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Plants from the Brazilian Traditional Medicine: species from the books of the Polish physician Piotr Czerniewicz (Pedro Luiz Napoleão Chernoviz, 1812–1881)

Abstract

The Brazilian flora is very rich in medicinal plants, and much information about the traditional use of the Brazilian plants is only available from early literature and we are facing a rapid process of loss of biodiversity. To retrieve data about useful plants registered in the books of the Polish physicist P.L.N. Chernoviz, who lived in Brazil for 15 years in the 19th century. The aim is to improve our knowledge about Brazilian plants, and to ensure the benefits of sharing it with potential users. Data about Brazilian plants were obtained from six editions of the book Formulary and Medical Guide (Formulário e Guia Médico), published in 1864, 1874, 1888, 1892, 1897 and 1920. All this information was then organized in boxes, and correlated with pharmacological studies from PubMed and Lilacs. A total of 238 species were recorded and 117 different traditional uses were registered for the plants. The most common uses were to treat general skin diseases and intermittent fevers, as purgative, diuretics and andidiarrheal. From the total, only 61 species (25.6%) have been to date subject to pharmacological studies and had their activities confirmed. Chernoviz books represent an important source of data about plants used in traditional medicine of Brazil. Their records were collected at a time when Brazil's native vegetation was still largely intact, and traditional medicine was practiced based on native plants. We argue that these plants must be prioritized in development of medicines, submitting them to clinical studies or by considering their traditionality, as established by WHO. Strategies for the protection of the traditional knowledge are also necessary.

Keywords:
Historical records; Useful plants; Medicinal plants; 19 century

Introduction

Since 2002, the World Health Organization (WHO) has been stimulating the rescue of data from plants used in ancient medical practice, since they are considered potentially useful in the development of new drugs (WHO, 2002WHO, 2002. Traditional Medicine Strategy 2002–2005. World Health Organization, Geneva.). The American plants were widely used long before the arrival of the Europeans in the continent in the 15th century, and besides being one of the richest countries in biodiversity, Brazil is also one of the most diverse in terms of Amerindian culture (Neves, 2006Neves, E.G., 2006. Arqueologia da Amazônia. Jorge Zahar Editor, Rio de Janeiro.; Forzza et al., 2012Forzza, R.C., Baumgratz, J.F., Bicudo, C.E.M., Canhos, D.A.L.C., Anibal, A.C., Marcus, A.N., Costa, A.F.C., Hopkins, D.P., Leitman, M.G., Lohmann, L.G., Lughadha, E.N., Maia, L.C.M., Menezes, G., Morim, M., Peixoto, M.P., Pirani, A.L., Prado, J.R., Queiroz, J., Souza, L.P., Souza, S., Castro, V., Stehmann, J.R., Sylvestre, L., Walter, S., Bruno, M.T., Zappi, D.C., 2012. New Brazilian floristic list highlights conservation challenges. Bioscience 62, 39-45.). However, both plants and traditional knowledge are under heavy threaten due to the continued destruction of the native ecosystems, as a consequence of the successive economic cycles along the five centuries of increasing human occupancy. In fact, today only 7% of the Atlantic Forest survives, and the Cerrado and Caatinga are also in a rapid process of destruction (Giulietti et al., 2005Giulietti, A.M., Raymond, M.H., Queiroz, L.P., Wanderley, M.G.L., Berg, V., 2005. Biodiversity and conservation of plants in Brazil. Conserv. Biol. 19, 632-639.). This situation highlights the necessity to promote the appropriate use and conservation of useful species from the Brazilian biodiversity, as suggested by the WHO.

Historical research can play an important role in recovering valuable ethnopharmacological data regarding the use of plants (Heinrich et al., 2006Heinrich, M., Kufer, J., Leonti, M., Pardo-de-Santayanna, M., 2006. Ethnobotany and ethnopharmacology – interdisciplinary links with the historical sciences. J. Ethnopharmacol. 107, 157-160.; Medeiros, 2008Medeiros, M.F.T., 2008. Historical Ethnobotany: an approach through historical documents and their implications now days. In: Albuquerque, U.P., Hanzaki, N. (Eds.), Recent Development and Case Studies in Ethnobotany. Brazilian Society of Ethnobiology and Ethnoecology, Recife, pp. 127–142.). Over the last ten years, our research group has concentrated efforts to recover informations about useful Brazilian plants in books and other documents from the past centuries. Most registers about Brazilian plants have been recovered from works of Europeans that travelled or lived in the country in the 19th century. Hundreds of species of medicinal plants used in Brazil were registered by these scientists (Brandão et al., 2008Brandão, M.G.L., Zanetti, N.N., Oliveira, P., Grael, C.F., Santos, A.C., Monte-Mór, R.L., 2008. Brazilian medicinal plants described by 19th century European naturalists and in the Official Pharmacopoeia. J. Ethnopharmacol. 120, 141-148.; Breitbach et al., 2013Breitbach, U.B., Niehues, M., Lopes, N.P., Faria, J.Q., Brandão, M.G.L., 2013. Amazonian Brazilian medicinal plants described by C.F.P. von Martius in the 19th century. J. Ethnopharmacol. 147, 180-189.; Fagg et al., 2015Fagg, C.W., Lughadha, E.N., Milliken, W., Hind, D.N., Brandão, M.G.L., 2015. Useful Brazilian plants listed in the manuscripts and publications of the Scottish medic and naturalist George Gardner (1810–1849). J. Ethnopharmacol. 161, 18-29.). Among the Europeans that lived in Brazil in this period is the Polish physicist Piotr Czerniewicz (1812–1881) or Pedro Luiz Napoleão Chernoviz, as he was known in Brazil.

Chernoviz was born in Lukov, but was forced to leave the country while still a medical student at the University of Warsaw in 1831, due to his involvement in an uprising against the Russians. In Montpellier, he continued his studies and in 1837 he was awarded by the French government with the medal of merit, due to his courageous participation in a cholera epidemy (Guimarães, 2005Guimarães, M.R.C., 2005. Chernoviz e os manuais de medicina popular no Império. Hist. Cienc. Saude Man. 12, 501-514.). Chernoviz arrived in Rio de Janeiro in the early 1840s to work as a medical doctor. He returned to France in 1855 and died in 1881.

A year after his arrived in Brazil, Chernoviz wrote the "Formulary and Medical Guide" (Formulário e Guia Médico) directed to physicists, a book that achieved 19 editions during his life, being published by his son afterwards. In 1842 he published the "Dictionary of Popular Medicine" (Dicionário de Medicina Popular), which had a more accessible language to be used by the population. Both books were a striking success in Brazil, especially the "Dictionary" that was widely used in the inner parts of the country, where professional medical assistance was virtually nonexistent. Both books present a good description about the medical techniques at the time but more importantly, a rich register of the traditional uses of Brazilian plants. The aim of this study was to retrieve data about useful Brazilian plants in six editions of the book Formulary and Medical Guide, and discuss about the possibility of their current use.

Methods

Survey of Chernoviz books

Data on the use of native plants were carefully collected from the following editions of the book Formulary and Medical Guide: 6th edition (1864Chernoviz, P.L.N., 1864. Formulário e Guia Médica, 6th ed. Em casa do Autor, Pariz.), 9th edition (1874Chernoviz, P.L.N., 1874. Formulário e Guia Médico, 9th ed. Em casa do Autor, Pariz.), 13th (1888Chernoviz, P.L.N., 1888. Formulário e Guia Médico, 13th ed. Livraria de A. Roger e F. Chernoviz, Pariz.), 15th (1892Chernoviz, P.L.N., 1888. Formulário e Guia Médico, 13th ed. Livraria de A. Roger e F. Chernoviz, Pariz.), 16th (1897Chernoviz, P.L.N., 1897. Formulário e Guia Médico, 16th ed. Livraria de A. Roger e F. Chernoviz, Pariz.) and 19th (1920Chernoviz, P.L.N., 1996 [1920]. A Grande Farmacopeia Brasileira. Formulário e Guia Médico, vol. 2., 19th ed. Itatiaia, Belo Horizonte. Rio de Janeiro.). The editions of 1864, 1874 and 1892 were studied in the Libraries of Medicine and Pharmacy School of University of Paris. The edition of 1888 was consulted in the Library of the Museum of Natural History, also in Paris. The others (1897 and 1920) were consulted in the Natural History Museum and Botanical Gardens and the Pharmacy Faculty of the Federal University of Minas Gerais, in Belo Horizonte, Brazil.

Only the species referred as "plant from Brazil" by the author were considered. Box 1 shows the species cited by Chernoviz that were submitted to pharmacological studies correlated with the traditional uses. In Box 2 are listed the other species. Different popular names were attributed by the author for the plants in the subsequent editions, but in this study we have considered only those names from the last edition, published in 1920, considering the most complete. Only the current scientific names, obtained by consulting the website www.floradobrasil.jbrj.gov.br, from the Rio de Janeiro Botanical Garden, were included in the Boxes.

Box 1
Plants from the Formulary and Medical Guide, their uses, first edition of publication and recent studies correlated with the traditional uses
Box 2
Plants from the Formulary and Medical Guide, their uses and first editions of publication.

The confirmation of the geographic origin of the plants was also observed in this same website. Some discrepancies about the occurrence of the plants cited by Chernoviz and our current knowledge of the Brazilian flora were observed. For instance, Cestrum nocturnum and Cocus nucifera are currently not considered natives in the country's flora however common these plants might be. In other cases, this is just a matter of misapplied names – Drymis winteri does not occur in Brazil, the correct identification of the species found in this country being Drimys granatensis instead. Moreover, Chiococca spp. and Senebiera pinnatifida, cited by the author as exotic plants, are currently known to be natives.

Many species, that only the popular name were cited by the author, were not included in the Boxes as "amapá", "muirapuama", "pajurá", "cabeça-de-negro", "cabeça-de-moleque" and "tamaquaré". Other scientific names cited by the author were also excluded from the Boxes since they were not confirmed as valid names, namely "cipó-guyra" (Bignonia guyra), "rabo-de-tatu" or "sumaré" (Cypripedium brasiliensis), "caámembeca" (Polygala paraensis), "cabacinho" or "bucha–dos-caçadores" (Momordica bucha) and "jaborandi" (Monniera trifolia). "Chique-chique" was also excluded from this survey, since the scientific name assigned to it by Chernoviz (Cereus jamacaru) does not match the species to which this popular name has always been assigned (Pilosocereus gounelleii), which could lead to ambiguous interpretations. Likewise, the species assigned to "caferana" or "jacaré-açu" (Tachia guianensis Aubl.) does not occur in Brazil, and although this is probably a case of misidentification, this plant was excluded.

Survey on other historical references about Brazilian plants

We performed searches for data about the plants cited by Chernoviz in other historical bibliographical sources. The oldest one was Triaga Brasilica, a recipe from the 16th century (Pereira et al., 1996Pereira, N.A., Jaccoud, R.J.S., Mors, W.B., 1996. Triaga Brasilica: renewed interest in a seventeeth-century panacea. Toxicon 34, 511-516.). The book Historiae Naturalis & Medicae published by Piso in 1648 was also studied, but since only the popular names of the plants were cited. Data registered in the 1840s manuscripts of George Gardner (Fagg et al., 2015Fagg, C.W., Lughadha, E.N., Milliken, W., Hind, D.N., Brandão, M.G.L., 2015. Useful Brazilian plants listed in the manuscripts and publications of the Scottish medic and naturalist George Gardner (1810–1849). J. Ethnopharmacol. 161, 18-29.), the field books (Brandão et al., 2012Brandão, M.G.L., Pignal, M., Romaniuc, S., Grael, C.F.F., Fagg, C.W., 2012. Useful Brazilian plants listed in the field books of the French naturalist Auguste de Saint-Hilaire (1779–1853). J. Ethnopharmacol. 143, 488-500.) and the book Plantes usuelles des Brasiliens by Auguste de Saint-Hilaire (Saint-Hilaire, 1824), the book Materia Medica by the german Karl von Martius (Martius, 1843Martius, C.F.P., 1843. Systema Materiae Medicae Vegetabilis Brasiliensis, Lipsiae.) and the 1st Edition of Brazilian official Pharmacopoeia were also obtained (Brandão et al., 2009Brandão, M.G.L., Cosenza, G.P., Grael, C.F.F., Netto Junior, N.L., Monte-Mór, R.L.M., 2009. Traditional uses of American plant species from the 1st edition of Brazilian Official Pharmacopoeia. Rev. Bras. Farmacogn. 19, 478-487.).

Survey of laboratory studies correlated with traditional uses

Searches in PubMed and Lilacs for information about pharmacological studies correlated with the traditional use were also performed, and the results are listed in Box 1.

Results and discussion

In the present study, we have recovered data about Brazilian useful plants from six editions of the Formulary and Medical Guide, published by Chernoviz (followed by his son) from 1864 to 1920. This book reached 19 different editions, being the first published already in 1841, just one year after the author arrived in Brazil. The number of Brazilian plants was dramatically increased along the new editions. As a physician, Chernoviz wrote detailed information about the efficacy and preparation of the remedies from each plant. As he describes in the introduction of each edition, the data were collected from literature available at that time and also from his medical experience during the 15 years he lived in Rio de Janeiro.

Data from 238 useful plants could be retrieved from the books (Boxes 1 and 2). The species are distributed among 83 families, Asteraceae and Fabaceae being the most represented with nineteen (8%) and seventeen (7%), respectively. The other most represented families were Rubiaceae twelve (5%), Euphorbiaceae, Lauraceae and Malvaceae (ten species, 4%), Apocynaceae (nine species, 4%), Solanaceae (eight species, 3%), Cucurbitaceae (seven species, 3%), Bignoniaceae and Rutaceae (six species, 3%), Meliaceae and Verbenaceae (five species), Araceae, Lamiaceae, Lecythidaceae and Myrtaceae, (four species) and Boraginaceae, Gentianaceae, Hypericaceae, Loganiaceae, Menispermaceae, Moraceae, Phyllantaceae, Sapindaceae and Sapotaceae (three species). The remaining families are represented by one or two species.

A total of 117 different traditional uses were recorded for the plants in the six studied editions, and the two most common were as purgative and to treat intermittent fevers (30 and 26 species, respectively). Other well documented uses were as diuretic (21), antidiarrheal and tonic (18), stimulant (17), as astringent, febrifuge and to treat skin ulcers (13), to treat liver disorders, skin diseases and as vermifuge (11), to treat bronchitis, snake bites and as sudorific (10), as antisyphillitic, emmolient and to treat rheumatism (9), as bitter, to treat dropsy and wound healing (8), as emetic and to treat jaundice (7), and as emmenagogue and stomachic (6). Other 90 indications were attributed to five or less plants.

Most plants cited by Chernoviz have been already used in Brazil in the previous century, confirming their importance in traditional secular medicine. Informations on some species were already been compiled by the Portuguese priests in the early colonization of the continent. The Triaga (Teriac), for example, was a Roman ancient remedy used to treat fevers and poisoning, and had part of the components of the original European recipe gradually substituted with plants native to Brazil in 16th century (Pereira et al., 1996Pereira, N.A., Jaccoud, R.J.S., Mors, W.B., 1996. Triaga Brasilica: renewed interest in a seventeeth-century panacea. Toxicon 34, 511-516.). Fourteen plants from the Triaga Brasilica were cited in his book: Cissampelos sp. and Chondodendron platiphyllum, Menispermaceae; Aristolochia sp., Aristolochiaceae; Piper peltatum and Piper anisum, Piperaceae; Solanum paniculatum, Solanaceae; Senna occidentalis and Myroxylon balsamum, Fabaceae; Carapichea ipecacuanha, Rubiaceae; Dorstenia sp., Moraceae; Dicypellium caryophyllatum, Lauraceae; Pradosia lactescens, Sapotaceae; and Bixa orellana, Bixaceae. In the 17th century, the Dutch G. Piso lived for eight years in the northeastern coast and recorded his observations in the book Historiae Naturalis & Medicae, published in 1648 (Pisonis, 1648Pisonis, G., 1648. Historiae Naturalis & Medicae. De Arboribus, Fruticibum & Herbis Medicinalibus, ac Alimentosfis in Brasilia. Elzevier, Amsterdam.). This work describes the plants used by the Amerindians at the time and was the only source of information on the biodiversity of South America until the late 18th century. Plants registered by Guilherme Piso in the 17th century were also identified in the Chernoviz books (by popular names): Anacardium occidentale and Schinus terebinthifolius, Anacardiaceae; Hancornia speciosa, Apocynaceae; Bixa orellana, Bixaceae; Protium icicariba, Burseraceae; Joannesia princeps, Euphorbiaceae; Andira fraxinifolia, Copaifera spp. and Hymenaea spp., Fabaceae; Sassafraz albidum, Lauraceae; Eugenia ayacuchae and Psidium guajava, Myrtaceae; Piper sp., Piperaceae; Pilocarpus pennatifolius, Rutaceae; Solanum paniculatum, Solanaceae; and Cecropia palmate, Urticaceae. In 19th century, Portuguese crown opened the borders to the scientific expeditions of naturalists from other European countries. The pioneer was the German Alexander von Humboldt, who explored the area now occupied by Venezuela, Guyana, and the Brazilian states of Amapá and Roraima, from 1799 to 1804. In the 19th century, dozens of other scientists from different parts of Europe travelled to South America, especially Brazil, describing the flora, fauna, mineral wealth and local customs. The contribution of these naturalists to the knowledge of South American biodiversity is incalculable – thousands of plants were brought to the light of science and thousands of new genera and species have been described, based on the materials they collected. From the works of the 19th century's European naturalists, 192 species (80.1%) were also cited by von Martius, 59 species (24.8%) by A. de Saint-Hilaire, and 24 (10%) by G. Gardner. The same traditional was observed for 65% of the species cited by von Martius and 43% of the species cited by Saint-Hilaire. Eleven species cited by Chernoviz were cited by all the three European naturalists: Gomphrena arborescens, Amaranthaceae; Schinus terebinthifolius, Anacardiaceae; Hancornia speciosa, Apocynaceae; Ilex paraguariensis, Aquifoliaceae; Hymenaea courbaril; Fabaceae; Deianira sp., Gentianaceae; Strychnos pseudoquina, Loganiaceae; Cissampelos ovalifolia, Menispermaceae; Chiococca alba, Palicourea rigida, Rubiaceae; and Simarouba versicolor, Simaroubaceae. This result shows the relevance of the use of such species in the Brazilian traditional medicine on the past. In addition, 51 species were included in the 1st Edition of the Brazilian Official Pharmacopoeia showing their importance also in conventional medicine (Boxes 1 and 2).

It is interesting to note that, on the other side, 34 plants cited by Chernoviz in his work had not been published previously in the consulted bibliography, and these data were probably collected by his own experience as medical doctor in Rio de Janeiro. In fact, Chernoviz's interest in Brazilian medicinal plants was high, since he has incorporated several species along the subsequent editions. While sixty-four plant species (26.9% of the total) were referred as "plants from Brazil" in the 6th edition from 1864, higher numbers were observed in subsequent editions, reaching a total of 238 in the last edition, from 1920.

Among the traditional uses, purgative plants were the most cited by the author (30 species), being 21 new species included in the edition of 1874. Purgatives were widely used in the 19th century due to the belief that diseases were caused by a "dirty body" and it was necessary to "purge", for cleansing. Purgatives from plants are no longer used in the medical practice, and this fact can explain the existence of few data about them in the medical literature – only a report for J. princeps was found, describing episodes of diarrhoea after its use (Nishioka and Escalante, 1997Nishioka, S.E.A., Escalante, R.D., 1997. Poisoning by the ingestion of seeds of the fruit of the "cotieira" (Joannesia princeps). Sao Paulo Med. J. 115, 1366-1367.), and two studies showing the laxative effect of Operculina macrocarpa in mice (Michelin and Salgado, 2004Michelin, D.C., Salgado, H.R.N., 2004. Evaluation of the laxative activity of Operculina macrocarpa L. Urban (Convolvulaceae). Rev. Bras. Farmacogn. 14, 105-109.; Paganotte et al., 2016Paganotte, D.M., Sannomiya, M., Rinaldo, D., Vilegas, W., Salgado, H.R.N., 2016. Operculina macrocarpa: chemical and intestinal motility effect in mice. Rev. Bras. Farmacogn. 26, 427-432.). On the other side, plants used to treat diarrhoea were also very important in the 19th century and the most known and used preparation was made of ipecacuanha root, Carapichea ipecacuanha, Rubiaceae. The beneficial effect of this plant described as early as the 16th century is due to the presence of the alkaloids emetine and cepheline. These substances act specifically on Entamoeba parasites that cause diarrhoea, which were prevalent and often fatal in Chernoviz's time. Although eighteen Brazilian plants were cited as antidiarrheal, besides C. ipecacuanha, only Psidium guajava had this property evaluated (Ojewole et al., 2008Ojewole, J.A., Awe, E.O., Chiwororo, W.D., 2008. Antidiarrhoeal activity of Psidium guajava Linn. (Myrtaceae) leaf aqueous extract in rodents. J. Smooth Muscle Res. 44, 195-207.; Birdi et al., 2010Birdi, T.J., Daswani, P., Brijesh, S., Tetali, P., Natu, A., Antia, N., 2010. Newer insights into the mechanism of action of Psidium guajava L. leaves in infectious diarrhoea. BMC Complement. Altern. Med., http://dx.doi.org/10.1186/1472-6882-10-33.
http://dx.doi.org/10.1186/1472-6882-10-3...
, 2014Birdi, T.J., Brijesh, S., Daswani, P.G., 2014. Bactericidal effect of selected antidiarrhoeal medicinal plants on intracellular heat-stable enterotoxin-producing Escherichia coli. Indian J. Pharm. Sci. 76, 229-235.). Cacalia mentrasto and Simarouba amara were evaluated as antimicrobial (Caceres et al., 1990Caceres, A., Cano, O., Samayoa, B., Aguilar, L., 1990. Plants used in Guatemala for the treatment of gastrointestinal disorders. 1. Screening of 84 plants against enterobacteria. J. Ethnopharmacol. 30, 55-73.; Adetutu et al., 2012Adetutu, A., Morgan, W.A., Corcoran, O., Chimezie, F., 2012. Antibacterial activity and in vitro cytotoxicity of extracts and fractions of Parkia biglobosa (Jacq.) Benth. stem bark and Ageratum conyzoides Linn. leaves. Environ. Toxicol. Pharmacol. 34, 478-483.; Singh et al., 2013Singh, B.R., Singh, V., Ebibeni, N., Singh, R.K., 2013. Antimicrobial and herbal drug resistance in enteric bacteria isolated from faecal droppings of common house Lizard/Gecko (Hemidactylus frenatus). Int. J. Microbiol., http://dx.doi.org/10.1155/2013/340848.
http://dx.doi.org/10.1155/2013/340848...
), which can be related to an antidiarrheal function.

A total of 55 species were cited as useful to treat general skin diseases in the six studied editions, including lupus, acne, eczema, psoriasis, leprosy, astringent, emmolient, as wound healing, to treat skin ulcers, abscess, burns, dry skin, erysipela and impingen. From these, eighteen studies were performed to date in order to verify the efficacy of these plants (Box 1). Other 21 plants were registered as diuretics, nine being cited already in the first edition (Tripogandra diuretica, Senna occidentalis, Boerhavia hirsuta, Phyllanthus spp., Andropogon bicornis and Polygonum spp., Acanthospermum australe, Chiococca alba and Vanilla planifolia). Despite the higher number of species used and their old use, only Phyllanthus niruri has been submitted to pharmacological studies, in order to verify its diuretic activity (Micali et al., 2006Micali, S., Sighinolfi, M.C., Celia, A., Stefani, S., Grande, M., Cicero, A.F., Bianchi, G., 2006. Can Phyllanthus niruri affect the efficacy of extracorporeal shock wave lithotripsy for renal stones? A randomized, prospective, long-term study. J. Urol. 176, 1020-1022.; Giribabu et al., 2014Giribabu, N., Rao, P.V., Kumar, K.P., Muniandy, S., Swapna Rekha, S., Salleh, N., 2014. Aqueous extract of Phyllanthus niruri leaves displays in vitro antioxidant activity and prevents the elevation of oxidative stress in the kidney of streptozotocin-induced diabetic male rats. Evid. Based Complement. Alternat. Med., http://dx.doi.org/10.1155/2014/834815.
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). Fever was a very common health problem at that time, but the most feared was the intermittent fever, showing typical symptoms of malaria. The medical cure for malaria originated in the 17th century when the Spaniards learned, from the Native Americans living in Peru, the use of the bark from Cinchona spp., especially Cinchona succirubra Pav. ex Klotzch (Rubiaceae), known as "china" or "quina". In the 19th century, the Portuguese stimulated the search for substitutes for Cinchona and many species were named "quina" (Cosenza et al., 2013Cosenza, G.P., Somavilla, N.S., Fagg, C.W., Brandão, M.G.L., 2013. Bitter plants used as substitute of Cinchona spp. (quina) in Brazilian traditional medicine. J. Ethnopharmacol. 149, 790-796.). Among the 39 plants registered in the books to treat fevers, 26 species were pointed by Chernoviz as useful to treat intermittent fevers, among them seven species of Brazilian quinas (Strychnos pseudoquina, Ladenbergia hexandra, Remijia ferruginea, Schizocalyx cuspidatus, Esenbeckia febrifuga, Galipea jasminiflora, and Solanum pseudoquina). From these, only Strychnos pseudoquina and R. ferruginea were evaluated to date as antimalarial and they showed a moderated activity (Andrade-Neto et al., 2003Andrade-Neto, V.F., Brandão, M.G., Stehmann, J.R., Oliveira, L.A., Krettli, A.U., 2003. Antimalarial activity of Cinchona-like plants used to treat fever and malaria in Brazil. J. Ethnopharmacol. 87, 253-256.).

Until the first years of the 20th century, the Pharmacopoeia General from Portugal published in 1794, was the official medical reference used in Brazil. In this Pharmacopoeia, few Brazilian species were officialized, among them abutua (Chondrodendron platiphyllum, Menispermaceae), copahyba balsam (Copaifera spp., Fabaceae), contraherva (Dorstenia spp, Moraceae), Elemi or Almacega from Brazil (Protium icicariba, Proteaceae), ipecacuanha (Carapichea ipecacuanha, Rubiaceae), ipecacuanha branca (Pombalia calceolaria, Violaceae) and Smilax salsaparrilha, Smilacaceae. The Portuguese Pharmacopoeia was replaced by the Chernoviz's Formulary and Medical Guide and this book was then required in all Pharmacies in Brazil. This occurred until the publication of the first edition of the Brazilian Pharmacopoeia (FBRAS), in 1926. Fifty-one native plant species previously described by Chernoviz were then formalized in the conventional medicine by their inclusion in the first edition of FBRAS (Brandão et al., 2009Brandão, M.G.L., Cosenza, G.P., Grael, C.F.F., Netto Junior, N.L., Monte-Mór, R.L.M., 2009. Traditional uses of American plant species from the 1st edition of Brazilian Official Pharmacopoeia. Rev. Bras. Farmacogn. 19, 478-487.). The Brazilian plants, cited by Chernoviz, and included in the 1st edition of FBRAS, are examples of American medicinal plants used both in traditional and conventional medicine.

It is unquestionable that the rational use of medicinal plants should be supported by proper laboratorial investigations and clinical trials (Cravotto et al., 2010Cravotto, G., Boffa, L., Genzini, L., Garella, D., 2010. Phytotherapeutics: an evaluation of the potential of 1000 plants. J. Clin. Pharm. Ther. 35, 11-48.; Atanasov et al., 2015Atanasov, A.G., Waltenberger, B., Pferschy-Wenzig, E.M., Linder, T., Wawrosch, C., Uhrin, P., Temml, V., Wang, L., Schwaiger, S., Heiss, E.H., Rollinger, J.M., Schuster, D., Breuss, J.M., Bochkov, V., Mihovilovic, M.D., Kopp, B., Bauer, R., Dirsch, V.M., Stuppner, H., 2015. Discovery and resupply of pharmacologically active plant-derived natural product: a review. Biotechnol. Adv. 33, 1582-1614.). Sixty-one species cited by Chernoviz (25.6%) have been submitted to in vitro and pre-clinical studies and their traditional uses were confirmed. We argue that these plants must be prioritized in development of medicines, submitting them to clinical studies or by considering their traditionality, as established by WHO. It is also very important to define strategies for the protection of the biodiversity and the Native American traditional heritage.

Acknowledgements

We thank CNPq (563563/2010 REFLORA) for financial support and all the Libraries for making their collections available to our studies. We are also grateful to Dr. Maria Fernanda Calió (Universidade Federal de São Carlos, São Carlos, Brazil), Dr. Rubens Queiroz (Universidade Federal da Paraíba, João Pessoa, Brazil), Dr. Pedro Luís Rodrigues de Moraes (Universidade Estadual Paulista, Rio Claro, Brazil), Dr. Alexandre Zuntini (Universidade de São Paulo, São Paulo, Brazil), Dr. Camila Dellanhese Inácio and Dr. Lilian Eggers (Universidade Federal do Rio Grande do Sul), and Dr. Juliana Gastaldello Rando (Universidade do Oeste da Bahia) for their valuable nomenclatural aid. We are also grateful to Tamara Castro for the help in revision of the books.

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Publication Dates

  • Publication in this collection
    May-Jun 2017

History

  • Received
    1 Oct 2016
  • Accepted
    10 Jan 2017
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