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Wednesday 8 April 2015

Chapter 24 – Uses of Herbals in Cardiac Diseases: Priority of Evidence Over Belief

Chapter 24 – Uses of Herbals in Cardiac Diseases: Priority of Evidence Over Belief


Abstract

Herbs have been used in the treatment of human disease since ancient time, and several drugs from herbs (e.g., morphine, reserpine, atropine, taxol, digitalis, etc.) have become mainstays of modern medicine. Herbs have been used in patients with different cardiovascular diseases (CVDs), i.e., congestive heart failure, hypertension, coronary artery disease, cerebral insufficiency, venous insufficiency, and arrhythmia. However, many herbal therapies being used these days are based on “belief” rather than evidence and have undergone very little or no scientific assessment. Several herbs have the potential to cause serious adverse and toxic effects, and they may have major herb–drug interactions. Considering the high prevalence of herbal “drug” use in India and other countries, either as part of the traditional system of medicine or otherwise, scientific efforts have been initiated to instil evidence into the traditional beliefs and to thrash out the potential benefits from possible harm. In this regard, more research is needed to establish the efficacies of herbals through proper preclinical and clinical research, especially in chronic disease conditions like CVD.

Keywords

  • Animal studies;
  • Cardiovascular disease;
  • Herbs;
  • Human studies;
  • Medicinal plants