BackgroundMyrtle (Myrtus communis L.) has been used in the Iranian Traditional Medicine as a treatment for abnormal uterine bleeding-menometrorrhagia. The main aim of this study is to evaluate the effect of myrtle fruit syrup on abnormal uterine bleeding-menometrorrhagia.MethodsA randomized, double-blind, placebo-controlled pilot study was conducted on 30 women suffering from abnormal uterine bleeding-menometrorrhagia. Treatment comprised of giving 15 ml oral myrtle syrup daily (5 ml three times a day) for 7 days starting from the onset of bleeding. The myrtle syrup along with placebo was repeated for 3 consecutive menstrual periods. Menstrual duration and number of used pads were recorded by the Pictorial Blood loss Assessment Chart at the end of each menstrual period. The quality of life was also evaluated using the menorrhagia questionnaire.ResultsThe mean number of bleeding days significantly declined from 10.6 ± 2.7 days to 8.2 ± 1.9 days after 3 months treatment with the syrup (p = 0.01) and consequently the participants in the intervention group used fewer pads after 3 months (16.4 ± 10.7) compared with the number of pads used at the beginning of the treatment (22.7 ± 12.0, p = 0.01). Bleeding days and number of pads used by the participants in the placebo group did not change significantly. Also significant changes of quality of life scores were observed in the intervention group after 3 months compared to the baseline.ConclusionMyrtle syrup is introduced as a potential remedy for abnormal uterine bleeding-menometrorrhagia.

BackgroundAmenorrhea is defined as the cessation of menses. Hormone therapy is the most common treatment. Due to the contraindications and side effects of it and the increasing demand for alternative medicine substitutes, Mentha longifolia L. was used in this study. Mentha longifolia L. is a known medication in Iranian traditional medicine to induce menstrual bleeding in women with secondary amenorrhea and oligomenorrhea.MethodsA double-blind, randomized, placebo-controlled, multicenter study was conducted in 120 women with secondary amenorrhea and oligomenorrhea. Treatment consisted of sequential oral syrup, 45 ml (15 ml three times a day) for 2 weeks. If the patients did not have menstruation after 2 weeks of taking the medication, we would wait for two more weeks. If the patients had menstruation at each stage of using the drug, we started it one week after the end of menstruation. But if the patients had not menstruate after four weeks (two-week using of drug and waiting for two more weeks), the previous steps were repeated. The drug and placebo were repeated in three cycles of menstruation. Bleeding was documented by the patient on diary cards. The primary outcome variable was the occurrence (yes/no) of bleeding during the first treatment cycle. The secondary efficacy outcome was the regularity of bleeding pattern during the three cycles of the study.ResultsThe number of women with bleeding during the first cycle were higher in the drug group as in the placebo group (68.3% vs. 13.6%; p < 0.001). The regularity of bleeding throughout the study was markedly better in the drug group compared with those given placebo (33.3% vs. 3.3%; p < 0.001). No notable complication or side effect was reported in relation to Mentha longifolia L. syrup.ConclusionIn conclusion, Mentha longifolia L. syrup is a safe, well-tolerated, and effective choice in inducing bleeding and maintaining regular bleeding in women with secondary amenorrhea and oligomenorrhea.

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Background: Herbal medicines formulated as oils were believed to possess more powerful effects than their original plants in Iranian Traditional Medicine (ITM). One of the popular oils suggested for treatment of various indications was ginger oil. In the present study, to suggest a more convenient method of oil preparation (compared to the traditional method), ginger oil has been prepared according to both the traditional and conventional maceration methods and the volatile oil constituents have been compared. Material and Methods: Ginger oil was obtained in sesame oil according to both the traditional way and the conventional (maceration) methods. The volatile oil of dried ginger and both oils were obtained by hydro-distillation and analyzed by gas chromatography/mass spectroscopy. Results: Fifty five, fifty nine and fifty one components consisting 94 %, 94 % and 98 % of the total compounds were identified in the volatile oil of ginger, traditional and conventional oils, respectively. Conclusion:The most dominant compounds of the traditional and conventional oils were almost similar; however they were different from ginger essential oil which has also been to possess limited amounts of anti-inflammatory components. It was concluded that ginger oil could be prepared through maceration method and used for indications mentioned in ITM.

10.30699/jambs.29.135.238 Background & Objective: In December 2019, the outbreak of coronavirus disease 2019 (COVID-19) was observed in China, and it it spread rapidly throughout the world. Iranian traditional healers have applied different medicinal plants to prevent and treat COVID-19 based on their ethnopharmacological knowledge. This research aimed to investigate the ethnomedicinal knowledge of Iranian traditional healers to alleviate COVID-19 signs and symptoms. Materials & Methods: Due to the limitations caused by COVID-19 pandemic, oral interviews were conducted by 26 traditional healers in Kerman and Zahedan cities in Iran. The names of recommended remedies for COVID-19 were collected, and their scientific names were authenticated. Next, a comprehensive research was carried out in the scientific databases. Finally, the herbs with any related proved properties to the respiratory system were listed; these herbs were probably useful for the COVID-19 prevention or treatment. Results: Zataria multiflora, Althaea officinalis, Hordeum vulgare, Malva sylvestris, Matricaria chamomilla, Glycyrrhiza glabra, Allium sativum and Zingiber officinale are considered as the most popular herbs by Iranian traditional healers for prevention and/or treatment of COVID-19. Recent studies have demonstrated that the abovementioned herbs can be considered as good sources for alleviating the respiratory disorders such as influenza. Moreover, they have antitussive and immune-modulatory properties. Conclusion:Since there is no effective treatment for COVID-19, the capacity of different traditional medicine and ethnomedicine knowledge can be used as good sources for new drug discovery after accurate studies.