One of the prominent therapies developed, adopted, and practised by the natives back in the historic era is phytotherapy. This is an excellent method of using plant-based extracts to treat and cure diseases. Over the years, this practice has been developed resulting in the upgraded medicinal system we follow these days. In this section, we will study the principles, practices, products, medicines, and treatments of phytotherapeutic plants.
The medicinal practice where plant-derived extracts are used as a treatment for different diseases is called phytotherapy. There are different plants that are considered medicinally valuable. The different parts of the plants are used to extract active therapeutic ingredients in an impure way for the application and treatment of different diseases.
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There are many phytotherapeutic plants whose different parts hold medicinal value in this practice. Although this is a very popular practice in some countries, the medical world considers it a traditional medicinal practice due to a lack of evidence showcasing therapeutic effectiveness. It is different from herbalism or herbology as only the science-backed plants and their extracts are used for treatment. Despite this fact, very little research is done in this aspect to find better ways of treating diseases using these techniques.
The prime difference between the approaches of a herbalist and a phytotherapist is pharmacological studies. These studies reveal specific data that backs the efficiency of the phytotherapeutic plants. In fact, numerous trials and studies are done to back the information gathered to include a plant in this medicinal practice. The efficiency of the medicines also depends on the specific preparation techniques. In a few countries, phytotherapy is considered a licensable practice whereas the rest denies it as alternative medicine.
Evidence as old as ageing back to the Paleolithic Age shows the practice of herbalism. Mankind has learned herbalism from animals. The use of certain herbs to treat wounds and small ailments is being practised for ages. This led to the foundation of practising herbal medicines. Sumerians have mentioned the use of herbs as medicines that dates back 5000 years.
The evidence of the use of medicinal plants can also be found in the Egyptian papyri dating back to 1550 BC. Nearly 700 compounds originating from plants are mentioned on the thousands-years old papyri.
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The modernization of herbalism has led to the foundation of phytotherapy. Manu Asian, African, and South American countries use these techniques to cure. The use of the latest scientific models to signify the efficacy of such phytotherapy treatment has made this a promising medicinal practice. Scientific evidence has made many herbal products worthy of prescribing such as quinine, digitalis, ginseng, ginkgo, aspirin, and artemisinin.
The phytotherapy principles suggest that the medication should come from the plants only. The example of ginkgo can be used here. Its extract is used to treat certain central nervous system disorders and mild cognitive dysfunctions. Plants like St. John’s Wort are used for treating moderate depression. The roots and aerial parts of Echinacea are used for treating the common cold and respiratory issues. In a nutshell, the main principle of this therapeutic practice is to search for evidence scientifically and then adding herbal medicines to the list of prescription-worthy herbs. This basically has transformed from an alternative medicine form to a science-based medical practice.
You will find myriads of phytotherapy medicines available on the market. It is just a scientific term used for prescribed herbal medicines that are processed and packed for consumption. The consumption is also measured by the medical practitioner. A patient will have to follow the daily dosage as per the prescription. The regulatory and standardization parts of this practice are being reviewed by the medical councils across the world to make it a better and safer technique to deal with ailments naturally.
Phytotherapy products are available in different forms. It can be consumed as a decoction of herbal parts such as leaves, buds, roots, barks, etc. It can also come in the form of extracts in a solvent. The medicines can also be consumed directly. In most cases, the phytomedicines are found in diluted form with a taste enhancer and stabilizer for increasing the shelf life of the formula. Most products are extracted by maceration and various other pharmacognostic methods. Different types of solvents are used to extract the active ingredients. These extracts are available in the form of tinctures, ointments, or lotions too.
Like all western medicinal practices, phytotherapy medicine also has side effects. Peter Conway herbalist suggests that herbal medicines should be taken with proper precautions. Only a registered herbalist can only prescribe phytotherapeutic medicines to a patient and determine the dose. Packaged medicines have instructions to follow to avoid adverse effects and overdose issues.
Phytotherapy has immense potential. In the historical era, it was one of the prime medical practices that cured different diseases. The lack of scientific evidence and standardization makes us ignore the immense potential of this practice.
The lethality and dosage level of the medicinal plants are researched and then labelled. The standardization and clinical trials need to be conducted more in this aspect to ensure the absolute safety of the consumers.
1. What exactly is phytotherapy?
Phytotherapy is the science-based medical practice of using plant-derived preparations to treat or prevent diseases. Unlike traditional herbalism, phytotherapy relies on preparations that have been scientifically tested for efficacy, safety, and have a standardised dosage of active ingredients. It is also known as botanical medicine.
2. What are some common examples of phytotherapeutic medicines?
Many well-known treatments are derived from phytotherapy. Some examples include:
Ginkgo biloba extracts used to support cognitive function.
St. John's wort (Hypericum perforatum) preparations used for managing mild depression.
Echinacea extracts used to boost the immune system and reduce cold symptoms.
Milk thistle (Silybum marianum) used for liver protection.
Each of these is prepared to ensure a consistent concentration of its primary active compounds.
3. How is phytotherapy different from traditional herbalism?
The primary difference lies in the scientific approach. Phytotherapy is backed by clinical research, standardisation, and quality control, making its products prescribable medicines. In contrast, traditional herbalism is based on historical use and empirical knowledge passed down through generations, often without the rigorous scientific validation and standardisation of dosage seen in phytotherapy.
4. What are the main benefits of using phytotherapy for health?
The key benefits of phytotherapy include its potential for treating chronic conditions, promoting overall health, and improving quality of life. Because they often contain multiple active compounds, phytotherapeutic products can have a synergistic effect, addressing health issues in a holistic way. They are often used as complementary therapies to prevent disease and support conventional treatments.
5. What makes phytotherapy a scientific discipline and not just traditional medicine?
Phytotherapy is considered a scientific discipline due to its strict adherence to several key principles:
Standardisation: Ensuring that each batch of a product contains a specific, consistent amount of the active chemical compounds.
Clinical Trials: Conducting rigorous studies to prove the medicine's safety and effectiveness for a specific condition.
Quality Control: Monitoring the entire process from plant cultivation to final product to prevent contamination and adulteration.
These controls distinguish it from unregulated traditional practices.
6. Is phytotherapy the same as homeopathy?
No, they are fundamentally different practices. Phytotherapy uses plant extracts at measurable, pharmacologically active concentrations. Homeopathy, on the other hand, is based on the principle of "like cures like" and uses extremely diluted substances (including plants, minerals, or animal products) to the point where there may be no scientifically detectable molecules of the original substance left.
7. How do the active compounds in phytotherapy products work inside the body?
The active compounds, such as alkaloids, flavonoids, and terpenoids, work by interacting with specific biological targets in the body, much like conventional drugs. For example, a compound might bind to a specific enzyme to inhibit its activity, interact with a cell-surface receptor to trigger a response, or provide antioxidant effects that protect cells from damage. The therapeutic effect often comes from the combined action of several compounds working together.
8. Are all plant-based medicines considered safe? What are the risks of phytotherapy?
It is a common misconception that "natural" always means "safe." While phytotherapeutic products undergo safety testing, risks can still exist. These include:
Drug Interactions: Plant compounds can interact with conventional prescription drugs, altering their effectiveness or causing adverse effects.
Incorrect Dosage: Using an improper dose can lead to toxicity or lack of efficacy.
Allergic Reactions: Some individuals may be allergic to certain plants.
Therefore, phytotherapy should always be practised under the guidance of a qualified healthcare professional.