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Echinacea: http://www.woodrow.org/teachers/bi/2000/Ethnobotany/purple_coneflower.html Purple coneflower has a long history of medicinal use. Native Americans used it as an antidote for snake bit and other venomous bites and stings. It was also used in a smoke treatment for headaches. Purple coneflower was used to calm toothaches and sore gums, and tea form it was drunk to treat colds, mumps, arthritis, and a blood purifier (often a euphemism for the treatment of venereal diseases). Further, it was used as a treatment for pain, indigestion, tumors, malaria and hemorrhoids. After a long period of disregard, purple coneflower has come back into vogue in recent years. It is used primarily as an immune-system booster and it has been used as a treatment for skin diseases such as eczema and psoriasis, boils and wounds, burns, cold sores and genital herpes. It is also recommended for use to treat bronchitis, tonsillitis, meningitis, tuberculosis, abscesses, whooping cough, arthritis and ear infections. Research has yet to determine what exact compounds in purple coneflower give it its medicinal properties. Early research with purple coneflower and its relatives were done with adulterated or misidentified samples, so results of those tests are unreliable. Although clinical trials have been poorly designed, animal and test tube studies have shown that purple coneflower extracts do fight certain viruses and appear to stimulate the immune system to ward off bacterial infection. Some animal studies have shown that purple coneflower promotes phagocytosis, but the results are not conclusive. Laboratory findings have shown that purple coneflower is effective in healing superficial wounds. More study must be done before any clear recommendations about the use of purple coneflower can be made. Placebo-controlled clinical trials have shown that supplementation with Echinacea (Echinacea purpurea) can increase phagocytosis and speed up recovery time in subjects with acute infections. Additional studies have found that echinacea produces a general immune stimulating effect on various components of the immune system including T lymphocytes, neutrophils, NK cells, tumor necrosis factor alpha, granulocytes, (4) - Bauer R, Wagner H. Echinacea Species as potential immunostimulatory drugs. In: Farnsworth NR, Wagner H, eds. Phytomedicines of Europe: Chemistry and Biological Activity. New York, N.Y.: Academic Press 1991:253-321. (7) - Bauer R, Remiger P. TLC and HPLC Analysis of Alkamides in Echinacea Drugs. Planta Medica 1989;55:367-71 (19) - Chollet F. [From heart to brain and from brain to heart: impact of an anticoagulant treatment with aspirin in secondary prevention]. Presse Med 1994;23:618-22. (20) - Burger RA, Torres AR, Warren RP, Caldwell VD, Hughes BG. Echinacea-induced cytokine production by human macrophages. Int J Immunopharmacol 1997;19:371-9. (21) - Bodinet C, Beuscher N. Antiviral and immunological activity of glycoproteins from echinacea purpurea radix. Planta Medica 1992;57. (33) - Bodinet C, Willigmann I, Beuscher N. Host-resistance increasing activity of root extracts from Echinacea species. Planta Medica 1993;59 (Suppl):A43-A44. (40) - Jurcic K, Melchart D, Holzmann M, Et Al. Two studies on the stimulation of the phagocytosis of granulocytes by drug preparations containing extracts of Echinacea in healthy volunteers. Zeitschrift fur Phytotherapie 1989;10:67-70. (41) - Hoheisel O, Sandberg M, Bertram S, et al. Echinagard treatment shortens the course of the common cold: a double-blind, placebo-controlled clinical trial. European Journal of Clinical Research 1997;9:261-8. (42) - Braunig B. Echinacea purpurea radix for strengthening the immune response in flu-like infections. Zeitschrift fur Phytotherapie 1992;13:7-13. (60) - Blumenthal M. The German Commission E Monograph system for phytomedicines: A model for regulatory reform in the United States. Phytomedicines of Europe: Chemistry and Biological Activity. Washington, DC: American Chemical Society 1998:30-43. (61) - Echinacea purpurea. In: Blumenthal M, et al, eds. The Complete German Commission E Monographs. American Botanical Council. Austin, Texas: Integrative Medicine Communications, 1998. (62) - Bergner P. News From Germany--Contraindications for Echinacea? Medical Herbalism 1990;2. http://www.herbs.org/greenpapers/echinacea.html Over 500 scientific studies have documented the chemistry, pharmacology, and clinical applications of Echinacea. This Native American herb has an impressive record of laboratory and clinical research. Thousands of doctors currently use Echinacea for treating infectious diseases. Primary uses of Echinacea - Colds, coughs and flu and other upper respiratory conditions; enlarged lymph glands, sore throat; urinary tract infections; other minor infections; may help combat herpes and candida; wounds, skin regeneration and skin infections (external use); psoriasis, eczema and inflammatory skin conditions (external use). Echinacea Purpurea ReferencesAdam KL. Echinacea as an alternative crop. Horticulture Technical Note. Appropriate Technology Transfer for Rural Areas. National Center for Appropriate Technology. U.S. Department of Agriculture. June 2002. Available at: http://attra.ncat.org/attra-pub/echinacea.html. Accessed May 21, 2003. Aggarwal A, Ades PA. Interactions of herbal remedies with prescription cardiovascular medications. Coronary Artery Disease. 2001;12(7):581-584. Anon: Echinacea. In: DerMarderosian A, Beutler JA, eds. Facts and Comparisons: The Review of Natural Products. St. Louis, MO, Facts and Comparisons. July 2000. Barrett B. Echinacea: a safety review. HerbalGram. 2003;57:36-39. Barrett B. Efficacy and safety of echinacea in treating upper respiratory tract infections in children: a randomized controlled trial. Journal of Pediatrics. 2004;145(1):135-136. Barrett BP, Brown RL, Locken K, Maberry R, Bobula JA, D'Alessio D. Treatment of the common cold with unrefined echinacea. A randomized, double-blind, placebo-controlled trial. Annals of Internal Medicine. 2002;137:939-946. Berg, AH, Northoff D, Konig C, Weinstock D, Grathwohl MJ, Parnham I, Keul J. Influence of echinacin (EC31) treatment on the exercise-induced immune response in athletes. Journal of Clinical Research. 1998;1:367-380. Bielory L. Complementary and alternative interventions in asthma, allergy, and immunology. Annals of Allergy, Asthma and Immunology. 2004;93(2 Suppl 1):S45-S54. Block KI, Mead MN. Immune system effects of echinacea, ginseng, and astragalus: a review. Integrated Cancer Therapy. 2003;2(3):247-267. Chase C. Small trial fails to show benefits of echinacea to treat genital herpes. HerbalGram. 2003;57:21-22. Coltrain D. Economic issues with echinacea. Department of Agricultural Economics. Kansas State University. Reviewed August 2002. Complimentary and Alternative Medicines Institute. University of the Sciences in Philadelphia. Echinacea. 2000. Available at: http://ww.cami.usip.edu/monographs/echinacea.htm. Accessed April 9, 2003. Complementary and Alternative Medicines Institute. University of the Sciences in Philadelphia. Echinacea. 2000. Available at: http://www.cami.usip.edu/monographs/echinacea.htm. Accessed April 9, 2003. Di Carlo G, Nuzzo I, Capasso R, Sanges MR, Galdiero E, Capasso F, Carratelli CR. Modulation of apoptosis in mice treated with Echinacea and St. John's wort. Pharmacological Research. 2003;48(3):273-277. Facino RM, Carini M, Aldini G, et al. Echinacoside and caffeoyl conjugates protect collagen from free radical-induced degradation: a potential use of echinacea extracts in the prevention of skin photodamage. Planta Medica. 1995;61:510-514. Flannery, Michael. From rudbeckia to echinacea: the emergence of the purple cone flower in modern therapeutics. Pharmacy in History.1999;41(2):52-59. Freier DO, Wright K, Klein K, Voll D, Dabiri K, Cosulich K, George R. Enhancement of the humoral immune response by Echinacea purpurea in female Swiss mice. Immunopharmacology and Immunotoxicology. 2003;25(4):551-560. Gallo M, Sarkar M, Au W, et al. Pregnancy outcome following gestational exposure to echinacea: A prospective controlled study. Archives of Internal Medicine. 2000;160(20):3141-3143. Garrard J, Harms S, Eberly LE, Matiak A. Variations in product choices of frequently purchased herbs: caveat emptor. Archives of Internal Medicine. 2003;163(19):2290-2295. Gilroy CM, Steiner JF, Byers T, Shapiro H, Georgian W. Echinacea and truth in labeling. Archives of Internal Medicine. 2003;163(6):699-704. Glick D. Poaching wild echinacea. American Botanical Council HerbClip. 1999. Goel V, Lovlin R, Barton R, Lyon MR, Bauer R, Lee TD, Basu TK. Efficacy of a standardized echinacea preparation (Echinilin) for the treatment of the common cold: a randomized, double-blind, placebo-controlled trial. Clinical Pharmacology and Therapeutics. 2004;29(1):75-83. Goldhaber-Fiebart S, Kemper KJ. Echinacea (E. angustifolia, E. pallida, and E. purpurea). The Longwood Herbal Task Force. August 20, 1999. Available at: http://www.mcp.edu/herbal/echinacea/echinacea.pdf Accessed: March 28, 2003. Gorski JC, Huang SM, Pinto A, et al. The effect of echinacea (Echinacea purpurea root) on cytochrome P450 activity in vivo. Clinical Pharmacology and Therapeutics. 2004;75(1):89-100. Haughton C. Echinacea angustifolia (D.C.) Heller. Revised September 23, 2002. Available at: : http://www.purplesage.org.uk/profiles/echinacea.htm. Accessed March 28, 2003. HealthNotes, Inc. Echinacea. 2002. Available at: http://www.mycustompak.com/healthNotes/Herb/Echinacea.htm Accessed March 28, 2003. Henneicke-von Zepelin H, Hentschel C, Schnitker J, et al. Efficacy and safety of a fixed combination phytomedicine in the treatment of the common cold (acute viral respiratory tract infection): results of a randomised [sic], double blind, placebo-controlled, multicentre [sic] study. Current Medical Research and Opinion. 1999;15(3):214-227. Izzo AA, Ernst E. Interactions between herbal medicines and prescribed drugs: a systematic review. Drugs. 2001;61(15):2163-2175. Jellin JM, Gregory P, Batz F, Hitchens K, et al, eds. Pharmacist's Letter/Prescriber's Letter. Natural Medicines Comprehensive Database, 3rd Edition. Stockton CA: Therapeutic Research Facility, 2000. Jurkstiene V, Kondrotas AJ, Kevelaitis E. Compensatory reactions of immune system and action of Purple Coneflower (Echinacea purpurea (L.) Moench) preparations. [Article in Lithuanian] Medicina (Kaunas). 2004;40(7):657-662. Kligler B. Echinacea. American Family Physician. 2003;67:77-80 and 83. Lindenmuth GF, Lindenmuth EB. The efficacy of echinacea compound herbal tea preparation on the severity and duration of upper respiratory and flu symptoms: a randomized, double-blind, placebo-controlled study. Journal of Alternative and Complementary Medicine. 2000;6(4):327-334. Luettig B, Steinmuller C, Gifford GE, et al. Macrophage activation by the polysaccharide arabinogalactan isolated from plant cell cultures of Echinacea purpurea. Journal of the National Cancer Institute. 1989;81(9):669-675. McCaleb R. Echinacea for athletes. HerbalGram.1999;47:29. McCaleb R. Echinacea: mixed results from recent trials. HerbalGram. 1999;45:25. McCaleb R. Echinacea safety confirmed. HerbalGram.1998;42:15. Melchart D, Clemm C, Weber B, et al. Polysaccharides isolated from Echinacea purpurea herba cell cultures to counteract undesired effects of chemotherapy--a pilot study. Phytotherapy Research. 2002;16(2):138-142. Melchart D, Linde K, Worku F, Sarkady L, Holzmann M, Jurcic K, Wagner H. Results of five randomized studies on the immunomodulatory activity of preparations of Echinacea. The Journal of Alternative and Complementary Medicine. 1995;1(2):145-160. Miller LG. Herbal medicinals: selected clinical considerations focusing on known or potential drug-herb interactions. Archives of Internal Medicine. 1998;158(20): 2200-2211. Mishima S, Saito K, Maruyama H, Inoue M, Yamashita T, Ishida T, Gu Y. Antioxidant and immuno-enhancing effects of Echinacea purpurea. Biology and Pharmacology Bulletin. 2004;27(7):1004-1009. Randolph RK, Gellenbeck K, Stonebrook K, Brovelli E, Qian Y, Bankaitis-Davis D, Cheronis J. Regulation of human immune gene expression as influenced by a commercial blended Echinacea product: preliminary studies. Experimental Biology and Medicine (Maywood). 2003;228(9):1051-1056. Sperber SJ, Shah LP, Gilbert RD, Ritchey TW, Monto AS. Echinacea purpurea for prevention of experimental rhinovirus colds. Clinical Infectious Diseases. 2004;38(10):1367-1371. Speroni E, Govoni P, Guizzardi S, Renzulli C, Guerra MC. Anti-inflammatory and cicatrizing activity of Echinacea pallida Nutt. root extract. Journal of Ethnopharmacology. 2002;79(2):265-272. Steinmuller C, Roesler J, Grottrup E, Franke G, Wagner H, Lohmann-Matthes ML. Polysaccharides isolated from plant cell cultures of Echinacea purpurea enhance the resistance of immunosuppressed mice against systemic infections with Candida albicans and Listeria monocytogenes. International Journal of Immunopharmacology. 1993;15(5):605-614. Taylor JA, Weber W, Standish L, Quinn H, Goesling J, McGann M, Calabrese C. Efficacy and safety of echinacea in treating upper respiratory tract infections in children: a randomized controlled trial. 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Last Revised October 13, 2004 http://www.immunesupport.com/library/showarticle.cfm/ID/354/e/1/T/CFIDS_FM/ A physician's review of Echinacea clinical studies contains good news for the treatment of colds. The review reaffirms conclusions from previous peer-reviewed research – Echinacea is safe and can work in the early treatment of acute upper respiratory infections, such as colds. Echinacea is a perennial herb from the composite or aster family that contains flowers such as daisies and sunflowers. It grows wild throughout the central plains of the United States and was used by Native Americans. It has gained increasing popularity in Europe as a treatment for respiratory and urinary tract infections. Extracts from the plant's leaves, flowers, or roots are used in preparing commercial products. The review, published in the August issue of The Journal of Family Practice, examined the evidence from 13 clinical trials. In each trial, patients were randomly assigned to receive a placebo or Echinacea. The studies were double-blinded, so neither patients nor physicians knew the assigned substance. Nine of the 13 clinical trials examined the use of Echinacea in treating respiratory infections and eight reported positive results. Typically, patients began treatment with the first signs of infection, and treatment continued for eight days. Compared with placebo groups, the groups taking Echinacea reported fewer "full blown" colds, milder symptoms if a cold developed, or colds of shorter duration. In the minds of most consumers, this probably would be viewed as "prevention." A lower dose of Echinacea was used in the one study that showed no beneficial effect, which might account for the negative findings. The other four studies were trials of chronic use in the absence of symptoms and all reported some benefit from Echinacea. In these studies, the participants took a placebo or Echinacea for a longer period, typically two to three months. While all four studies reported positive results, they were not all statistically significant. Additional research – with a larger number of participants and more objective measurements for outcome – should further clarify the value of Echinacea in preventing respiratory infections. Based on the current research, the physician authors concluded, "the evidence suggests Echinacea taken early in the course of an illness may be safe and effective in reducing the severity and duration of the common cold." Source: Council for Responsible Nutrition, CRN News, September 1999. |