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Epilepsy in the Renaissance: A survey of remedies from 16th and 17th century German herbals
Authors:Michael Adams  Sarah-Vanessa Schneider  Martin Kluge  Michael Kessler  Matthias Hamburger
Affiliation:1. Department of Pharmaceutical Sciences, Division of Pharmaceutical Biology, University of Basel, Klingelbergstrasse 50, CH-4056 Basel, Switzerland;2. Swiss Pharmaceutical Museum, University of Basel, Totengässlein 3, CH-4051 Basel, Switzerland
Abstract:

Ethnopharmacological relevance

Before modern anticonvulsive drugs were developed people in central Europe used herbal remedies to treat epilepsy. Hundreds of different plants for this indication can be found in German herbals of the 16th and 17th centuries. Here we compile these plants and discuss their use from a pharmacological perspective.

Materials and methods

Nine of the most important European herbals of the 16th and 17th century including Bock (1577), Fuchs (1543), Mattioli (1590), 103 and 104, Brunfels (1532), Zwinger (1696), and Tabernaemontanus (1591, 1678) were searched for terms related to epilepsy, and plants and recipes described for its treatment were documented. We then searched scientific literature for pharmacological evidence of their effectiveness. Additionally the overlapping of these remedies with those in De Materia Medica by the Greek physician Dioscorides was studied.

Results

Two hundred twenty one plants were identified in the herbals to be used in the context of epilepsy. In vitro and/or in vivo pharmacological data somehow related to the indication epilepsy was found for less than 5% of these plants. Less than 7% of epilepsy remedies are in common with De Materia Medica.

Conclusions

Numerous plants were used to treat epilepsy in the 16th and 17th centuries. However, few of these plants have been investigated with respect to pharmacological activity on epilepsy related targets.
Keywords:AMPA, α-amino-3-hydroxy-5-methyl-4-isoxazolepropionic acid   BAC, Baclofen   BMC, Bicucullin   CA1-neurons, Neurones from the CA1 region of the hippocampus   CC(T), Computer tomography   [3H]5,7-DCKA, 5,7-dichlor kynurenic acid   EBOB, 4&prime  -ethynyl-4-n-[2,3-(3)H(2)]propylbicycloorthobenzoate   EEG, Electroencephalography   FCS, Fluorescence-correlation-spectroscopy   [3H]FNT, [3H]Flunitrazepam   GABA, Gamma amino butyric acid   GABA-T, GABA-transaminase   GAD, Glutamate decarboxylase   GBL, γ-butyrolacton   GBZ, The vehicle registration code of Gibraltar   GH4C1-cells, Rat hypophyse cell line   I.m., Intramuscularly   INH, Isoniazid   I.p., Intraperitoneally   KA, Kainic acid   MAO, Monoamine oxidase   MES, Maximal electroshock seizure threshold model   MRS, Magnetic resonance spectroscopy   MRT, Magnetic resonance tomography   NMDA, N-methyl d-aspartate   NMRI-mice, Mouse strain from the Naval Medical Research Institute   MTT, 3-(4,5-Dimethylthiazol-2-yl)-2,5, Diphenyltetrazoliumbromid   PET, Positron emission tomography   PTZ, Pentylenetetrazole   PTX, Picrotoxin   PTZ, Pentylenetetrazole   [35S]TBPS, [35S]T, Butylbicyclophosphorothionate   SPECT, Single-photon-emission-computer tomography
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