RESUMO: É notável o crescente uso da fitoterapia como prática médica integrativa em diversos países. A utilização de plantas medicinais no Brasil tem como facilitadores a grande diversidade vegetal e o baixo custo associado à terapêutica, o que vem despertando a atenção dos programas de assistência à saúde e profissionais. O Ministério da Saúde, com a finalidade de evitar o uso inadequado desta prática medicinal, tem demonstrado interesse por meio do incentivo de pesquisas relacionadas ao assunto, favorecendo a implantação de programas de saúde visando à distribuição e utilização destes medicamentos de forma racional. Baseado neste contexto foi realizado levantamento de como esta temática vem sendo abordada e implementada no Sistema Único de Saúde (SUS). Tratase de estudo descritivo com abordagem qualitativa, realizado através de levantamento bibliográfico em bases de dados relacionado ao tema "medicamentos fitoterápicos no sistema único de saúde". Os descritores utilizados durante toda a pesquisa foram fitoterapia, medicamentos fitoterápicos, medicina integrativa, medicamentos, medicina herbária, fitoterapia no SUS, medicina integrativa e sistemas públicos de saúde. Observou-se que o governo tem demonstrado interesse no desenvolvimento de políticas que associem o avanço tecnológico ao conhecimento popular em prol de procedimentos assistenciais em saúde que apresentem eficácia, abrangência, humanização e menor dependência com relação à indústria farmacêutica. Nas duas últimas décadas, alguns estados e municípios brasileiros vêm realizando a implantação de Programas de Fitoterapia na atenção primária à saúde, com o intuito de suprir as carências medicamentosas de suas comunidades. Apesar da crescente busca por integrativas medicamentosas, os estudos acerca da fitoterapia ainda são precários no Brasil, fazendo-se ainda necessárias pesquisas nesta área, de modo a ampliar o conhecimento dos profissionais e estudantes da saúde, auxiliando e tornando mais sólidas as bases de segurança e eficácia para implementação das praticas fitoterápicas no SUS. Palavras-chave: medicina integrativa, sistema único de saúde, fitoterapiaABSTRACT: Analysis about phytotherapy as an integrating practice in the Brazilian Unified Health System (UHS). The growing use of phytotherapy as an integrating medical practice in several countries has been remarkable. The use of medicinal plants in Brazil is facilitated by the plant diversity and low cost associated with therapeutics, which has called the attention of health assistance programs and professionals. The Brazilian Ministry of Health, in order to avoid misuse of this medical practice, has demonstrated interest, developing policies that encourage research related to this issue and favoring the establishment of health programs focused on the distribution and use of these drugs in a rational way. Based on this context, a survey about how this issue has been addressed and implemented in the Unified Health System (UHS) was carried out. This was a descriptive study of qualitative approach, perf...
Momordica charantia is a species cultivated throughout the world and widely used in folk medicine, and its medicinal benefits are well documented, especially its pharmacological properties, including antimicrobial activities. Analytical methods have been used to aid in the characterization of compounds derived from plant drug extracts and their products. This paper developed a methodological model to evaluate the integrity of the vegetable drug M. charantia in different particle sizes, using different analytical methods. M. charantia was collected in the semiarid region of Paraíba, Brazil. The herbal medicine raw material derived from the leaves and fruits in different particle sizes was analyzed using thermoanalytical techniques as thermogravimetry (TG) and differential thermal analysis (DTA), pyrolysis coupled to gas chromatography/mass spectrometry (PYR-GC/MS), and nuclear magnetic resonance (1H NMR), in addition to the determination of antimicrobial activity. The different particle surface area among the samples was differentiated by the techniques. DTA and TG were used for assessing thermal and kinetic parameters and PYR-GC/MS was used for degradation products chromatographic identification through the pyrograms. The infusions obtained from the fruit and leaves of Momordica charantia presented antimicrobial activity.
Objective: To evaluate the clinical efficacy of a mouthwash containing Punica granatum L as compared to 0.12% chlorhexidine digluconate on the control of dental biofilm and gingival inflammation. Material and Methods: A randomized, controlled, double-blind clinical trial was carried out comprising a sample of 35 students aged nine to twelve years having Simplified Oral Hygiene Index value equal to or higher than 1.6, with at least 20 teeth. The sample was divided into two groups: group A, administration of 0.12% chlorhexidine mouthwash twice a day for 14 days; and group B, administration of Punica granatum mouthwash (6.25%) following the same protocol described above. The Plaque Index (PI) and Bleeding on Probing Index (BPI) were used to evaluate biofilm control and gingival inflammation on days 0, 7 and 14. Counting of oral streptococci from saliva samples was also performed on days 0 and 14. The data were analyzed using Student"s t test and Analysis of Variance (ANOVA). Results: The findings showed that P. granatum mouthwash reduced the mean values of PI and BPI, but with no significant difference. However, there was a significant reduction in the counting of oral streptococci. In the control group, all variables were found to be significantly reduced. Conclusion: Punica granatum mouthwash was not effective for the control of dental biofilm and gingival inflammation, but it was effective in reducing the counting of oral streptococci.
Studies were conducted to survey medicinal plant salesmen in Campina Grande, Paraiba, Brazil, from August to September 2008, to determine the species of boldo (Plectranthus neochilus and Peumus boldus) commercialized and evaluate the knowledge of the traders regarding the medicinal uses of the plant, including the number of leaves used, preparation methods and any care that must be taken to avoid the possibility of poisoning during therapy. A total of 12 salesmen were selected based on their greater knowledge about medicinal plants. In a cross-sectional study, the data were collected from previously developed questionnaires applied directly to the salesmen. Results were treated with descriptive statistics. Samples of boldo were collected from the salesmen and identified. Results showed that Plectranthus neochilus and Peumus boldus were currently commercialized by medicinal plant salesmen in the municipality of Campina Grande for several purposes. However, salesmen had little information about the correct use and dosage of medicinal plants and most did not know the risks of these plants when used incorrectly. It is necessary to provide correct information about these plants to avoid risk of human intoxication.
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