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Yastimadhu
Common Name: A dried extract of Connessi Bark, Coneru or Tellicherry Bark
Sanskrit and Hindi names: Kutaja, Vatsaka and Kalinga
Cough and sore throat are common respiratory problems. Persistent cough could be suppressed naturally with Yastimadhu or licorice. Unlike conventional cough medications and antihistamines, intake of Yastimadhu does not cause drowsiness. It not only soothes the throat, but it also helps to treat underlying problems such as viral infections, excess mucus production and allergies that trigger coughing.
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Its most consistent and important uses are as a demulcent (soothing and coating agent) in the digestive and urinary tracts. It is therefore helpful in coughs and to soothe sore throats. The demulcent and anti-ulcerogenic action of Licorice is beneficial in gastric and duodenal ulcers. It promotes healing of gastrointestinal tracks’ ulcers as the herb is considered as best soothing herb for digestive system.
In Ayurveda, the herb has been used as respiratory organs toner and was used to treat various skin problems and almost all allergic conditions as the herb is anti-allergic and possesses anti-inflammatory action. |
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The licorice or Yathtimadhu is widely been used by Ayurvedic practitioner in various diseases. The most favorable thing for the herb is it does not have any bitter taste and hence, unlike other Ayurvedic medicines, patients do not feel any nauseating while taking licorice. Children, too, deal good with the herb and therefore, an administration of the herb to children is quite an easy job.
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- Helps to suppress cough
- Provides relief from sore throat
- Helps to reduce runny nose, nasal and lung congestion by reducing excess mucus secretion
- Helps to prevent viral respiratory illnesses such as influenza
- Helps to reduce discomfort in asthma and chronic obstructive pulmonary disease patients
- Helps to reduce lung injury in smokers
- Helps to reduce allergy coughs
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Cough is a natural action of the body to eliminate irritants from the air passages. Cough could be either acute or chronic. Acute cough might develop due to an infection of the upper respiratory tract. Pneumonia, sinus infections and whooping cough are common examples of acute cough owing to viral infections. Acute cough might also develop when an irritant such as dust, chemicals, smoke or pet dander enter the airways.
Persistent cough or chronic cough might indicate the presence of a severe underlying respiratory illness. Smoking damages the lungs, leading to chronic cough. Even prolonged exposure to secondhand smoking triggers cough. People suffering from chronic sinus infection often experience persistent coughing. Coughing might be triggered by postnasal drip. Infections of the external ear might trigger coughing. Chronic cough is a common side effect of certain hypertension drugs.
People suffering from chronic acid reflux or gastroesophageal reflux disease (GERD) are prone to chronic cough. In this condition, gastric acid travels from the stomach into the esophagus and might even move into the larynx. The acid irritates the larynx, triggering cough.
Prolonged coughing produces bothersome side effects. It produces physical discomfort such as chest and abdominal pain, poor sleep, dizziness, loss of bladder control and fatigue. It also causes embarrassment at workplace and at social gatherings.
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Licorice is widely used for suppressing cough. The antitussive effect of licorice has been demonstrated in experimental studies. Researches have revealed that liquiritin, the antitussive component of licorice, provides persistent relief from cough. It could prevent cough for more than six hours. (Kamei J, Saitoh A, Asano T, Nakamura R, Ichiki H, Iiduka A, Kubo M. “Pharmacokinetic and pharmacodynamic profiles of the antitussive principles of Glycyrrhizae radix (licorice), a main component of the Kamopo preparation Bakumondo-to (Mai-men-dong-tang).” Eur J Pharmacol. 2005 Jan 10;507(1-3):163-8).
Excessive mucus secretion causes runny nose, nasal and lung congestion and cough. Licorice helps to reduce cough, lung and nasal congestion by inhibiting excess mucus production. Glycyrrhizin, a major phytochemical in licorice, inhibits excessive mucus secretion in the respiratory tract. It could provide relief from inflammatory diseases of the airways. (Nishimoto Y, Hisatsune A, Katsuki H, Miyata T, Yokomizo K, Isohama Y. “Glycyrrhizin attenuates mucus production by inhibition of MUC5AC mRNA expression in vivo and in vitro.” J Pharmacol Sci. 2010;113(1):76-83).
Glycyrrhizin, present in licorice root, improves the function of the diseased respiratory system in people suffering from chronic obstructive pulmonary disease (COPD) and asthma. Studies have shown that intake of licorice helps to improve the effectiveness of bronchodilators. (Shi Q, hou Y, Yang Y, Bai G. “Protective effects of glycyrrhizin against β2-adrenergic receptor agonist-induced receptor internalization and cell apoptosis.” Biol Pharm Bull. 2011;34(5):609-17).
Coughs and runny nose are common respiratory symptoms of allergies. Studies suggest that licorice acts as an anti-allergic agent. The active components in licorice could inhibit production of antibodies known as immunoglobulin E that trigger allergic reactions, breathing difficulties and asthma. (Shin YW, Bae EA, Lee B, Lee SH, Kim JA, Kim YS, Kim DH. “In vitro and in vivo antiallergic effects of Glycyrrhiza glabra and its components.” Planta Med. 2007 Mar;73(3):257-61).
Cough and sore throat are largely triggered by viral infections of the respiratory tract. Licorice is a powerful antiviral agent. It could prevent influenza. Experimental studies indicate that even severe influenza virus infection might be speedily healed with licorice. It could even prevent replication of virus associated with SARS.(Utsunmiya T, Kobayashi M, Pollard RB, Suzuki F. “Glycyrrhizin, an active component of licorice roots, reduces morbidity and mortality of mice infected with lethal doses of influenza virus.” Antimicrob Agents Chemother. 1997 Mar;41(3):551-6; Cinatl J, Morgensterm B, Bauer G, Chandra P, Rabenau H, Doerr HW. “Glycyrrhizin, an active component of licorice roots, and replication of SARS-associated coronavirus.” Lancet. 2003 Jun 14;361(9374):2045-6).
Sore throat is a common postoperative complication that develops owing to anesthesia. Licorice could provide relief from postoperative sore throat. Clinical trials have revealed that gargling with licorice for about five minutes before anesthesia helps to reduce the severity of sore throat following the operation. (Agarwal A, Gupta D, Yadav G, Goyal p, Singh PK, Singh U. “An evaluation of the efficacy of licorice gargle for attenuating postoperative sore throat: a prospective, randomized, single-blind study.” Anesth Analg. 2009 Jul;109(1):77-81).
Cigarette smoking damages the lung tissues. Prolonged exposure to the toxic tobacco smoke significantly increases the risk of chronic obstructive lung disease, bronchial asthma and lung cancer. Researches suggest that the antioxidant effect of the flavonoids in licorice might prevent injury to the lung epithelial cell from exposure to cigarette smoke. (Guan Y, Li FF, Hong L, Yan XF, Tan GL, He JS, Dong XW, Bao MJ, Xie QM. “Protective effects of liquiritin apioside on cigarette smoke induced lung epithelial cell injury.” Fundam Clin Pharmacol. 2011 Jun 1).
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Thousands of years back, in Ayurveda, the Yashtimadhu or licorice was used to fight various ‘vrina’ i.e. ulcers those were affecting internally and externally. Ayurvedic doctors still prefer prescribing this herb in any of those ulcerant conditions. The herb drew the attention for its anti-ulcerant property later in 1940s and 50s in Europe.
Scientists observed that one of the better known folk uses for the herb in Europe has been in treating of gastric ulcers. But then its modern use began in the year of 1946, when a Dutch physician, F. E. Revers showed that licorice was the active ingredient in a domestic medicine used in the Netherlands, then depicted great results obtained in curing stomach ulcers in thirty-two patients.
In the 1950s, new research evidenced that licorice-derived compounds can raise the concentration of prostaglandins in the digestive system, which can promote mucous secretion from the stomach, as well as can produce new cells in the stomach lining. It was also reported that licorice prolongs the life span of surface cells in the stomach and has an anti-pepsin effect. The combined effect contributes to the healing of those ulcers.
A study from Iranian researchers using aspirin coated with licorice found that it the herb help protecting against ulcers that is commonly induced by aspirin, reducing the size and number of ulcers. |
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Licorice is one of the most commonly used herbs in Western herbal medicine and has a very long history of use, both as a medicine and also as a flavoring to disguise the unpleasant flavor of other medications[1].
It is a very sweet, moist, soothing herb that helps to detoxify and protect the liver [8] and is also powerfully anti-inflammatory, being used in conditions as varied as arthritis and mouth ulcers [9].
The root is alterative, antispasmodic, demulcent, diuretic, emollient, expectorant, laxative, moderately pectoral and tonic [1, 3, 4, 5, 6, and 7].
The root has also been shown to have a hormonal effect similar to the ovarian hormone [2].
Licorice root is much used in cough medicines and also in the treatment of catarrhal infections of the urinary tract [1].
It is taken internally in the treatment of Addison's disease, asthma, bronchitis, coughs, peptic ulcer, arthritis, allergic complaints and following steroidal therapy [8].
It should be used in moderation and should not be prescribed for pregnant women or people with high blood pressure, kidney disease or taking digoxin-based medication [8].
Prolonged usage raises the blood pressure and causes water retention [2 and 8].
Externally, the root is used in the treatment of herpes, eczema and shingles [8]. The root is harvested in the autumn when 3 - 4 years old and is dried for later use [1, 8].
[1] Grieve. A Modern Herbal. Penguin 1984 ISBN 0-14-046-440-9
[2] Chiej. R. Encyclopaedia of Medicinal Plants. MacDonald 1984 ISBN 0-356-10541-5
[3] Launert. E. Edible and Medicinal Plants. Hamlyn 1981 ISBN 0-600-37216-2
[4] Lust. J. The Herb Book. Bantam books 1983 ISBN 0-553-23827-2
[5] Uphof. J. C. Th. Dictionary of Economic Plants. Weinheim 1959
[6] Mills. S. Y. The Dictionary of Modern Herbalism. 0
[7] Stuart. Rev. G. A. Chinese Materia Medica. Taipei. Southern Materials Centre 0
[8] Bown. D. Encyclopaedia of Herbs and their Uses. Dorling Kindersley, London. 1995 ISBN 0-7513-020-31
[9] Genders. R. Scented Flora of the World. Robert Hale. London. 1994 ISBN 0-7090-5440-8 |
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Corticosteroid effects:The glycoside glycyrrhizin is the major triterpenoid constituents of licorice root, and is 50 times sweeter than sugar. Glycyrrhizin inhibits hepatic and renal 11b-OHSD and 5a-reductase thereby blocking the inactivation of glucocorticoids and mineralocorticoids and elevating their serum titer. DGL is a preparation from which the glycyrrhizin molecule has been removed. DGL is preferred to carbenoxolone sodium, a synthetic licorice derived ulcer medication that causes side effects, in the treatment of peptic ulcer disease.
Anti-inflammatory and anti-allergenic effects: Glycyrrhetinic acid inhibits PGE2, arachadonic acid release, and has a activity similar to that of hydrocortisone in rat models of arthritis. Glycyrrhetinic acid also suppresses dexamethasone-induced histamine release, and mast cell degranulation in vivo according to animal studies.
(Snow J. Protoc.J.Bot.Med., 1996, 1,3:9-14)
Anti-viral effects: Glycyrrhetinic acid inhibits Herpes simplex type 1, Varicella zoster (VZV), decreases Hepatitis B surface antigen, and inhibits HIV-1 (but not via reverse transcriptase) (Snow J. Protoc.J.Bot.Med., 1996, 1,3:9-14)
Hepatoprotective effects: Glycyrrhetinic acid reduces key liver enzymes SGOT and SGTP and induces interferon according to animal studies(Abe, N, et al. Microbiol Immunol 1982;26(6):535-539; Abe, Y, et al. Nippon Rinsho 1994 Jul;52(7):1817-1822; Fujisawa K. Trop Gastroenterol 1991 Oct-Dec;12(4):176-179; Shinada M, et al. Proc Soc Exp Biol Med 1986 Feb;181(2):205-210; Eisenburg, J. Fortschr Med 1992 Jul 30;110(21):395-398.)
There are many clinical studies that have shown DGL to be effective in reducing size and symptoms of peptic ulcers without any harmful or side effects, and of reducing surgery requirements by offering safe and long term maintenance in patients with healed ulcers. One of the studies has shown that GL increases titers of prednisolone. A concentrated commercial preparation (SNMC) has been used to treat hepatitis, sub acute hepatic failure and improved symptoms in HIV hemophilia patients (Acharya SK, et al. Indian J Med Res 1993 Apr;98:69-74.Chen MF, et al . Endocrinol. Japon. 1990.37:331-341; Chen MF, et al. Endocrinol Jpn 1991 Apr;38(2):167-174;Hikono H, Kiso Y. Economic and Medical Plant Research 1988.Vol II: 39-72; Mori K, et al. 1990. Tohoku J. Exp. Med. 162: 183-193.) |
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Glycyrrhiza glabra, also known as licorice and sweet-wood, is native to the Mediterranean and certain areas of Asia. Historically, the dried rhizome and root of this plant were used medicinally by the Egyptian, Chinese, Greek, Indian, and Roman civilizations as an expectorant and carminative.
In modern medicine too, licorice extracts are often used as a flavoring agent to overcome bitter taste in preparations, and as an expectorant in cough and cold preparations. Licorice extracts have been used for more than sixty years in Japan to treat chronic hepatitis, and also have therapeutic benefits on viruses, including human immunodeficiency virus (HIV), cytomegalovirus (CMV), and Herpes simplex. Deglycyrrhizinated licorice (DGL) preparations are useful in treating certain types of ulcers, while topical licorice preparations have been used to sooth and heal various skin eruptions like psoriasis and herpetic lesions.
The licorice shrub is a member of the pea family and grows in subtropical environments in rich soil to a height of 4-5 feet. The herb has oval leaflets, white to purplish colored flower clusters, and flat pods. Under the ground, the licorice plant has an extensive root system with a main taproot and plenty of runners. The main taproot that is harvested for medicinal use, is soft, fibrous, and has a bright yellow interior. Glycyrrhiza is derived from the ancient Greek term ‘glykos’ that means sweet and rhiza that means the root.
Scientifically, it is a hardy herb or under-shrub with leaves multi-foliolate and imparipinnate. Shape of the flowers is in axillary spikes, papilionaceous. Licorice’s pods are compressed and contain reniform seeds. |
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Over-the-counter cough medicines are often associated with side effects such as drowsiness, lightheadedness and irritability. The side effects are usually more pronounced among elderly patients and people who take cough medicines for a prolonged period. To make matters worse, some people on cough syrups might become addicted to these drugs. Moreover, cough medicines only suppresses cough by soothing the throat, without acting on the underlying ailment that produces cough.
Given the unwanted side effects of cough medicines, we often search for safer natural alternatives such as licorice. While the herb takes care of the cough, you can use some time tested home remedies for attenuating the unpleasant discomfort caused by persistent coughing.
Gargling with warm saline water is a common remedy for sore throat. It is especially effective in reducing the discomfort caused by upper respiratory tract infection. Salt is a powerful antiseptic that helps to kill the germs associated with throat infections.
Sucking hard candy moistens the throat and reduces cough triggered by dry throat. Mucus congestion clogs the airways and the sinuses, leading to persistent coughing. The mucus could be loosened by drinking enough water and fluids. Water also helps to reduce irritation in the throat by soothing and moistening the throat, and reducing throat dryness. Inhaling steamy vapor could help to clear the nasal passages and reduce persistent coughing.
If you are susceptible to allergic cough or asthma, take steps to avoid the allergens that trigger coughing. The incidence of allergic asthma rises during the pollen season. Always cover your nose and mouth while outdoors during the pollen season. The pollen content in the air usually peaks in the late night or early morning. It is advisable to sleep with the windows closed in the night to reduce pollen exposure. Allergies might even develop if dust or pet dander enters the airways. To reduce exposure to allergens, you can install an air filter or air purifier in your house. It helps to remove dust, mold, pollen and microbes from the indoor air.
Quit smoking. Smoking not only damages your respiratory system, but it also harms your entire body. Moreover, smoke emitting from your cigarette enters the lungs of non-smokers around you, making them vulnerable to lung diseases.
Dietary interventions might protect you from coughs and cold. Add sufficient vitamin C rich fruits and vegetables in your diet. Citrus fruits such as lime, lemon and oranges can strengthen your immune system and reduce the severity of respiratory illnesses. Regular intake of garlic could protect you from the microbes associated with infections. Garlic could also help to treat congestions in the sinuses and lungs by loosening the mucus. Fresh slices of onions could also act as natural decongestants. Even smelling a fresh slice of onion might help to clear your clogged nasal passage. Smelling eucalyptus or peppermint oil might help to clear the airways clogged by mucus. A hot spicy meal is also beneficial for people suffering from cough and cold. Hot peppers act as strong natural decongestants.
Discomfort caused by cough and sore throat could be alleviated by taking a steamy shower. The steam entering the airways, sooths and moistens the air passages, and reduce inflammation. |
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Serving size: 2 Vegi caps
Servings per container: 30
Each 500 mg capsule contains: Yastimadhu
Dosage: You can get rid of the bothersome cough and sore throat by taking one to two Yastimadhu capsule, twice a day, daily after meals. |
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