xref ref-type="bibr" rid="r033">Narimanian, et al., 2005</xref>). Another study revealed that vasaka posses the effect as codeine both electrically and mechanically in anaesthetized guinea pigs (<xref ref-type="bibr" rid="r013">Dhuley, 1999</xref>; <xref ref-type="bibr" rid="r033">Narimanian, et al., 2005</xref>).</p>
      </sec>
      <sec id="s3f">
        <title>Hepatoprotective</title>
        <p><italic>Adhatoda vasica</italic> leaves showed significant hepatoprotective effect at the doses of 50-100 mg/kg on liver damage, induced D-galactosamine in rats (<xref ref-type="bibr" rid="r007">Bhattacharyya, Pandit, Jana, Sen, &#x26; Sur, 2005</xref>).</p>
      </sec>
      <sec id="s3g">
        <title>Antiulcer</title>
        <p>The antiulcer activity was established on ethanol-induced and pylorus ligation plus aspirin-induced models and showed immense potential as an antiulcer agent (<xref ref-type="bibr" rid="r009">Chaturvedi, Rai, Dhani, &#x26; Tiwari, 1983</xref>). Mainly effective in the ulcers induced by the ethanol and aspirin but the high degree of anti-ulcerogenic activity was observed in ethanol-induced ulcer s with <italic>Adhatoda</italic> leaf powder, (<xref ref-type="bibr" rid="r046">Shriivastava, Srivastava, Banerjee, &#x26; Nivasarkar, 2006</xref>). So it can be concluded that <italic>Adhatoda</italic> has an immune potential as an antiulcer agent (<xref ref-type="bibr" rid="r047">Shrivastava, Shrivastava, Banarjee, &#x26; Nivsarkar, 2009</xref>).</p>
      </sec>
      <sec id="s3h">
        <title>Cholagouge activity</title>
        <p>Lab experiments showed that 5mg/kg intravenous dose of <italic>Adhatoda vasica</italic> in drugs in dogs and cats increases bile activity by excreting bile up to 40 to 100%. Animals showed an increase in bilirubin excretion (<xref ref-type="bibr" rid="r041">Rabinivich, Leskov, &#x26; Gladikikh, 1966</xref>).</p>
      </sec>
      <sec id="s3i">
        <title>Antitubercular activity</title>
        <p>It is universally accepted and established by many experiments that <italic>Adhatoda</italic> has immense potential as anti-tussive and good for treating upper respiratory tract infections due to the presence of the <italic>bromhexine</italic> and <italic>ambroxol</italic>, two widely used mucolytics. <italic>Ambroxol</italic> and <italic>bromhexine</italic> have a tendency of showing pH-dependent growth inhibitory effect on <italic>Mycobacterium tuberculosis</italic>. Their action suggesting that it may play an important role in adjunctive therapy in the treatment of tuberculosis (<xref ref-type="bibr" rid="r018">Grange &#x26; Snell, 1996</xref>). Water extracts of selected medicinal plants (<italic>Acalypha indica, Adhatoda vasica, Allium cepa, Allium sativum and Aloe vera</italic>) were observed to have anti-tuberculosis activity (<xref ref-type="bibr" rid="r022">Gupt, et al., 2010</xref>; <xref ref-type="bibr" rid="r050">Usmanghani, Saeed, &#x26; Alam, 1997</xref>).</p>
      </sec>
      <sec id="s3j">
        <title>Insecticidal activity</title>
        <p>It has been used as insecticidal since centuries, studies showed that in the laboratory also in Waterhouse condition showed good control insect pests because it has an antifertility effect agent several insect species by the blockage of the oviduct. It has also proven <italic>Adhatoda</italic> effectively acts as an insect repellent (<xref ref-type="bibr" rid="r044">Saxena, Tikku, &#x26; Atal, 1986</xref>; <xref ref-type="bibr" rid="r024">Hiremath, AHN, &#x26; KIM, 1997</xref>).</p>
      </sec>
      <sec id="s3k">
        <title>Digestive</title>
        <p>In vitro studies showed that <italic>Adhatoda vasica</italic> stimulate the digestive process by activating trypsin enzyme when treated with the decoction of leaves. (<xref ref-type="bibr" rid="r007">Bhattacharyya, Pandit, Jana, Sen, &#x26; Sur, 2005</xref>).</p>
      </sec>
    </sec>
    <sec id="s4" sec-type="other">
      <title>CONCLUSION</title>
      <p>The literature survey has shown that <italic>Adhatoda vasika</italic> is a chief source of many pharmacologically and medicinally important chemicals such as vasicine, vasicinone, vasicolone, and other various useful minor alkaloids. This herbal medicine contains a remarkable combination of alkaloids like pyrroquinazoline, vasicine, vasicinone and vasicolone which have phenomenal effects as preventive and therapeutic medicine. This plant has been widely studied for its pharmacological activities and accepted as a universal panacea in Unani medicines and find its position as a versatile plant having a wide spectrum of medicinal activities. As the world scenario is changing towards the use of non-toxic or herbal medicines, the development of a modern drug from <italic>Adhatoda vasica</italic> should be emphasized. More clinical trials should be conducted to support its therapeutic use as described in classical Unani literature.</p>
    </sec>
  </body>
  <back>
    <fn-group>
      <fn fn-type="conflict">
        <p><bold>CONFLICT OF INTEREST</bold> The authors have no conflicting financial interests.</p>
      </fn>
    </fn-group>
    <ack>
      <p>None</p>
    </ack>
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