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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-2021-11-2-10.1</article-id>
      <article-id pub-id-type="doi">10.5667/CellMed.2021.0010</article-id>
      <article-categories>
        <subj-group>
          <subject>Review</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title><italic>Mundi</italic>(<italic>Sphaeranthus indicus</italic> Linn): The best blood purifier and immunomodulatory Unani herb with versatile ethnomedicinal uses and pharmacological activities</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name name-style="western">
            <surname>Sultana</surname>
            <given-names>Arshiya</given-names>
          </name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Fazmiya</surname>
            <given-names>MJA</given-names>
          </name>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <name name-style="western">
            <surname>Rahman</surname>
            <given-names>Khaleequr</given-names>
          </name>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <label>1</label><italic>Associate Professor (Reader), Dept. of Amraze Niswan wa Ilmul Qabalat (Obstetrics and Gynecology), National Institute of Unani Medicine, Bengaluru, Karnataka, India</italic>
      </aff>
      <aff id="aff2">
        <label>2</label><italic>PG Scholar, Dept. of Amraze Niswan wa Ilmul Qabalat (Obstetrics and Gynecology), National Institute of Unani Medicine, Bengaluru, Karnataka, India</italic>
      </aff>
      <aff id="aff3">
        <label>3</label><italic>Assistant Professor, Department of Ilmul Saidla (Pharmacy), National Institute of Unani Medicine, Bengaluru, Karnataka, India</italic>
      </aff>
      <author-notes>
        <corresp id="cor1">
          <label>*</label>Correspondence: Arshiya Sultana E-mail: <email>drarshiya@yahoo.com</email>
        </corresp>
      </author-notes>
      <pub-date pub-type="ppub">
        <day>30</day>
        <month>05</month>
        <year>2021</year>
      </pub-date>
      <volume>11</volume>
      <issue>2</issue>
      <fpage>10.1</fpage>
      <lpage>10.10</lpage>
      <history>
        <date date-type="received">
          <day>03</day>
          <month>04</month>
          <year>2021</year>
        </date>
        <date date-type="accepted">
          <day>17</day>
          <month>05</month>
          <year>2021</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright &#x000a9; 2021, Cellmed Orthocellular Medicine and Pharmaceutical Association</copyright-statement>
        <copyright-year>2021</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>Sphaeranthus indicus</italic> Linn. (<italic>Mundi</italic>) belongs to the family Compositae, Indian aromatic weed. Since the ancient time, its whole plant and flowers have great medicinal value. It is used for medicinal purpose in Unani and other traditional medicines as a blood purifier, aphrodisiac, eye tonic, tonic for vital organs, and anti-inflammatory properties. Hence, useful for neurological, eyes, cardiac, gastrointestinal, integument and urogenital disorders. This article intent to highlight the Unani ethnomedicinal properties and therapeutic uses, other traditional medicinal properties, to signify its potential in the treatment of various ailments as mentioned in Unani medicine and likewise to survey its phytoconstituents, pharmacological and clinical studies. Thisplant details were explored in classical Unani texts for its ethnobotanical Unani description, temperament (<italic>Mizaj</italic>), medicinal properties and therapeutic uses. Further, for phytochemicals and pharmacological/clinical studies information various scientific search engines such as PubMed, Science Direct, Ovid, Springer, Medline, Research Gate and Google Scholar were browsed. All relevant articles up to 2020 were referred including 24 Classical Unani and Medicinal plant books, 60 research and review papers. <italic>Mundi</italic> has been used in Unani and other traditional medicine for ages and used in the aforementioned ailments. The organic phytoconstituents include alkaloids, glycosides, saponins, tannins, resins, flavonoids, steroids, proteins volatile oils, sterol and terpenoid. <italic>In-vitro</italic> or <italic>in- Vivo</italic> studies have proven pharmacological activities of <italic>S. indicus</italic> such as anti-oxidant, anti-inflammatory, antimicrobial, antimutagenic, immunomodulatory, anti-ulcer, anti-pyretic, neuroprotective, hepatoprotective, hypoglycemic, antiageing and anti-cancer</p><p>Hence, the aforesaid ethnomedicinal and therapeutic uses, pharmacological and clinical research studies rationalize the potential benefits of <italic>S. indicus</italic> mentioned in the classical Unani literature. However, future randomized clinical trials are proposed to approve its efficacy and safety for various ailments.</p>
      </abstract>
      <kwd-group>
        <kwd>Antimicrobial</kwd>
        <kwd>Antioxidant</kwd>
        <kwd>Bicyclic sesquiterpene lactone</kwd>
        <kwd><italic>Sphaeranthus indicus</italic> Linn</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec id="s1" sec-type="intro">
      <title>INTRODUCTION</title>
      <p>The traditional Unani system of medicine is a well-known complementary and alternative system of medicine founded on the philosophy of the Greek physicians Hippocrates and Galen that exist and sanctuaries its fundamental nature in this contemporary era (<xref ref-type="bibr" rid="r061">Sultana <italic>et al</italic>., 2015</xref>). Globally, numerous texts/manuscripts of Unani traditional on medicine and pharmacopoeia literature are accessible for practice and various manuscripts have discussed regarding the herb, <italic>Sphaeranthus indicus</italic> Linn, Indian aromatic weed. It belongs to the family Compositae and commonly known as <italic>East Indian Globe Thistle</italic> (English).</p>
      <p>Unani physicians mentioned that it is a very useful plant as it is used in various diseases. Hence, it is also called <italic>Aab Hayat</italic>. In authentic scriptures, it is mentioned to be one of the best herbs used for promoting intellect. Since antiquity, its whole plant and flowers have great medicinal value and are used for therapeutic purpose in <italic>Unani</italic> Medicine. The plant is used both internally as well as externally. It is used for medicinal purpose in <italic>Unani</italic> and other traditional medicines as a blood purifier, aphrodisiac, eye tonic, tonic for vital organs, and anti-inflammatory properties. Hence, useful for integument, cardiorespiratory, gastrointestinal, urogenital and locomotors diseases in folk medicine (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>). Hence, for this purpose, a complete literature exploration to review the description of this medicinal herb in the traditional Unani literature and the contemporary era was comprehended for its ethnomedicinal uses, phytoconstituents and pharmacological studies.</p>
    </sec>
    <sec id="s2" sec-type="methods">
      <title>METHODOLOGY</title>
      <p>All relevant articles up to 2020 were referred including 24Classical Unani and Medicinal plant books, 60 research and review papers. Plant <italic>Mundi</italic> details were explored extensively in classical Unani and medicinal plant texts for its ethnobotanical Unani description, temperament (<italic>Mizaj</italic>), ethnomedicinal properties, therapeutic uses and compound formulation. Standard Unani Medical Terminology (Anonymous, 2012) published by Central Council for Research in Unani Medicine in collaboration with World Health Organization was used to describe the appropriate Unani terminologies. Moreover, PubMed, Google Scholar, Medline, Research Gate and other search engines were browsed for ethnobotanical description, ethnomedicinal action and therapeutic used, phytoconstituents, and pharmacological and clinical research studies. The various MeSH terms such as &#x201C;<italic>S. indicus</italic> and Unani&#x201D;, &#x201C;<italic>S. indicus</italic> and pharmacological activities&#x201D;, &#x201C;<italic>S. indicus</italic> and ethnomedicinal properties&#x201D;, &#x201C;blood purifier in Unani&#x2019;, &#x201C;anti-inflammatory&#x201D;, &#x201C;antioxidant&#x201D;, &#x201C;anti-microbial&#x201D;, and other pharmacological activities full-length paper were browsed.</p>
    </sec>
    <sec id="s3" sec-type="other">
      <title>CRITICAL EVALUATION</title>
      <p>Criteria evaluation included surveying the literature for <italic>Mundi</italic> in all classical Unani texts such as <italic>Busthan al-Muffradat, Khazainul Advia, Makhzan al-Mufradat, Rahuman-i-Aqaqeer, Muhit-i-Azam, Kinz al-Adwiya Mufridah, Ilmul Adwiya Nafeesi, Kanzul Mujarribat, Jamia ul Mufradat al Adviaal Aghiza, Al Qanoon fit Tibb (Canon of Medicine)</italic>, Unani Pharmacopoeia of India, Hamdard Pharmacopoeia of Eastern Medicine, Wealth of India, Glossary of Indian Medicinal Plants, Indian Medicinal Plants, etc were explored. The full-length papers were downloaded from the various scientific engines to review the ethnobotanical, phytoconstituent and pharmacological activities. After survey of the literature of <italic>Mundi</italic> a correlation of ethnomedicinal therapeutic use and its pharmacological activities was performed to ascertain the effect of Mundi on various ailments of different systems.</p>
    </sec>
    <sec id="s4" sec-type="results">
      <title>RESULTS</title>
      <sec id="s4a">
        <title>Description in Unani medicine and other traditional medicine</title>
        <p><bold>1) Vernaculars:</bold> The vernacular famous names are <italic>Mundi</italic> (Hindi and Urdu), <italic>Aab Hayat</italic> (Persian), <italic>Kamazarijus</italic> (Arabic), <italic>Kotatakkarandai</italic> (Tamil), <italic>Badasorum</italic> (Telugu) and <italic>Mundirika, Pravrajita</italic> (Sanskrit) (<xref ref-type="bibr" rid="r011">Chopra <italic>et al</italic>., 2002</xref>). In Sanskrit word &#x201C;<italic>Mundi</italic>&#x201D; literally means that which &#x201C;cuts off or &#x201C;wards off&#x201D;.</p>
        <p><bold>2) Etymology:</bold> This plant is named <italic>mundi</italic> in Unani texts. In Persian, it is known as <italic>Mahlaq al-Ras</italic> as the flower looks like a bald head (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>).</p>
        <p><bold>3) Description of the medicinal herb in Unani literature:</bold> As per the Unani encyclopaedia and texts, <italic>Mundi</italic> is an Indian aromatic weed, found near water. The branches are thin and spread on the ground. Leaves are like <italic>mint (Pudina)</italic> but small, round and thick. Flowers are rounded, big and similar to wheat, flower reddish-blue with fragrance and mildly bitter taste. It’s all parts that are aromatic. It is of two types small and big. The big one is called <italic>Mahamundi</italic> (<italic>S. Africans</italic>) (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>).</p>
        <p><bold>4) Temperament (<italic>Mizaj</italic>):</bold> The temperament of the plant is warm in 2<sup>nd</sup> degree and wet in 2<sup>nd</sup> degree (<xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>). Or cold in 1<sup>st</sup> degree and dry in 1<sup>st</sup> degree (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>).</p>
        <p><bold>5) Ethnomedicinal properties (<italic>Af&#x2019;al</italic>) in Unani medicine:</bold> <italic>Musaff&#x1FD1;-i-Dam</italic> (blood purifier) (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>; <xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>); <italic>Mufattih</italic> (deobstruent) (<xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>); <italic>Muqaww&#x1FD1; al-&#x2018;Ayn</italic> (eye tonic) (<xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <italic>Muqaww&#x1FD1;-i-A&#x2018;d&#x101;&#x2019; Ra&#x2019;&#x1FD1;sa</italic> (tonic for vital organs) <italic>Muqaww&#x1FD1;-i-B&#x101;h</italic> (aphrodisiac), (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>; <xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>); Antitubercular properties (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>; <xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>); <italic>Muqaww&#x1FD1;-i-Mi&#x2018;da, Mukhrij wa Q&#x101;til-i-D&#x1FD1;d&#x101;n-i- Am&#x2018;&#x101;&#x2019;, Muqaww&#x1FD1;-i-Jigar</italic> (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>)</p>
        <p><bold>6) Therapeutic uses in classical Unani texts:</bold> The whole plant of <italic>Mundi</italic> is very useful in various diseases.</p>
        <p><list list-type="simple"> <list-item><p><bold>a) Effect on the nervous system:</bold> The whole plant is employed to increase memory power. Its &#x2018;<italic>Arq</italic> or <italic>Sharbat</italic> (distillate or syrup) is useful in melancholia and with <italic>Lemoni Kagzi</italic> (lemon) in epilepsy. Orally, its plant with sugar for 40 days is useful in <italic>Saudavi</italic> (black bile) cognitive diseases. Its powder is useful as <italic>Muqaww&#x1FD1;-i-A&#x2018;d&#x101;&#x2019; Ra&#x2019;&#x1FD1;sa</italic> (tonic for vital organs) (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>b) Effect on eye diseases:</bold> Unani physicians described it as a specific medicine for eye diseases and used it to treat the itching of an eye in conjunctivitis and eye pain. It has <italic>Muqaww&#x1FD1; al-&#x2018;Ayn</italic> (eye tonic) property and hence useful in <italic>Du&#x2019;f al-Basar</italic> (refractive errors). Powder of <italic>Mundi</italic> 6g twice daily for 40 days with honey is useful in blurred vision and/or due to catarrh. For redness and eye pain in conjunctivitis, tie pad soaked in the juice of <italic>Mundi</italic> (prepared by stirring juice of <italic>Mundi</italic> with fresh neem stick in a copper plate till it turns black). Its mashed flower juice is also useful in pain, cataract and blurring of vision. Further, the physician inscribed that swallowing one whole flower of <italic>Mundi</italic> prevents conjunctivitis. Orally, the powder of dried root (dried in shade) with an equal quantity of jaggery 7g with cow milk prevent all eye diseases. Oral administration of &#x2018;<italic>Arq</italic> (distillate) 50 ml, is also credited to have <italic>Muqaww&#x1FD1; al-&#x2018;Ayn</italic> property (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>c) Effect on oral cavity:</bold> It is cooked as a vegetable and used in <italic>Balgham&#x1FD1;</italic> (phlegmatic) diseases and halitosis (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>d) Effect on respiratory tract:</bold> It is useful in cough and chronic tuberculosis. (<xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>;<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>; <xref ref-type="bibr" rid="r004">Standardization of Single Drugs of Unani Medicine, 1987</xref>)</p></list-item> </list></p>
        <p><list list-type="simple"> <list-item><p><bold>e) Effect on the cardiovascular system:</bold> It is useful in <italic>Khafaqān</italic> (palpitation) (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>f) Effect on the gastrointestinal tract:</bold> In <italic>Nafkh al-Mi&#x2018;da</italic> or <italic>Riy&#x101;h Shikam</italic> (flatulence), 7g of <italic>S. indicus</italic> with cow milk is advised. It has <italic>Muqaww&#x1FD1;-i-Mi&#x2018;da</italic> (strengths the stomach), appetizer effe-cts and helps in digestion. Its <italic>Josh&#x101;nda</italic> helps to remove <italic>Rut&#x16B;bat Fuzla</italic> (waste fluids) from stomach, antiemetic, and gastric pain. It is useful in diarrhoea caused by gastroenteritis. <italic>Mundi</italic> with <italic>Roghan Zard</italic> (ghee) is useful in diarrhoea. In worm infestation, <italic>Mundi</italic> powder <italic>Mukhrij wa Q&#x101;til-i-D&#x1FD1;d&#x101;n-i-Am&#x2018;&#x101;&#x2019;</italic> (kills and expels the worms). Daily use of the whole plant with sugar is effective in the <italic>Baw&#x101;s&#x1FD1;r</italic> (haemorrhoids) treatment. Oral use of fresh S. indicus powder (6g) and blackpepper (<italic>4 in number)</italic> with water is also effective in <italic>Baw&#x101;s&#x1FD1;r D&#x101;miya</italic> bleeding haemorrhoids. The application of a paste of leaf and flower with water is useful on piles mass and decreases its pain and bleeding. Its powder with curd or camphor is useful in haemorrhoids.</p></list-item> <list-item><p><bold>g) Effect on the liver:</bold> It is used in the correction of liver and intestine functions. It has <italic>Muqaww&#x1FD1;-i-Jigar</italic> property (hepatotonic) and is useful in jaundice. With <italic>Arandi</italic>, it is useful in <italic>Istisq &#x101;&#x2019;</italic> (ascites) (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>h) Effect on urinary tract:</bold> It is effective in burning micturition, urethral ulcer and gonorrhoea (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>i) Effect on the male genital system:</bold> <italic>S. indicus</italic> has <italic>Muqaww&#x1FD1;-i-A&#x2018;d&#x101;&#x2019;</italic> <italic>Tan&#x101;suliyya</italic> (tonic to genital organs), <italic>Tawl&#x1FD1;d-i-Man&#x1FD1;</italic> (improves the production of semen), <italic>Muharrik</italic> and <italic>Muqaww&#x1FD1;-i-B&#x101;h</italic> (aphrodisiac) property and its use with milk is effective in <italic>Jaray&#x101;n Man&#x1FD1;</italic> (spermatorrhoea) and male organ dysfunction. Its juice and flowers for 40 dayswith neem are useful in oligozoospermia and to increase the viscosity of semen (<italic>Mughalliz-i-Man&#x1FD1;</italic>). Its leaves and root powder with cow milk and jaggery for three consecutive days is effective <italic>Muqaww&#x1FD1;-i-B&#x101;h</italic> (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>j) Effect on the female genital system:</bold> Its powder and decoction are used in vaginal discharge. Local application its root as a suppository is <italic>Jazib</italic> (absorbent), <italic>Qabiz, Muqaww&#x1FD1;</italic> (tonic) and <italic>Mujaffif</italic> (desiccant). <italic>Halwa Mundi</italic> is effective in leucorrhoea, burning micturition and uterine inflammation.It is useful in gonorrhoea (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>), and <italic>Jaray&#x101;n Man&#x1FD1;</italic> (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>). Further, to procreate a male baby, its use has been mentioned inclassical texts. Its use with <italic>Myristica fragnans</italic> is said to be effective in infertility treatment. It is useful for<italic> Safr&#x101;w&#x1FD1; wa Saud&#x101;w&#x1FD1; Amr&#x101;d al-Rahim</italic> (yellow and black bile diseases of the uterus), <italic>Sozish-i-Bawl</italic> (micturition) and relieves uterine and vaginal pain (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>).</p></list-item> <list-item><p><bold>k) Effect on integument:</bold> It is used in <italic>Jaraba wa Hikka</italic>, (itching and scabies) (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>) (<xref ref-type="bibr" rid="r004">Standardization of Single Drugs of Unani Medicine, 1987</xref>), <italic>Quba</italic> (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>; <xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>), and other skin diseases (<xref ref-type="bibr" rid="r019">Hakeem, 2002</xref>; <xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <xref ref-type="bibr" rid="r004">Standardization of Single drug, 1987</xref>). It is a very effective <italic>Musaff&#x1FD1;-i-Dam</italic> (blood purifier) and useful in various skin diseases. Its bloodpurifier activity is said to be equivalent to <italic>Ushba Maghribi</italic> (<italic>Smilax aspera</italic> L. root) and <italic>Chobchini</italic> (<italic>Smilax china</italic> root). It is useful in all <italic>Fasad Khun</italic> with sugar. Its local application is useful in thyroid glandular enlargement (<italic>Khanazir</italic>). <italic>Josh&#x101;nda Mundi</italic> (30g) for a month is effective in <italic>Khanazir</italic>. In children, 10 g daily is effective for the same. Fresh <italic>Mundi</italic> juice in equal quantity with ghee is boiled till the juice dries, then filter the oil, it is effective in leprosy. It is useful in adenitis, urticaria, pruritis, eczema, leprosy andother diseases. Its root&#x2019;s oral use for consecutively one year prevents greying of hair (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> <list-item><p><bold>l) Effect on general health:</bold> It is useful in fatigue as it has <italic>Muqawwi</italic> (tonic) effect. Its use with <italic>Salib Misri</italic> (<italic>Orchis mascula</italic> tubers) and <italic>Zanjabeel</italic> (<italic>Zingiber officinale</italic> rhizome) is effective to increase with weight in underweight individual as it has <italic>Muqaww&#x1FD1;-i-Aam</italic> (general tonic) property (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p></list-item> </list></p>
        <p><bold>7) Dosage:</bold> 15-20g as a powder; 12 g in the form of <italic>Josh&#x101;nda</italic> (<xref ref-type="bibr" rid="r019">Hakeem, 2002</xref>; <xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <xref ref-type="bibr" rid="r004">Standardization of Single Drug of Unani Medicine, 1987</xref>)</p>
        <p><bold>8) Adverse effects:</bold> It adversely may affect to intestine and kidney</p>
        <p><bold>9) Corrective:</bold> Juice of <italic>Bhangra Siyah</italic> (<italic>Eclipta prostrata</italic> whole plant).</p>
        <p><bold>10) Substitutes:</bold> <italic>Brahamdandi</italic> (<italic>Tricholepis glaburima</italic>), <italic>Sarphoka</italic> (<italic>Tephrosia purpurea</italic> L.) (<xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <xref ref-type="bibr" rid="r004">Standardization of Single Drug of Unani Medicine, 1987</xref>)</p>
        <p><bold>11) Unani formulations:</bold> <italic>Majun Mundi, Sharbat Ushba Khas, Arq Murakkab Musaffi Khoon</italic>. The other important formulations, their preparation and uses are summarized in table 1 (<xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>).</p>
        <p><bold>12) Ethnomedicinal uses in other traditional systems:</bold> The powder of root (40 grains) and seeds is usefulfor stomachic and anthelmintic properties (<xref ref-type="bibr" rid="r026">Kiritikar and Basu, 2003</xref>; <xref ref-type="bibr" rid="r037">Nadkarni, 2005</xref>). An oil prepared from the root by steeping it in water and then boiling it in sesamum oil until all the water is expelled is said to be a valuable aphrodisiac (<xref ref-type="bibr" rid="r037">Nadkarni, 2005</xref>). The roots and seeds are also used in intestinal worm&#x2019;s infestation, indigestion, and administered with honey in patients with cough (<xref ref-type="bibr" rid="r037">Nadkarni, 2005</xref>). The flowers are used as an alternative, depurative, cooling, tonic. It is employed in skin disorders(<xref ref-type="bibr" rid="r011">Chopra <italic>et al</italic>., 2002</xref>; <xref ref-type="bibr" rid="r026">Kiritikar and Basu, 2003</xref>; <xref ref-type="bibr" rid="r037">Nadkarni, 2005</xref>). The rind of the fruit is useful in fishpoison. The whole plant is used in treating epileptic convulsions, mental illness and hemicranias. It is laxative, emmenagogue, increases the appetite, enriches the blood, lessens inflammation and resolves boils (<xref ref-type="bibr" rid="r026">Kiritikar and Basu, 2003</xref>). Antitubercular properties have also been ascribed to the plant (<xref ref-type="bibr" rid="r005">Wealth of India, 2003</xref>).</p>
        <p>In Ayurveda, it has been used as a laxative, digestible, tonic, fattening, alterative, anthelmintic, alexipharmic. It is employed in tuberculous glands, anaemia, diseases of spleen, elephantiasis, pain in the uterus and vagina, bronchitis, asthma, indigestion, biliousness, vomiting, dysentery, pain in the rectum, piles, insanity, hemicrania, epileptic convulsion, strangury, urinary discharges, looseness of the breasts, leukoderma, etc (<xref ref-type="bibr" rid="r026">Kiritikar and Basu, 2003</xref>).</p>
      </sec>
      <sec id="s4b">
        <title>Description of Mundi in scientific literature</title>
        <p><bold>1) Plant Description:</bold> It is an aromatic herb, 30-60 cm tall, with a stem with toothed wings. The leaves are obovate oblong, rounded or subacute, glandularhairy, spinous-serrate or dentate, narrowed at the base. The flowers in heads are 1-1.6cm in diameter, compound, globose-ovoid, bracteates on solitary glandular peduncles with tooted wings. Further, flowers are purple involucral bracts in several series; another tailed; style arms truncate and apically hairy;seeds small. It is found throughout India ascending the Himalayas up to 5000 feet from Kumaon to Sikkim. The herb is pungent, bitter and sweet. The part used are whole plant, especially flowers (<xref ref-type="bibr" rid="r004">Standardization of Single Drugs of Unani Medicine, 1987</xref>).</p>
      </sec>
      <sec id="s4c">
        <title>Phytoconstituents</title>
        <p>Essential oil in the herb, an alkaloid in leaves, stems and flowers (<xref ref-type="bibr" rid="r011">Chopra <italic>et al</italic>., 2002</xref>). The inorganic constituents are salts of iron and calcium. The organic phytoconstituents are alkaloids, glycosides, saponins, tannins, resins, flavonoids, steroids, proteins and volatile oils, sterol, and terpenoid. The alkaloid <italic>Sphaeranthine</italic> is present in the plants (<xref ref-type="bibr" rid="r026">Kiritikar and Basu, 2003</xref>). Other molecules are 7&#x3B1;-hydroxyeudesm-4-en-6,12-olide (sesquiterpene lactone), 2-hydroxycos-tic acid (sesquiterpeneacid), &#x3B2;-eudesmol and ilicic acid have been isolated from methanol extract. The major constituents were cadiene, ocimene, citral, p-methoxycinnamaldehyde, geraniol, eugenol and geranyl acetate. Methyl chavicol,&#x3B1;-ionone, d-cadiene, p-methoxycinnmaldehyde, &#x3B1;-terpinene, geraniol, geranyl acetate, &#x3B2;-ionoe, sphaerene, indicusene, sphaeranthol as essential oil and &#x3B2;-sitosterol, n-triacontanol, phenyl urethane,n-pentacosane isolated from the oil (<xref ref-type="bibr" rid="r059">Singh <italic>et al</italic>., 2019</xref>). Hentriacontane, sesquiterpene lactone was isolated by <xref ref-type="bibr" rid="r018">Gogate <italic>et al</italic>., (1986)</xref>, sphaeranthanolide (<xref ref-type="bibr" rid="r057">Shekhani et al., 1990</xref>) flavone and isoflavone glycosides were also isolated from this plant (<xref ref-type="bibr" rid="r065">Yadav <italic>et al</italic>., 1998</xref>).</p>
      </sec>
      <sec id="s4d">
        <title>Pharmacological experimental studies</title>
        <p>These uses in the Unani and other Traditional systems of medicine is evidenced by many explorative pharmacological and clinical research studies.</p>
        <p><bold>1) Anti-asthmatic/Anti-allergic/Mast cell stabilizing activity:</bold> <xref ref-type="bibr" rid="r030">Mathew and co-workers (2009)</xref>. They found an ethanolic extract of <italic>S. indicus</italic> whole plant showed better protection of mast cell degranulation than ketotifen in the sheep serum model. Researchers concluded that <italic>S. ndicus</italic> has potent mast cell stabilizing effects by inhibiting mediator release from mast cells in Wistar albino rats.</p>
        <p><xref ref-type="bibr" rid="r049">Prajapati <italic>et al</italic>., (2010)</xref> reported that the methanolic extract of aerial parts of <italic>S. indicus</italic> has anti-asthmatic activity. The researchers found that significant increase in preconvulsion dyspnoea time, decreased differential leukocyte counts and serum bicarbonate level, with reduction in the inflammation and bronchodilation dilated.</p>
        <p><bold>2) Antibacterial /Antimicrobial activity:</bold> Crude alcoholic extract of <italic>S. indicus</italic> flowers showed antibacterial activity against different species of Gram-negative and Gram-positive bacteria (<xref ref-type="bibr" rid="r055">Shaikh <italic>et al</italic>., 1986</xref>). A bicyclic sesquiterpene lactone isolated from the aerial part of the plant demonstrated strong antimicrobial activity against <italic>S. aureus, S. albus, E. Coli, Fusarum sp. Helmintho sporium</italic> species and other microorganisms (<xref ref-type="bibr" rid="r060">Singh <italic>et al</italic>., 1988</xref>). Alcoholic and aqueous extract of the plant was found to be highly effective in preventing the growth of <italic>Alternoria solani, Fusarium oxysporum and Penicillium pinophitum</italic> to a great extent (<xref ref-type="bibr" rid="r012">Dubey <italic>et al</italic>., 2000</xref>). 7x - Hydroxyeudesm-4en-6, 12-olide exhibited antimicrobial activity (<xref ref-type="bibr" rid="r051">Rastogi, 2002</xref>).</p>
        <p><bold>3) Antifungal activity:</bold> High antifungal activity has been exhibited by essential oil obtained from leaves against <italic>Trichoderma viride, Rhizopus nodosus, Aspergillus neger, Trichophyton rubrum 5s</italic> and <italic>Curvularia prasadie</italic> (<xref ref-type="bibr" rid="r015">Garg and Kasara, 1982</xref>).</p>
        <p><bold>4) Anxiolytic activity:</bold> Petroleum ether extract of <italic>S. indicus</italic> flowers produced anxiolytic activity in mice (<xref ref-type="bibr" rid="r003">Amavade <italic>et al</italic>., 2006</xref>).</p>
        <p><bold>5) Anti-inflammatory activity:</bold> <xref ref-type="bibr" rid="r021">Jain and Basal (2003)</xref> found inhibition of <italic>Propionibacterium acnes</italic>-induced mediators of inflammation by <italic>S. indicus</italic> extract. Aqueous extract <italic>S. indicus</italic> root caused significant suppression of reactive oxygen species (ROS), proinflammatory cytokine-induced monocytes, which are important inflammatory mediators in acne pathogenesis. <xref ref-type="bibr" rid="r039">Nanda <italic>et al</italic>., (2010)</xref> found the ethanol and petroleum ether extracts showed significant (<italic>p</italic>&#x3C;0.05) anti-inflammatory activity at the doses of 200mg/kg and 400mg/kg body weight from 1 hour onwards as compared to the standard drug diclofenac sodium. Whereas aqueous extracts exhibit activity from 2 hours onward when compared to the standard drug amongst various extracts.</p>
        <p>In another study, 7-hydroxyfrullanolide a sesquiterpene lactone molecule isolated from fruit extract of <italic>S. indicus</italic> showed a significant and dose-dependent reduction in induced and spontaneous production of TNF-&#x3B1; and IL-6 from freshly isolated human mononuclear cells, synovial tissue cells isolated from patients with active rheumatoid arthritis and BALB/c mice. a. In collagen-induced arthritis in mice, 7-hydroxyfrullanolide significantly reduced disease associated increases in the articular index and paw thickness, protected against bone erosion and joint space narrowing and prominently diminished joint destruction, hyperproliferative pannus formation and infiltration of inflammatory cells. The authors concluded that these findings provide evidence of 7-hydroxyfrullanolide-mediated inhibition of pro-inflammatory cytokines in experimental models of acute and chronic inflammation (<xref ref-type="bibr" rid="r013">Fonseca <italic>et al</italic>., 2010</xref>).</p>
        <p>The ethanolic extract of leaves in different doses also exhibited dose-dependent and significant anti-inflammatory activity in acute (carrageenan induced hind paw oedema, <italic>p</italic>&#x3C; 0.05) and chronic (cotton pellet granuloma formation, P &#x3C; 0.05) inflammation model (<xref ref-type="bibr" rid="r032">Meher <italic>et al</italic>., 2011</xref>).</p>
        <p><xref ref-type="bibr" rid="r002">Ali <italic>et al</italic>., (2011)</xref> noted significant anti-inflammatory potency of ethanolic extract of flowers was 42.66 and 50.5% at doses of 300 and 500 mg/kg respectively at the end of one hour the inhibition of paw oedema.</p>
        <p><xref ref-type="bibr" rid="r009">Chakrabarti <italic>et al</italic>., (2012)</xref> evaluated the standardized extract of flowering and fruiting heads and found that treatment reduced levels of pro-inflammatory cytokines from human macrophages and activated epidermal keratinocytes in a dose-dependent manner. They conclude that extract from <italic>S. indicus</italic> can be used as a therapeutic option in inflammatory and auto-immune conditions such as psoriasis.</p>
        <p><bold>6) Analgesic activity:</bold> The ethanolic extract of leaves (<xref ref-type="bibr" rid="r002">Ali <italic>et al</italic>., 2011</xref>). and flower of <italic>S. indicus</italic> (<xref ref-type="bibr" rid="r032">Meher <italic>et al</italic>., 2011</xref>) in different doses exhibited dose-dependent and significant analgesic activity in both models of pain</p>
        <p><bold>7) Antiarthritic activity:</bold> The petroleum ether extract of <italic>S. indicus</italic> flower at a dose of 100mg/day orally showed significant antiarthritic activity against complete Freund's adjuvant-induced arthritis in laboratory rats (<xref ref-type="bibr" rid="r006">Badgujar <italic>et al</italic>., 2009</xref>).</p>
        <p><bold>8) Attenuating effect on prostatic hyperplasia:</bold> The petroleum ether, ethanol and aqueous extracts extract <italic>S. indicus</italic> flower head exhibited a significant attenuating effect on prostatic hyperplasia. Although the best attenuating activity was observed with petroleum ether. Urine output was also improved significantly in all extract groups (<xref ref-type="bibr" rid="r038">Nahata and Dixit, 2011</xref>).</p>
        <p><bold>9) Antihyperlipidemic activity:</bold> Alcoholic extract of <italic>S. indicus</italic> flower head showed a significant decrease in body weight, total cholesterol, triglyceride and low-density lipoprotein and very low-density lipoprotein whereas significant increases in the level of high-density lipoprotein were also obtained after treatment with <italic>Sphaeranthus indicus</italic> extract (<xref ref-type="bibr" rid="r044">Pande and Dubey, 2009</xref>).</p>
        <p><xref ref-type="bibr" rid="r050">Ramachandran and co-workers (2011)</xref> found that administration of ethanolic extract of <italic>S. indicus</italic> root in the STZ-induced diabetic rats of 200 mg/kg showed a significantly higher reduction in elevated TC, TG, LDL and an increase in HDL levels when compared to glibenclamide 100 mg/kg dose of extract.</p>
        <p><bold>10) Anthelminthic activity:</bold> <xref ref-type="bibr" rid="r056">Sharma <italic>et al</italic>., (2011)</xref> found whole plant ethanolic and aqueous extract exhibits anthelmintic activity in a dose-dependent manner</p>
        <p><bold>11) Antioxidant activity:</bold> The ethanolic extract of the underground portion of <italic>S. indica</italic> at 1000&#x3BC;g/ml showed maximum scavenging of the free radical action, 2,2-azinobis-(3-ethylbenzothiazoline-6-sulphonate) (ABTS) observed up to 41.99% followed by the scavenging of the stable radical 1,1-diphenyl, 2-picryl hydrazyl (DPPH) (33.27%), superoxide dismutase (25.14%) and nitric oxide radical (22.36%) at the same concentration. However, the extract showed only moderate scavenging activity of iron chelation (14.2%). The total antioxidant capacity of the extract was found to be 160.85 nmol/g ascorbic acid (<xref ref-type="bibr" rid="r058">Shirwaikar <italic>et al</italic>., 2006</xref>).</p>
        <p>Methanolic extract of flower head also exhibited a significant antioxidant effect (<xref ref-type="bibr" rid="r062">Tiwari and Khosa, 2009</xref>). The inhibitory concentration (IC50) in all models viz. ABTS, DPPH, superoxide dismutase, nitric oxide and iron chelating, were found. The total antioxidant capacity of extract was found to be 127.85 nmol/g ascorbic acids (<xref ref-type="bibr" rid="r047">Prabhu <italic>et al</italic>., 2009</xref>).</p>
        <p>Administration of ethanolic extract of <italic>S. indicus</italic> 200 mg/kg produced significant (P &#x3C; .01) and higher antioxidant activity than 100 mg/kg dose in STZ-induced diabetic rats (<xref ref-type="bibr" rid="r050">Ramachandran <italic>et al</italic>., 2011</xref>). Stems and leaves methanol extract showed a significant decrease in serum liver enzyme, total protein and antioxidant levels at the dose of 500 mg/kg and 750mg/kg in CCl4 induced liver damaged rats (<xref ref-type="bibr" rid="r031">Mathews <italic>et al</italic>., 2012</xref>).</p>
        <p><xref ref-type="bibr" rid="r027">Krishna <italic>et al</italic>., (2013)</xref> found that among the methanol extracts of leaf, flower, stem and root tested, flower and leaf extracts exhibited the highest free radical scavenging activity i.e., at 150&#x3BC;g/ml concentrations</p>
        <p><bold>12) Antitussive activity:</bold> The methanolic extract at the dose of 200, 300 and 400 mg/kg showed inhibition of cough by 71.24%, 76.84% and 77.92% on a cough induced by Sulphur dioxide gas in mice and also exhibited a synergistic effect of sleeping time induced by standard sedatives (<xref ref-type="bibr" rid="r043">Nayak <italic>et al</italic>., 2010</xref>).</p>
        <p><bold>13) Anti-ulcer activity:</bold> <xref ref-type="bibr" rid="r028">Malairajan <italic>et al</italic>., (2013)</xref> tested the ethanolic extract of the whole plant for antiulcer activity aspirin and pylorous ligation induced ulcer in Wistar albino rats. They found at 500 mg/kg dose significant reduction in gastric volume, free acidity, total acidity, and ulcer index. The ulcer protection of the extract was found to be 82.9% and 85.3%, in comparison to ranitidine showed 92.6%.</p>
        <p><bold>14) Antiprotozoal activity:</bold> The ethanolic extract of the flower was found to have an inhibitory effect on <italic>Entamoeba histolytica</italic> (<xref ref-type="bibr" rid="r041">Naqvi, 1997</xref>)</p>
        <p><bold>15) Antipyretic activity:</bold> Among whole parts petroleum-ether, benzene, chloroform, ethanol and triple distilled water extract; chloroform and ethanol extracts showed potential significant antipyretic activity from 1 hour onward whereas aqueous extracts exhibited activity from 2 h onward as compared to the standard drug paracetamol amongst various extracts (<xref ref-type="bibr" rid="r040">Nanda <italic>et al</italic>., 2009</xref>)</p>
        <p><bold>16) Antiviral activity:</bold> The methanolic extract of <italic>S. indicus</italic> showed potent anti-MCV and anti HSV activities (low MIC<sub>100</sub> and broad spectrum of activity) at a concentration as low as 0.4 μg/mL. (<xref ref-type="bibr" rid="r064">Vimalanathan <italic>et al</italic>., 2009</xref>).</p>
        <p><bold>17) Bronchodilator effect:</bold> Whole plants methanolic extract and its fractions viz., petroleum ether, benzene, chloroform and ethyl acetate exhibited significant protection against bronchospasm, induced by histamine in guinea pigs at the dose of 87 and 174 mg/Kg, p.o. However, the methanolic extract showed a significant bronchodilatory effect comparable withChlorophenarmine maleate. Hence, <italic>S. indicus</italic> shows broncho dilatory activity (<xref ref-type="bibr" rid="r054">Sarpate <italic>et al</italic>., 2009</xref>).</p>
        <p><bold>18) Hepatoprotective activity:</bold> <xref ref-type="bibr" rid="r029">Mansoori <italic>et al</italic>., (2019)</xref> found that the petroleum ether, chloroform, ethyl acetate, ethanolic, and aqueous extract of <italic>S. indicus</italic> leaves had hepatoprotective activity against the carbon tetrachloride-induced hepatotoxicity in mice and <italic>in-vitro</italic> human live hepatoma cell line. Likewise, in the ethanol induced <italic>in-vivo</italic> study ethanolic and ethyl acetate extract showed a significant protectiveeffect at 400mg/Kg p.o.dose (<xref ref-type="bibr" rid="r042">Nayak <italic>et al</italic>., 2007</xref>).</p>
        <p><xref ref-type="bibr" rid="r046">Pavan <italic>et al</italic>., (2008)</xref> also reported that <italic>S. indicus</italic> methanolic extract at a dose of 500 mg/kg body weight exhibited hepatoprotective effect in CCl4 intoxicated rats, that were comparable with silymarin 100 mg/kg b.w.</p>
        <p><xref ref-type="bibr" rid="r062">Tiwari and Khosa (2009)</xref> found that the methanolic and aqueous extract of flower heads of <italic>S. indicus</italic>. Had hepatoprotective against carbon tetrachloride induced hepatic damage in rats. Another study found that at 500 and 750 mg/Kg dose extract statistically restored the serum liver enzyme, total protein and antioxidant levels. Further, histopathological studies supported the biochemical assessment (<xref ref-type="bibr" rid="r031">Mathews <italic>et al</italic>., 2012</xref>).</p>
        <p><bold>19) Hypoglycaemic activity:</bold> Oral administration of petroleum ether extracts of the flower head of <italic>S. indicus</italic> (200 mg/kg) showed significant hypoglycemic activity in alloxan induced Wistar rat (<xref ref-type="bibr" rid="r022">Jha <italic>et al</italic>., 2010</xref>).</p>
        <p>Arial part ethanolic extract showed that <italic>S. indicus</italic> increased the uptake of glucose by isolated rat hemidiaphragm significantly and was found to be more effective than insulin (<xref ref-type="bibr" rid="r045">Pareek <italic>et al</italic>., 2010</xref>). Oral administration of alcoholic extract of <italic>S. indicus</italic> for 15 days at doses of 250 and 500 mg/kg significantly lowered fasting blood glucose in diabetic rats in a dose-dependent manner. The 500 mg/kg dose showed significantly better activity than the 250 mg/kg dose throughout the analysis (Prabhu <italic>et al</italic>., 2008).</p>
        <p>The methanolic extract <italic>S. indicus</italic> at the dose of 300 mg/kg body weight significantly reduced the blood glucose level, plasma total cholesterol, triglycerides and low-density lipoprotein in treated rabbits as compared to alloxan-induced diabetic rabbits; also, significantly increased the level of high-density lipoprotein. The extract also significantly decreased ALT and AST (<xref ref-type="bibr" rid="r052">Razi <italic>et al</italic>., 2011</xref>). <xref ref-type="bibr" rid="r035">Muhammad <italic>et al</italic>., (2011)</xref> and <xref ref-type="bibr" rid="r025">Kharkar <italic>et al</italic>., (2013)</xref> has also reported the antidiabetic effect of <italic>S. indicus</italic>.</p>
        <p><bold>20) Immunomodulatory effect:</bold> The compound exhibited immune-stimulating activity (<xref ref-type="bibr" rid="r057">Shekhani <italic>et al</italic>., 1990</xref>). The methanolic extract, its petroleum ether, chloroform and remaining methanol fractions, of flower heads of <italic>S. indicus</italic> Linn. was significantly effective in increasing phagocytic activity, haemagglutination antibody titre and delayed-type hypersensitivity in mice. The further, it probably stimulates stimulating both humoral and cellular immunity (<xref ref-type="bibr" rid="r008">Bafna and Mishra, 2007</xref>).</p>
        <p><bold>21) Nephroprotective activity:</bold> The ethanol and aqueous extract of <italic>S. indicus</italic> Linn. were showed nephroprotective activity in gentamicin induced nephrotoxic Wistar albino rats and significant improvement in blood urea, serum creatinine, serum protein and urine glucose level and reversed the kidney damage and restored normal kidney architecture in histopathological studies (<xref ref-type="bibr" rid="r048">Pradeep <italic>et al</italic>., 2019</xref>). In another study, the ethanolic extract of the whole plant on cisplatin-induced nephrotoxicity in the albino rat showed significantreduction tion in the elevated serum creatinine and urea levels. Same time renal antioxidant defense systems, such as superoxide dismutase, catalase, glutathione peroxidase activities and reduced glutathione level that are depleted by cisplatin therapy were restored to normal by treatment with the extract (<xref ref-type="bibr" rid="r031">Mathew <italic>et al</italic>., 2012</xref>)</p>
        <p><bold>22) Neuroprotective and anxiolytic activity:</bold> Ambikar and Mohanth (2013) evaluated the neuropharmacological activity of petroleum ether (SIP), methanolic (SIM) and aqueous extract (SIA) of <italic>S. indicus</italic> in mice. The SIP and SIM showed a significant decrease in locomotor activity but no effect on motor coordination at 200 and 400 mg/kg. All three extract showed significant anxiolytic activity at 100 mg/kg dose. Whereas, SIM showed significant anticonvulsant activity at SIM 100, 200 and 400 mg/kg/p.o. and prolonged haloperidol induced catalepsy at 400 mg/kg/p.o. in mice. Apart from this, SIP and SIM extracts also showed significant analgesic activity using the hot plate method. The authors concluded that the extract possesses anxiolytic, anticonvulsant and anti-stress activity.</p>
        <p><bold>23) Psychotropic activity/ Sedative effect:</bold> Whole plant extract of <italic>S. indicus</italic> significantly reduced spontaneous motor activity and prolonged pentobarbital induced hypnosis. The researcher suggests that effects might due to a mild neurosedative mechanism. The hydroalcoholic extract of <italic>S. indicus</italic> also reduced exploratory behaviour and decrease sedative activity (<xref ref-type="bibr" rid="r014">Galani and Patel, 2009</xref>).</p>
        <p><bold>24) Wound healing activity:</bold> The ethanolic extract (10%) cream prepared with aerial parts of <italic>S. indicus</italic> showed wound healing activity in Guinea pigs excised wounded models. After a 15-day application of cream researchers observed that wound area was reduced 88.9, 77.9 and 83.6% in extract, placebo and neomycin cream respectively (<xref ref-type="bibr" rid="r053">Sadaf <italic>et al</italic>., 2006</xref>). <xref ref-type="bibr" rid="r016">Geethalakshmi <italic>et al</italic>., (2013)</xref> reported that the excison wound healing activity of methanolic extract (5% w/w) and flavonoid fraction of <italic>S. indicus</italic> in paste form in male Wistar rats. The authors also estimated the hydroxyproline content, collagen content and histopathology for fibroblast proliferation, collagen formation, epithelisation, and keratinisation of healed wound area skin. They found a very rapid closure of the wound in extract and flavonoid fraction treated groups which were comparable to the group treated with silver sulfadiazine. Likewise, rat wounds treated with methanol extract and flavonoid fraction ointments showed more fibroblastic proliferation and epithelisation as compared to the placebo-treated group.</p>
        <p>An ointment prepared with the 2% alcoholic extract of the flower head of <italic>S. indicus</italic> also showed wound healing activity in the excision wound model, re-sutured incisional wound model, tensile strength measurement of healed tissue, and determination of hydroxyproline content in granular tissue. In addition to greater hydroxyproline content found in healed wounds as compared to control and standard formulation (<xref ref-type="bibr" rid="r023">Jha <italic>et al</italic>., 2009</xref>).</p>
        <p>Cream prepared with 5% and 10% ethanolic extract of flowers in Wistar albino rats observed significant wound epithelisation, contraction area and wound closure activity in the test drug which was comparable to standard i.e., framyctine sulphate cream <xref ref-type="bibr" rid="r010">Copda <italic>et al</italic>., (2010)</xref>.</p>
      </sec>
      <sec id="s4e">
        <title>Pharmacological clinical trials</title>
        <p><bold>1) Efficacy in cervical erosion with cervicitis:</bold> In the test group (n=30), <italic>Safuf Mundi</italic> (powder of flower) 6g orally in three divided doses and 5g cream of <italic>Henna</italic> (leaves of <italic>L. inermis</italic> Linn) with <italic>Murdarsang</italic> (<italic>P. oxidum</italic>) was applied intravaginally twice daily for 9 weeks showed that 26.7% complete healing of erosion whereas none of the patient had healing in the placebo group (n=15) (<italic>p</italic>&#x3C;0.05, statistically significant) in a randomized placebo-controlled single-blind study (<xref ref-type="bibr" rid="r020">Hashmi <italic>et al</italic>., 2011</xref>).</p>
        <p><bold>2) Effect on psoriasis:</bold> <xref ref-type="bibr" rid="r063">Velaskar <italic>et al</italic>., (2016)</xref> reported that the efficacy and safety of 12 weeks course of oral tablet of <italic>S. indicus</italic> extract (Tinefcon&#xAE; ) in 74 patients with moderate to severe plaque psoriasiss. They found that at 12 weeks, 65% and 31% patients achieved PASI-50 in the high and low dosegroup respectively. They also found marked mprovement in PGA status. Histopathological and biomarker data strongly support the improvement in the disease severity.</p>
      </sec>
    </sec>
    <sec id="s5" sec-type="discussion">
      <title>DISCUSSION</title>
      <p>As per the Unani concept, Blood purification is the elimination of toxin and toxic metabolites from the blood consequently it comes at its optimal level, which strengthens the innate heat through physical activity and digestion faculty is enriched. Subsequently, abnormal humours will not be produced and toxin and impurities both will be prevented (<xref ref-type="bibr" rid="r001">Alam <italic>et al</italic>., 2020</xref>). Blood purifying drugs have a warm and dry temperament in the second degree and are bitter. These drugs act as digestive, tonic to stomach and liver, general tonic, antipyretic, deobstruent and tonic to vital organs (<xref ref-type="bibr" rid="r036">Mushir <italic>et al</italic>., 2019</xref>). The literature survey of Unani and ethnomedicinal plant texts showed <italic>Mundi</italic> has <italic>Musaff&#x12B;-i-Dam</italic> (blood purifier) property, therefore has other properties such as <italic>Mufattih, Muqaww&#x1FD1; al-&#x2018;Ayn, Muqaww&#x1FD1;-i-A&#x2018;d&#x101;&#x2019; Ra&#x2019;&#x1FD1;sa</italic> (tonic for vital organs) <italic>Muqaww&#x1FD1;-i-B&#x101;h wa Mi&#x2018;da wa Muqaww&#x1FD1;-i-Jigar Mukhrij wa Q&#x101;til-i-D&#x1FD1;d&#x101;n-i-Am&#x2018;&#x101;&#x2019;</italic>, (<xref ref-type="bibr" rid="r017">Ghani, 2004</xref>; <xref ref-type="bibr" rid="r024">Kabir al-Din, 2007</xref>; <xref ref-type="bibr" rid="r026">Kiritikar and Basu, 2003</xref>; <xref ref-type="bibr" rid="r034">Mohiuddin, 2004</xref>). The mechanism of action of blood purifier drugs is they cause necessary changes in blood and remove its waste material hence, purifying it from impurities. They cause essential changes and sustain the blood composition by their moderate warm, cold, dry and wet properties. Hence, blood purifiers act as alterative and maintain the quality and quantity of blood thereby upholding the equilibrium. Further, they neutralize the disproportionate blood&#x2019;s heat due to their alterative and moderately warm and dry temperament thus normalize the blood composition. Moreover, blood purifier drugs boost the immune system and strengthen the defensive mechanism, prevent the body from toxins and strengths the sluggish liver and kidney dysfunction to its normal function because of <italic>Muqaww&#x1FD1;</italic> property (<xref ref-type="bibr" rid="r036">Mushir <italic>et al</italic>., 2019</xref>).</p>
      <p><italic>Mundi</italic> has blood purifier and other properties, hence, the mechanism of action will be the same. The blood purifying drugs contain saponins, phenols, phenolic glycosidees, alkaloids, minerals, etc (<xref ref-type="bibr" rid="r036">Mushir <italic>et al</italic>., 2019</xref>). <italic>Mundi</italic> contains the phytoconstituent flavonoids that protect cells because of its powerful antioxidant property which prevents or repair the damage done to red cells by free radicals. Studies have shown that glycoside and saponins significantly increase the proliferation abilities of bone marrow cell. Mundi contains saponin so blood purifying drugs may prove the haematinic potentials due to the presence of these phytoconstituents. &#x201C;<italic>Triterpenic saponins stimulate the proliferation of lymphocytes for the production of interferon, hematopoietic growth factors and cytokines. Alkaloids enhance the restoration of haematopoiesis</italic>.&#x201D; The drugs which contain flavonoid, saponins, and alkaloid have the antioxidant property (<xref ref-type="bibr" rid="r036">Mushir <italic>et al</italic>., 2019</xref>). The Unani classical texts survey showed that <italic>Mundi</italic> not only has blood purifier action but other aforementioned properties hence, it is useful in various ailments of different systems of the body. Recent pharmacological and clinical trials prove its effect.</p>
      <p>Unani physicians surmised that the <italic>Mundi</italic> is useful as a memory enhancer, epilepsy, melancholia, cough, chronic tuberculosis, worm infestation, flatulence, skin, liver, kidney, and intestinal diseases. It is also effective in male and female genital (leucorrhoea, gonorrhoea, uterine inflammation, infertility) diseases. The recent experimental studies have proven that <italic>Mundi</italic> has neuroprotective, anticonvulsant, sedative, anxiolytic, antitussive, bronchodilator, antiasthmatic, anti-inflammatory, antioxidant, anthelminthic, nephroprotective, hepatoprotective, antiulcer, wound healing, and anti-microbial activity. As it is the best blood purifier hence useful in diabetes, hyperlipidemia, infections, etc as it has antihyperlipidemic, antioxidant, antipyretic and antimicrobial activity. Further, <italic>Mundi</italic> have <italic>Mufattih</italic> and <italic>Muqaww&#x1FD1;</italic> property hence, it is useful to improve hypertension and general health. Existing experimental studies proves that <italic>Mundi</italic> has antihypertensive, immunomodulatory, and antioxidant activities. Its effectiveness in various eye diseases however, no scientific studies are available hence, various experimental and clinical studies are requiring to prove its effect on eyes diseases.</p>
    </sec>
    <sec id="s6" sec-type="conclusions">
      <title>CONCLUSION</title>
      <p><italic>S. indicus</italic> is the best blood purifier and immunomodulatory Unani herb with versatile properties that is useful in various ailments. Aforesaid pharmacological and clinical research studies rationalize the potential benefits of <italic>S. indicus</italic> in various disorders mentioned in the classical Unani literature. However, future randomized clinical trials are proposed to approve its efficacy and safety. Further, instead of using plant materials in the crude form, they may be formulated into elegant finished product provided with stability data so that they may be easy to use by patients and dispense by a pharmacist.</p>
    </sec>
  </body>
  <back>
    <fn-group>
      <fn fn-type="conflict">
        <p><bold>CONFLICT OF INTEREST</bold> None to declare</p>
      </fn>
      <fn fn-type="abbr">
        <p><bold>ABBREVIATIONS</bold> HDL: High level lipoproteins; LDL: Low density lipoprotein; PASI score: Psoriasis Area Severity Index score; PGA: Physician&#x2019;s Global Assessment; TD; Triglycerides; TC: total cholesterol</p>
      </fn>
    </fn-group>
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