Knowledge, Practice And Use Of Aegle Marmelos (L.) Correa Leaves Among Naturopathy And Ayurvedic Practitioners Of Vadodara City and Desk Review On Various Commercial Formulations available In Health And Disease Specially Diabetes

Abstract

<p>The <em>Aegle marmelos (L.) Correa</em> (Bael), is indigenous to India and its leaves, bark, roots and fruit have been used for over 5000 years in the Indian traditional system of medicine like the Ayurveda, Naturopathy and in various folk medicine to treat various diseases including diabetes. This study was conducted to assess Knowledge, Practice and Use (KPU)of <em>Aegle Marmelos (L.) Correa</em> leaves among 20 Ayurvedic (AP) and Naturopathic practitioners (NP) in Vadodara city as well as desk reviews on various commercial formulations of <em>Aegle Marmelos (L.) Correa</em> (Bael) used in health and disease specially diabetes using internet</p><p>Desk reviews were done using Pub Med and other web sources along with personal visits to various libraries across Gujarat state. For KPU, Purposive selection of AP (n=10) and NP (n=10) was done using snow ball sampling technique from Vadodara city in the form of key informant interviews based on their oral consent to share data among.</p><p>Desk reviews revealed that <em>Aegle Marmelos (L.) Correa </em>leaves were being recognized as a remedy for the treatment of diabetes in both Ayurveda and Naturopathy. Many Ayurvedic formulations were available commercially as poly herbal formulations (PHF) rather than single drug in the market of various reputed brands which contained <em>Aegle Marmelos (L.) Correa </em>leaves in the form of various powder, tablets, capsules, etc. Naturopathy did not contain any commercial brands of <em>Aegle Marmelos (L.) Correa </em> leaves as it believes in fresh doses of the plant.</p><p>KPU results revealed that AP used bael leaves for the treatment of diabetes and the dosage for the treatment ranged from 5-10g/day in various forms such as powder, decoction and dry extract in the form of capsules (1 capsule contains 0.5mg of extract which is equivalent to 5mg of leaf powder). NP<strong> </strong>also used<strong> </strong>bael<em> </em>leaves for the treatment of diabetes and the dosage ranged from 40-50 fresh leaves in the form of juice mixed with water to make a volume of around 100ml.</p><p>Bael<em> </em>leaves were reported to be used by these practitioners as anti-diabetic agent. This information extracted warrants further clinical trials to prove the efficacy of the anti-diabetic properties of these leaves.</p>

Review on Crude Drug Used In Diabetes Mellitus

“…Neem, tulsi, and A. marmelos leaves are combined, dried, and powdered before being given three times a day for fifteen days. Aegle marmelos (100, 200, and 500 mg/kg) is used to treat a variety of diseases, including cancer, various viral diseases, and various micro-bacterial diseases, according to animal studies [24].…”

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“…A few important formulations that incorporate parts of this important plant in their preparation are Kutajavaleha (for piles, irritable bowel syndrome, and other ailments related to the gut), Bilwa Taila (for treating ailments related to the ear, like hearing difficulty, tinnitus, etc. ), Vilwadi Gulika (to treat insect bites and certain infections), Brihat Gangadhara Churna (for treatment of diarrhea and dysentery, ailments of the digestive tract), etc., to name a few 10,11,12,13,14 .…”

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“…); the various plants or plant products tested include Ginkgo biloba, saffron, coconut, green tea, lemon balm, sage, blueberry and some others [23]. Aegle marmelos (L.) Correa commonly known as bael (in Bengali) and Bengal quince or goilden apple (in English) has been used in Ayurveda and folk medicine of Bangladesh for over 500 years for the treatment of various diseases comprising diabetes and memory loss [24]. The plant has been used for retrieving memory or enhancing the capability of remembering that was deteriorated because of diabetes.…”