Adonis
DESCRIPTION
Medicinal
Parts: The medicinal part is derived from the aerial parts of the
herb, which are collected during the flowering season and dried.
Flower
and Fruit: The erect, solitary, terminal flower is 4 to 7 cm in
diameter and the 5 broad-ovate, downy sepals are half as long as the petals.
The 10 to 20 petals are narrow, wedge-shaped, simple or finely serrated at the
tip. They are 20 to 40 mm long and lemon-yellow, splayed, glossy, reddish on
the outside or greenish-tinged. There are numerous stamens and carpels. The
small fruit forms a globose capitulum. The fruit is tomentose, wrinkled,
laterally veined and keeled widi a sideways-facing, hook-shaped beak. The fruit
are arranged on the spindle-shaped, oblong receptacle.
Leaves,
Stem and Root: The plant is 10 to 40 cm high with a sturdy, black-brown
rhizome. The stem is erect, undivided, covered with scales at the base,
vertically grooved and succulent. There are few branches. The leaves have many slits
and a curved, glabrous or sparsely haired tip. The middle leaves are
half-clasping.
Characteristics:
Adonis
is a poisonous plant.
Habitat:
This
Siberian/east European plant is found in the north as far as the central Urals
and southwest Sweden. In central Europe, it is limited to the basins of the
Weichsel and the Oder as far as the Main and Rhine.
Production:
The
drug is gathered in forests and should be dried quickly.
Not to
be Confused With: Other Adonis species may be added to Adonidis herba.
Other
Names: False Hellebore, Yellow Pheasant's Eye, Oxeye, Sweet Vernal,
Pheasant's Eye, Red Morocco, Rose-a-Rubie
ACTIONS
AND PHARMACOLOGY
COMPOUNDS
Cardioactive
steroid gylcosides (cardenolids): including adonitoxin,
k-strophanthoside, k-strophanthoside-{3 and cymarin
Flavonoids:
including
vitexin and luteolin
EFFECTS
Adonis
has a positive inotropic effect. Animal tests demonstrated a tonic effect on
the veins. The adonitoxin component is slightly more toxic than coumarin.
The
drug is insufficiently documented.
INDICATIONS
AND USAGE
Approved
by Commission E:
•
Nervous heart complaints
Unproven
Uses : The drug is used for mild impairment of heart functions
(NYHA I and II), especially when accompanied by nervous symptoms.
In
Russian folk medicine, the drug is used for dehydration, cramps, fever and
menstrual disorders, but efficacy is unproven.
Homeopathic
Uses: Preparations of Adonis vemalis are used for cardiac
insufficiency.
CONTRAINDICATIONS
Adonis
is contraindicated in conjunction with digitalis glycoside therapy and also in
potassium deficiency.
PRECAUTIONS
AND ADVERSE REACTIONS
General:
Despite
the strong efficacy of the drug's cardioactive steroid gylcosides in parenteral
application, serious poisoning in the course of per oral administration is
hardly to be expected due to the low resorption rate.
Drug
Interactions: Enhancement of efficacy, and thus also of side effects, with
simultaneous administration of quinidine, digoxin, calcium, saluretics,
laxatives and extended therapy with glucocorticoids.
OVERDOSAGE
For
possible symptoms of overdose and treatment of poisonings see Digitalis
folium.
DOSAGE
Mode
of Administration: Comminuted herb and preparations thereof
for internal use.
Daily
Dosage: The average daily dose is 0.5 gm of standardized Adonis
powder. The maximum single dose is 1.0 gm; maximum daily dose is 3.0 gm.
Homeopathic
Dosage: From D2: 5 to 10 drops, 1 tablet or 5 to 10 globules, 1 to 3
times daily; Injection solution: 1 ml once a week sc. From D4: Injection
solution: 1 ml twice weekly sc.
Storage:
Adonis
herb and powder should be stored carefully. Adonis powder should be stored away
from light in tightly sealed containers.
LITERATURE
Brevoort
P, Der Heilpflanzenmarkt der USA - Ein Uberblick. In: ZPT 18(3): 155-162. 1997.
ESCOP-Monographs. In: ESCOP-Monographs Fascicule I and II. 1996.
Hiller
KO, Rahlfs V, Therapeutische Aquivalenz eines hochdosierten Phytopharmakons mit
Amytriptylin bei angstlichdepressiven Versimmungen - Reanalyse einer
randomisierten Studie unter besonderer Beachtung biometrischer und klinischer Aspekte.
In: Forsch.
Karrer
W, (1950) Helv Chim Acta.33:433.
Lee
MK, et al., Antihepatotoxic activity of Icariin, a major constituent of
Epimedium koreanum. In: PM 61(6):523-526. 1995.
Loew,
Buch. In: Loew D, Rietbrock N: Phytopharmaka II: Forschung und klinische
Anwendung, Steinkopff Verlag, Darmstadt, 1996.
Loew
DA, Loew AD, Pharmakokinetik von herzglykosidhaltigen Pflanzenextrakten. In:
ZPT 15(4): 197-202. 1994.
Loew
D, Phytotherapie bei Herzinsuffizienz. In: ZPT 18(2):92-96. 1997.
Martinez-Vazquez
M, Ramirez Apan TO, Hidemi Aguilar M, Bye R, Analgesic and antipyretic
activities of an aqueous extract and of the flavone Linarin of Buddleia
cordata. In: PM 62:137-140. 1996.
Reinhard
KH, Uncaria tomentosa (WILLD.) DC. - Cat's claw, Una de gato oder Katzenkralle
Protrait einer Arzneipflanze. In: ZPT 18(2): 112-121. 1997.
Sandberg
F, Thorsen R, (1962) Lloydia 25(3):201. Schulz V, Hubner WD, Ploch M, Klinische
Studien mit Psycho-Phytopharmaka. In: ZPT 18(3): 141-154. 1997.
Winkler
C and Wichtel M, (1985) Pharm Acta Helv 60(9/10): 234. Further information in: Frohne
D, Pfander HJ, Giftpflanzen - Ein Handbuch fur
Apotheker,
Toxikologen und Biologen, 4. Aufl., Wiss. Verlags-Ges Stuttgart 1997.
Hansel
R, Keller K, Rimpler H, Schneider G (Hrsg.), Hagers
Handbuch
der Pharmazeutischen Praxis, 5. Aufl., Bde 4-6 (Drogen), Springer Verlag
Berlin, Heidelberg, New York, 1992-1994.
Lewin
L, Gifte und Vergiftungen, 6. Aufl., Nachdruck, Haug Verlag, Heidelberg 1992.
Madaus
G, Lehrbuch der Biologischen Arzneimittel, Bde 1-3,
Nachdruck,
Georg Olms Verlag Hildesheim 1979. Roth L, Daunderer M, Kormann K,
Giftpflanzen, Pflanzengifte, 4. Aufl., Ecomed Fachverlag Landsberg Lech 1993.
Schulz
R, Hansel R, Rationale Phytotherapie, Springer Verlag Heidelberg 1996.
Steinegger
E, Hansel R, Pharmakognosie, 5. Aufl., Springer Verlag Heidelberg 1992.
Teuscher
E, Biogene Arzneimittel, 5. Aufl., Wiss. Verlagsges. Stuttgart 1997.
Teuscher
E, Lindequist U, Biogene Gifte - Biologie, Chemie, Pharmakologie, 2. Aufl.,
Fischer Verlag Stuttgart 1994.
Wagner
H, Wiesenauer M, Phytotherapie. Phytopharmaka und pflanzliche Homoopathika,
Fischer-Verlag, Stuttgart, Jena, New York 1995.
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