Journal of Acute Disease (2014)85-89 85

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Document heading doi: 10.1016/S2221-6189(14)60022-6 A review on some poisonous and their medicinal values Narayanaswamy Tamilselvan1, Thirunavukkarasu Thirumalai1, Prabakar Shyamala1, Ernest David2*

1P.G. and Research Department of Zoology, Voorhees College, Physiology Wing, Vellore-632001(T.N.), India 2Department of Biotechnology, Thiruvalluvar University, Serkadu, Vellore-632115(T.N.), India

ARTICLE INFO ABSTRACT

Article history: The aim of this review is to provide a report on poisonous medicinal plants using for various Received 8 August 2013 treatments. Medicinal plants have been used for centuries, and numerous cultures still rely on Received in revised form 15 September 2013 indigenous medicinal plants for their primary health care needs. Poisonous medicinal plants Accepted 24 September 2013 are used for various ailments such as Antidiabetic, Anticancer, Antibacterial, Antifungal, and Available online 20 June 2014 Cytogenetic effect. The review reveals that wide numbers of phytochemical constituents have Keywords: been isolated from the various medicinal plants which possess activities like diuretic, purgative, laxative, anti-allergic and various other important medicinal properties. This information is most Medicinal plants important for pharmaceutical companies could formulate drug. Saponins Antidiabetic Poisonous

( ) 1. Introduction enough concentrations-as“ Paracelsus 1493-1541” said in the sixteenth century, the dose makes the poison . Poisons include both naturally produced compounds and chemicals In India use of the different parts of several medicinal manufactured by humans. Natural poisons are produced by plants to cure specific ailments has been in vogue from species of bacteria, fungi, protists, plants, and animals. ancient times. The indigenous system of medicine, namely, There are several species which are poisonous or injurious Ayurvedic, Siddha, and Unani, have been in existence for to human body and can be found in the garden or planted several centuries. Some drugs from Ayurveda approaching by the forest department as a roadside tree with or without modern diseases, have already reached the market place[1]. the knowledge about their effects on human body system. The World Health Organization (WHO) estimated that 80% of Poisoning can be by contact causing skin irritation, the population of developing countries relies on traditional ingestion causing internal poisoning, absorption (by the medicines, mostly drugs, for their primary health care skin) and inhalation (in the respiratory system). Some plants needs[2]. Also, modern pharmacopoeia still contains at least which are considered as harmless are actually not so. Many 25% drugs derived from plants and many others which are plants are used in some way or the other in medicines synthetic analogues built on prototype compounds isolated especially in homeopathic pharmacology[3]. This review from plants. Siddha system is one of the oldest systems of article has the basic details such as the Botanical, Family medicine in India. The Siddha system is capable of treating names, Common names, toxic parts of the plant, chemical all types of disease (especially chronic diseases) other than constituents, signs and symptoms of toxicity and its use in emergency cases. Traditional Indian Systems of Medicine. In Siddha medicinal system use of poisonous plants helps to cure some disease. It is important to have an awareness 2 .General properties of toxic plants regarding the poisonous plants which when used in the proper, prescribed dose, acts as potent therapeutic agents. 2.1. Abrus Precatorius (Fabaceae) Toxins are molecules that are harmful to living organisms. It is a fact that virtually any substance can be harmful at high Abrus precatorius commonly known as jequirty, gunji,

*Corresponding author: Dr. Ernest David, Professor and Head, Department of crabs eye, rosary pea, precatory pea or bean, Indian Biotechnology, Thiruvalluvar University Serkadu, Vellore-632115, Tamilnadu, India. [4] T Tel: +91-416 2225965; +91- 9345300236 licorice . he plant is best known for its seeds, used in E-mail: [email protected] percussion instruments. Plant is toxic due to the presence Narayanaswamy Tamilselvan et al./ Journal of Acute Disease (2014)85-89 86 of abrin, is a dimer containing two protein subunits A and absorbed from smoke and more slowly absorbed post- B. Protein B facilitates abrin entry into a cell by bonding ingestion. They were rapidly metabolized by the mixed to certain transport proteins on cell membranes. Protein A function oxidase system in the liver. Toxic effects were prevents protein synthesis by inactivating 26 s subunit of the mainly in the central nervous system, respiratory system ribosome. One molecule of abrin inactivates 1 500 ribosome/ and endocrine system. It causes exhilaration, hallucinations, s. delusions, blurred vision, poor coordination, stupor and [8] 2.1.1. Symptoms coma . 2.5. Citrullus colocynthis (Cucurbitaceae) During inhalation: Breathing difficulty, fever, cough, nausea and tightness in the chest. Heavy sweating followed The main clinical presentation was dysenteric diarrhea. by fluid building up in the lungs (pulmonary edema). This The colonoscopic observations were mucosal congestion would make breathing even more difficult, and the skin and hyperemia with abundant exudates, but no ulceration or might turn blue. pseudopolyp formation, which disappeared within 14 d in all During ingestion: Vomiting and diarrhea, severe patients (Goldfain). Most frequently reported complications dehydration, low blood pressure, blood in urine, seizures’ such as colic, diarrhea, hematochezia, nephrosis, vomiting, and hallucination. Within several days, the person s liver, and liver impairment[9]. spleen, and kidneys might stop working, and the person 2.6 collinus () could die[5]. The fatal dose of abrin is approximately 75 times smaller than the fatal dose of ricin. Abrin can kill ( ) with a circulating amount of less than 3 mg. Abrin has an “ Cleistanthus” collinus Karra is a plant poison also called estimated human fatal dose of 0.1-1 毺g/kg. Ingesting the oduvan (Tamil). Ingestion of its leaves or a decoction intact seeds typically results in no clinical findings, as they of its leaves causes hypokalemia (Kaliuresis and cardiac pass through the gastrointestinal tract due to their hard arrhythmias)[2], , hypotension and shell[5]. hypoxia[10], probably due to distal renal tubular acidosis [11-13] 2.2. Agave sisalana (Asparagaceae) and toxin induced vasodilatation . Hypokalemia and acidosis probably also induces resulting in myoglobinuric renal failure and neuromuscular weakness[14]. The sap from agave leaves produces an irritant contact Its effects were probably mediated by injury to the distal dermatitis, swelling and irritation of the tissues of the mouth renal tubules, pulmonary epithelium and peripheral blood and throat when ingested. vessels due to glutathione depletion[15]. 2.2.1. Symptoms 2.7. Gloriosa superba (Colchicaceae) Skin contact with the sap from the cut leaves produce burning, redness, itching and swelling, followed in several This plant is poisonous, toxic enough to cause human and hours by blistering, which heals within 2 weeks. When the animal fatalities if ingested. It has been used to commit sharp leaf tips puncture near bone may cause granuloma murder, to achieve suicide[16] and to kill animals (royal reaction resembling a neoplasm[6]. botanical garden). Every part of the plant is poisonous, 2.3. Arum maculatum (Araceae) especially the tuberous rhizomes. As with other members of the Colchicaceae, this plant contains high levels of colchicine, a toxic alkaloid. It also contains the alkaloid Attractive red to orange berries are extremely poisonous. gloriocine. Within a few hours of the ingestion of a toxic The berries contain oxalates of saponins which have amount of plant material, a victim may experience nausea, needle-shaped crystals which irritate the skin, mouth, vomiting, numbness, and tingling around the mouth, burning tongue, and throat, and result in swelling of throat, difficulty in the throat, abdominal pain, and bloody diarrhea, which breathing, burning pain, and upset stomach. It has on acrid leads to dehydration[17]. As the toxic syndrome progresses, taste coupled with the almost immediate tingling sensation rhabdomylosis, ileus[16], respiratory depression, hypotension, in the mouth. It is one of the most common causes of coagulopathy, haematuria, altered mental status, seizures, accidental plant poisoning based on attendance at hospital coma and ascending polyneuropathy are caused[17]. Long A & E departments[7]. term effects include peeling of the skin and prolonged [16] 2.4 Cannabis sativa (Cannabaceae) vaginal bleeding in women . 2.8. Nerium oleander (Apocynaceae)

( ) Tetrahydrocanibinol THC is the compound most toxic to Nerium oleander the nervous system. Animals were rarely poisoned due to the has historically been considered a low palatability of the plant. Cattle, horses, pigs, ferrets and poisonus plant because some of its compounds may exhibit dogs were susceptible to intoxication after exposure. THC toxicity, especially to animals, when consumed in high concentrations were highest in flowers and leaves. All parts amounts. Among these compounds are oleandrin and were toxic, greatest in flower. Cannabinoids were rapidly oleandrigenin, known as cardiac glycosides, which are Narayanaswamy Tamilselvan et al./ Journal of Acute Disease (2014)85-89 87 known to have a narrow therapeutic index and can be toxic muscles, seizures, collapse, and even coma that can lead when ingested. to death. Oleander sap can cause skin irritations, severe Toxicity studies that have been conducted in dogs and eye inflammation and irritation, and allergic reactions rodents administered oleander extracts by intramuscular (IM) characterized by dermatitis[19]. injection indicated that on an equivalent weight basis, doses 2.9. Aconitum ferox (Ranunculaceae) of an oleander extract with glycosides ten times in excess of those likely to be administered therapeutically to humans are still safe and without any severe toxicity observed[18]. Marked symptoms may appear almost immediately, usually Symptoms can include drowsiness, tremors or shaking of the not later than one hour, and with large doses death is almost

Table 1 Toxic plants and its parts with some medicinal properties. S.No Plant Part used/Compounds Property Reference A. Precatorius 1 Seeds Anticancer [22] Leaves Antibacterial [23] Seeds, Leaves Antifungal [24, 25] Leaves Antimigraine [26] Bronchodilator activity [27] Seeds Antioxidative activity [28] Seeds Protective effect [29] Leaves Cytotoxic [30] Aerial parts Antiinflammatory [31, 32] Seeds Immunostimulant, Anti-motility [33] Seeds Uterotonic [34] Seeds Anti-diarrhoeal [35] A. sisalana 2 Leaves Antibacterial, Antifungal [36] Leaves, Leaves waste Antibacterial, Antifungal [37] A. maculatum 3 Leaves Cytogenetic effect [38] C. sativa 4 Cannabinoids Antibacterial. [39] Areial parts Antibacterial. [40] Cannabidiol Anti-inflammatory. [41] Cannabinoids Antibacterial, Antifungal, Antimalarial, Antileishmanial. [42] Cannabinoid ester Antibacterial, Antifungal, Antimalarial. [43] C. colocynthis 5 Areial parts Antibacterial [44] Leaves Anesthetic activity [45] Fruits, Seeds Antibacterial, Antifungal, [46] Histopathological [47] Seeds Antibacterial [48] Fruits, Seeds Antiinflammatory [49] Whole plant Antihistaminic, anti acetylcholine, cardiac depressant activities [50] Whole plant Abortifacient, use to treat constipation, edema, bacterial infections, cancer [51] and diabetes;used as an analgesic, cures tumours, ascites, leucoderma, Whole plant ulcers, asthma bronchitis, jaundice, enlargement of spleen, tuberculosis C. collinus 6 Leaves Insecticidal activity [52] Leaves Antifungal [53] Stem-Bark Skin diseases, Antiseptic, hoof sores of cattle, Piscicidal, Larvicidal activity [54] Leaves [55] G. superba 7 Colchicine alkaloid Antitumor agents [56] N-Deacetyl-N-Antiproliferative activity [57] aminoacylthiocolchicine N. oleander 8 Cardenolides (Stem) Anti-inflammatory [58] Kaneric Acid (Leaves) Cardiotonic and antibacterial properties, used in the treatment of swellings, [56] leprosy, eye and skin diseases Anti-inflammatory [59] Triterpenes (Leaves) Anti-inflammatory, Pregnanes (Bark) Cytotoxic activity [60] Taraxasterane Anti-inflammatory, [59] Cytotoxic activity A. ferox 9 Tuberous root Body pain, diabetes, debility, asthma, ear and nose discharge, leprosy, [61] paralysis, rheumatism, and typhoid. Diaphoretic, diuretic, expectorant, febrifuge, and dyspepsia A. hippocastacanum 10 Seeds Analgesic, antipyretic, narcotic, tonic, vasoconstrictor, treat backache, Bark sunburn, neuralgia, rheumatism, whooping cough and hemorrhoids. [62] Tonic, narcotic, antipyretic Flowers Anodyne, astringent, tonic, vulnerary [63] Narayanaswamy Tamilselvan et al./ Journal of Acute Disease (2014)85-89 88 Caribbean. instantaneous. Death usually occurs within two to six hours Florida: Pineapple Press Inc; 1997, p. 315. in fatal poisoning (20 to 40 mL of tincture may prove fatal) [7] Robertson John. Arum maculatum, cuckoopint, lords and ladies. (the extra pharmacopoeia martindale). The initial signs are [Online]. Available from: http://www.thepoisongarden.co.uk/atoz/ arum_maculatum.htm [Retrieved on 2009]. gastrointestinal including nausea, vomiting and diarrhea, Ethnobotanical uses [8] James A. Duke. . Germplasm Resources burning sensation, tingling, and numbness in mouth and of ’ burning in the abdomen. Cardiovascular features include Information Network: Dr. Duke s Phytochemical and hypotension, sinus bradycardia and ventricular arrhythmias. Ethnobotanical Databases. USDA 2012. [9] Nmila R, Gross R, Rchid H, Roye M, Manteghetti M, Petit P, et al. Other features may include sweating, dizziness, difficulty Citrullus colocynthis Planta Insulinotropic effect of fruit extracts. in breathing, headache, and confusion. The main causes of Medica 6 2000; (5): 418-423. death are ventricular arrhythmias and asystole, paralysis [10]Subrahmanyam DK, Mooney T, Raveendran R, Zachariah B. A [20] T Cleistanthus collinus J of the heart or of the respiratory center . he only post- clinical and laboratory profile of poisoning. Assoc Physicians 51 mortem signs are those of asphyxia. 2003; : 1052-1054. [11]Benjamin SPE, Fernando ME, Jayanth JJ, Preetha B. Cleistanthus 2.10. 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