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Chronic pain

An unhealthy history of panacea in the past has often acquired medicinal plants with the ability to mitigate pain. Inflammation and pain are the accompanying phenomenon of most diseases. Probably the most well-known opium was an addictive but very powerful analgesic that is still used in the case of fatally ill. Opium was part of the renowned Venetian squirrel, as well as the all-around laudanum , which he wore in the hilt of his sword Paracelsus. I am mainly interested in natural analgesics, which are generally beneficial to health - analgesic adapogens.

Very simply, there are two types of pain: acute and chronic. Acute pain occurs immediately after the injury. Chronic pain is long-lasting and mostly associated with inflammation of the affected part of the body. Pain is one of the four attributes of inflammation . In addition, there is a pain from inflammation independent, but these cases are rather rare. Thus chronic pain can be dampened on two levels:

  1. By suppressing inflammation
  2. By suppressing the perception of pain in the brain

Most common analgesics, including adaptogens, relieve pain by suppressing inflammation. The perception of pain in the brain, on the other hand, dampens opioid and cannabinoid analgesics ( Walker2002can ).

Specific pains:

Effect of adaptogens against chronic pain

This category mainly includes anti-inflammatory adaptogens, which are large amounts. Virtually all classical adaptogens have greater or lesser anti-inflammatory effects. Opioids and cannabinoids that cushion CNS pain are also of natural origin, but they are not adaptive.

Analgesic effects of ginseng

Ginseng suppresses mainly chronic pain due to inflammation (see also anti-inflammatory effects ). Of 180 ginseng saponins, at least 10 inhibits NF-κB transcription factor and reduces the expression of cycloxygenase (COX2 gene) and inflammatory NO synthase 2 (NOS2 gene). This effect has ginsenosides Rh1 , Rh2 , Rb2 , Rd , Rg1 , Re , Rg3 and their metabolites 20 (S) -PPT and Compound K ( Christensen2009gcb , Park1996gri , Park2003aag , Oh2004sog , Park2005ieg etc.) That the inhibitory effect at the level of gene expression is physiologically less confusing than the allosteric elimination of the cyclooxygenase of the aspirin- like analgesic. Vascular NO synthase 3 does not inhibit ginseng ( Ma2006pae ).

The direct effect against the perception of pain in the brain is represented by minor ginsenoside Rf ( Mogil1998grt ), which blocks calcium channels in nocicepic neurons as strongly as opioids ( Nah1995tcg ). The analgesic effect of the ginseng saponin extract (against pain caused by capsaicin in mice) had an ED50 of 49 mg / kg when intramuscularly administered, when an EDC of about 1.5 mg / kg ( Nah2000ega ) was administered to the cerebral chambers. Accordingly, the Yoon1998gid study of a panaxoside mixture administered directly into the brain blocks substance P-induced pain in mice with ED 50 of 30 μg / animal, i.e. about 2 mg / kg.

Other adaptogens and plants with analgesic effect.

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