Abstract
Purpose
Abnormal uterine bleeding (AUB) is one of the prevalent gynecological disorders that cause considerable morbidity and management of that plays an important role in protecting women’s health. This review focuses on medicinal plants mentioned by Avicenna, a great Iranian philosopher and physician (A.D. 980–1037), in his book Canon for treatment of AUB.
Methods
Medicinal plants mentioned in Canon for treatment of AUB were elicited and searched in electronic databases including PubMed, Scopus, Google Scholar and Cochrane library to find studies that confirmed their efficacy. Data were collected for the years 1980–2014.
Results
The findings included 23 plants belonging to 18 families. Scientific findings have revealed that these plants control AUB through four mechanisms of action including inhibition of inflammatory process, inhibition of prostaglandins production, antiproliferative activity on human cervical cancer cells (HeLa), and estrogenic activity. All of the plants exhibited anti-inflammatory activity in vitro and/or in vivo. Cuscuta chinensis and Portulaca oleracea exhibited estrogenic activity. Boswellia carteri, Lens culinaris, Myrtus communis, Polygonum aviculare, Pistacia lentiscus, and Punica granatum have revealed inhibitory activity on biosynthesis of prostaglandins. Some of the mentioned plants including: Ceratonia siliqua, Cuscuta chinensis, Cuscuta epithymum, Cydonia oblonga, Paeonia sp., Portulaca oleracea, Solanum nigrum, Rumex acetosa and Onopordum acanthium have shown antiproliferative activity on HeLa cells.
Conclusion
Investigation of traditional Iranian medicine literatures can lead to the identification of effective natural medicines for the management of AUB; however, conclusive confirmation of the efficacy and safety of these treatments needs more evaluations.
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References
Fraser IS, Critchley HOD, Munro MG (2007) Abnormal uterine bleeding: getting our terminology straight. Curr Opin Obstet Gynecol 19:591–595
The ESHRE Capri Workshop Group (2007) Endometrial bleeding. Hum Reprod Update 13:421–431
Critchley HO, Maybin JA (2011) Molecular and cellular causes of abnormal uterine bleeding of endometrial origin. Semin Reprod Med 29:400–409
Gibbs RSKB, Haney AF, Nygaard IE (2008) Danforth’s obstetrics and gynecology. Williams & Wilkins, Philadelphia
Marret H, Fauconnier A, Chabbert-Buffet N, Cravello L, Golfier F, Gondry J et al (2010) Clinical practice guidelines on menorrhagia: management of abnormal uterine bleeding before menopause. Eur J Obstet Gynecol Reprod Biol 152:133–137
Munro MG, Critchley HOD, Fraser IS (2011) The FIGO classification of causes of abnormal uterine bleeding in the reproductive years. Fertil Steril 95:2204–2208
American College of Obstetricians and Gynecologists (2013) Management of acute abnormal uterine bleeding in nonpregnant reproductive aged women. Obstet Gynecol 12:891–896
Ferenczy A (2003) Pathophysiology of endometrial bleeding. Maturitas 45:1–14
Munro MG, Critchley HOD, Broder MS, Fraser IS (2011) FIGO classification system (PALM-COEIN) for causes of abnormal uterine bleeding in nongravid women of reproductive age. Int J Gynaecol Obstet 113:3–13
Smith RD (1980) Avicenna and the Canon of Medicine: a millennial tribute. West J Med 133:367–370
Tabarraei M, Qaraaty M, Eftekhar T, Zafarghandi N, Nazem E et al (2013) Etiologies of hyper menorrhea (the view points of traditional Iranian medicine). J Islam Iran Trad Med 4:25–34
Ibn-e-sina AH (2005) Al-Qanun fit-tib. Alaalami Beirut library Press (research of ebrahim shamsedine), Beirut
Su S, Hua Y, Wang Y, Gu W, Zhou W, J-A Duan et al (2012) Evaluation of the anti-inflammatory and analgesic properties of individual and combined extracts from Commiphora myrrha, and Boswellia carterii. J Ethnopharmacol 139:649–656
Banno N, Akihisa T, Yasukawa K, Tokuda H, Tabata K, Nakamura Y et al (2006) Anti-inflammatory activities of the triterpene acids from the resin of Boswellia carteri. J Ethnopharmacol 107:249–253
Verhoff M, Seitz S, Northoff H, Jauch J, Schaible AM, Werz O (2012) A novel C(28)-hydroxylated lupeolic acid suppresses the biosynthesis of eicosanoids through inhibition of cytosolic phospholipase A2. Biochem Pharmacol 84:681–691
Kumazawa S, Taniguchi M, Suzuki Y, Shimura M, Kwon MS, Nakayama T (2002) Antioxidant activity of polyphenols in carob pods. J Agric Food Chem 50:373–377
Makris DP, Kefalas P (2004) Carob Pods (Ceratonia siliqua L.) as a source of polyphenolic antioxidants. Food Technol Biotechnol 42:105–108
Khatib S, Vaya J (2010) Fig, carob, pistachio, and health. In: bioactive foods in promoting health fruits and vegetables. Academic Press, San Francisco
Baraldi M (2004) Aqueous extract of Ceratonia siliqua leaves and pods containing polyphenols with antioxidant and antitumor activities. Eur. Patent EP1438058B1
Karim AA, Azlan A (2012) Fruit pod extracts as a source of nutraceuticals and pharmaceuticals. Molecules 17:11931–11946
Custódio L, Escapa AL, Patarra J, Aligué R, Alberício F, Neng NR et al (2013) Sapwood of carob tree (Ceratonia siliqua L.) as a potential source of bioactive compounds. Rec Nat Prod 7:225–229
CustódioL EscapaAL, FernandesE FajardoA, AliguéR AlberícioF, Neng N et al (2011) In vitro cytotoxic effects and apoptosis induction by a methanol leaf extract of carob tree (Ceratonia siliqua L.). J Med Plants Res 5:1987–1996
Ghazanfari T, Naseri M, Shams J, Rahmati B (2013) Cytotoxic effects of Cuscuta extract on human cancer cell lines. Food Agric Immunol 24:87–94
Zeraati F, Zamani A, Goodarzi MT, Hashjin SMM, Razzaghi K (2010) In vitro cytotoxic effects of Cuscuta chinensis whole extract on human acute lymphoblastic leukemia cell line. IranJ Med Sci 35:310–314
Sepehr MF, Jameie SB, Hajijafari B (2011) The Cuscuta kotschyana effects on breast cancer cells line MCF7. J Med Plants Res 5:6344–6351
Jafarian A, Ghannadi A, Mohebi B (2014) Cytotoxic effects of chloroform and hydroalcoholic extracts of aerial parts of Cuscuta chinensis and Cuscuta epithymum on Hela, HT29 and MDA-MB-468 tumor cells. R P S 9:115–122
Liao JC, Chang WT, Lee MS, Chiu YJ, Chao WK, Lin YC et al (2014) Antinociceptive and anti-inflammatory activities of Cuscuta chinensis seeds in mice. Am J Chin Med 42:223–242
Ke J, Duan R (2013) Effects of flavonoids from semen cuscutae on the hippocampal-hypothalamic-pituitary-ovarian sex hormone receptors in female rats exposed to psychological stress. Clin Exp Obstet Gynecol 40:271–274
Ding JX, Li WL, Bai J, Ji YB (2013) Spectrum-effect correlation of mimic estrogenic activity of seeds of Cuscuta chinensis. Chin Pharm J48:337–340
Tsai YC, Lai WC, Du YC, Wu SF, El-Shazly M, Lee CL, et al. (2012) Lignan and flavonoid phytoestrogens from the seeds of Cuscuta chinensis. J Nat Prod 75:1424–1424
Essafi-Benkhadir K, Refai A, Riahi I, Fattouch S, Karoui H, Essafi M (2012) Quince (Cydonia oblonga Miller) peel polyphenols modulate LPS-induced inflammation in human THP-1-derived macrophages through NF-κB, p38MAPK and Akt inhibition. Biochem Biophys Res Commun 418:180–185
Pacifico S, Gallicchio M, Fiorentino A, Fischer A, Meyer U, Stintzing FC (2012) Antioxidant properties and cytotoxic effects on human cancer cell lines of aqueous fermented and lipophilic quince (Cydonia oblonga Mill.) preparations. Food Chem Toxicol 50:4130–4135
Chandrashekar KS, Prasanna KS (2010) Analgesic and anti-inflammatory activities of the essential oil from Cymbopogon flexuosus. Pharmacogn J 2:23–25
Figueirinha A, Cruz MT, Francisco V, Lopes MC, Batista MT (2010) Anti-inflammatory activity of cymbopogon citratus leaf infusion in lipopolysaccharide-stimulated dendritic cells: contribution of the polyphenols. J Med Food 13:681–690
Francisco V, Costa G, Figueirinha A, Marques C, Pereira P, Miguel Neves B et al (2013) Anti-inflammatory activity of Cymbopogon citratus leaves infusion via proteasome and nuclear factor-κB pathway inhibition: contribution of chlorogenic acid. J Ethnopharmacol 148:126–134
Francisco V, Figueirinha A, Neves BM, García-Rodríguez C, Lopes MC, Cruz MT et al (2011) Cymbopogon citratus as source of new and safe anti-inflammatory drugs: bio-guided assay using lipopolysaccharide-stimulated macrophages. J Ethnopharmacol 133:818–827
Leite BLS, Bonfim RR, Antoniolli AR, Thomazzi SM, Araújo AAS, Blank AF et al (2010) Assessment of antinociceptive, anti-inflammatory and antioxidant properties of Cymbopogon winterianus leaf essential oil. Pharm Biol 48:1164–1169
Tsai ML, Lin CC, Lin WC, Yang CH (2011) Antimicrobial, antioxidant, and anti-inflammatory activities of essential oils from five selected herbs. Biosci Biotechnol Biochem 75:1977–1983
Brito RG, Guimarães AG, Quintans JSS, Santos MRV, De Sousa DP, Badaue-Passos D Jr et al (2012) Citronellol, a monoterpene alcohol, reduces nociceptive and inflammatory activities in rodents. J Nat Med 66:637–644
Quintans LJ Jr, Guimarães AG, de Santana MT, Araújo BES, Moreira FV, Bonjardim LR et al (2011) Citral reduces nociceptive and inflammatory response in rodents. Braz J Pharmacog 21:497–502
Begum S, Saxena B, Goyal M, Ranjan R, Joshi VB, Rao CV et al (2010) Study of anti-inflammatory, analgesic and antipyretic activities of seeds of Hyoscyamus niger and isolation of a new coumarinolignan. Fitoterapia 81:178–184
Moradi M, Ghosian MH, Yaghout poor E (2012) Assessment of Hyoscyamus niger seeds alcoholic extract effects on acute and chronic pain in male NMRI rats. J Basic Clin Pathophysiol 1:29–36
Oto G, Ozdemir H, Yaren B, Yetkin Y, Tas A, Tanrıtanır P, Öztürk F (2013) Antinociceptive activity of methanol extract of Hyoscyamus reticulatus L. in mice. AJPCT 1:117–123
KumarV Ankit, KshitijA Prem S (2013) In vitro anti-inflammatory activity of Juglans regia bark. JDDT 3:122–123
Erdemoglu N, Küpeli E, Yeşilada E (2003) Anti-inflammatory and antinociceptive activity assessment of plants used as remedy in Turkish folk medicine. J Ethnopharmacol 89:123–129
Ezzat Faris MAI, Takruri HR, Yousef Issa A (2012) Role of lentils (Lens culinaris L.) in human health and nutrition: a review. Mediterr J Nutr Metab 6:3–16
Thavarajah D, Thavarajah P, Wejesuriya A, Rutzke M et al (2011) The potential of lentil (Lens culinaris L.) as a whole food for increased selenium, iron, and zinc intake: preliminary results from a 3 year study. Euphytica 180:123–128
Zia-Ul-Haq M, Landa P, Kutil Z, Qayum M, Ahmad S (2013) Evaluation of anti-inflammatory activity of selected legumes from Pakistan: in vitro inhibition of cyclooxygenase-2. Pak J Pharm Sci 26:185–187
Rossi A, Di Paola R, Mazzon E, Genovese T, Caminiti R, Bramanti P et al (2009) Myrtucommulone from Myrtus communis exhibits potent anti-inflammatory effectiveness in vivo. J Pharmacol Exp Ther 329:76–86
Feisst C, Franke L, Appendino G, Werz O (2005) Identification of molecular targets of the oligomeric nonprenylated acylphloroglucinols from Myrtus communis and their implication as anti-inflammatory compounds. J Pharmacol Exp Ther 315:389–396
Koeberle A, Pollastro F, Northoff H, Werz O (2009) Myrtucommulone, a natural acylphloroglucinol, inhibits microsomal prostaglandin E-2 synthase-1. Br J Pharmacol 156:952–961
Hosseinzadeh H, Khoshdel M, Ghorbani M (2011) Antinociceptive, anti-inflammatory effects and acute toxicity of aqueous and ethanolic extracts of Myrtus communis L. Aerial parts in mice. J Acupunct Meridian Stud 4:242–247
Qaraaty M, Kamali SH, Dabaghian FH, Zafarghandi N, Mokaberinejad R, Mobli M, Amin G, Naseri M, Kamalinejad M, Amin M, Ghaseminejad A, HosseiniKhabiri SJ, Talei D (2014) Effect of myrtle fruit syrup on abnormal uterine bleeding: a randomized double-blind, placebo- controlled pilot study. Daru 22:1–7
Bose A, Dey Ray S, Sahoo M (2012) Evaluation of analgesic and antioxidant potential of ethanolic extract of Nymphaea alba rhizome. Oxid Antioxid Med Sci 1:217–223
Jesurun RSJ, Jagadeesh S, Ganesan S, Rao KV, Eerike M (2013) Anti inflammatory activity of ethanolic extract of Nymphaea alba flower in swiss albino mice. Int J Med Res Health Sci 2:474–478
Süntar IP, Akkol EK, Baykal T (2010) Assessment of anti-inflammatory and antinociceptive activities of Olea europaea L. J Med Food 13:352–356
Chebbi Mahjoub R, Khemiss M, Dhidah M, Dellaï A, Bouraoui A, Khemiss F (2011) Chloroformic and methanolic extracts of Olea europaea L. Leaves present anti-inflammatory and analgesic activities. ISRN Pharmacol 2011:1–5
Eidi A, Moghadam-kia S, Moghadam JZ, Eidi M, Rezazadeh S (2012) Antinociceptive and anti-inflammatory effects of olive oil (Olea europeae L.) in mice. Pharm Biol 50:332–337
Haloui E, Marzouk B, Marzouk Z, Bouraoui A, Fenina N (2011) Hydroxytyrosol and oleuropein from olive leaves: potent anti-inflammatory and analgesic activities. J Food Agric Environ 9:128–133
Csupor-Löffler B, Hajdú Z, Réthy B, Zupkó I, Máthé I, Rédei T et al (2009) Antiproliferative activity of Hungarian Asteraceae species against human cancer cell lines. Part II. Phytother Res 23:1109–1115
Strzelecka M, Bzowska M, Kozieł J, Szuba B, Dubiel O, Rivera Nunez D et al (2005) Anti-inflammatory effects of extracts from some traditional mediterranean diet plants. J Physiol Pharmacol 56:139–156
Talhouk RS, Esseili MA, Kogan J, Atallah MR, Talhouk SN, Homaidan FR (2009) Inhibition of endotoxin-induced pro-inflammatory markers by water extracts of Onopordum cynarocephalum and Achillea damascena. J Med Plants Res 3:686–696
Nikolova P, Ivanovska N (1999) Estimation of immunological properties of flower and root extracts from Paeonia peregrina. J Herbs Spices Med Plants 6:1–9
Ravipati AS, Zhang L, Koyyalamudi SR, Jeong SC, Reddy N, Bartlett J et al (2012) Antioxidant and anti-inflammatory activities of selected Chinese medicinal plants and their relation with antioxidant content. BMC Complement Altern Med 12:1–14
Chen N, Liu D, Soromou LW, Sun J, Zhong W, Guo W et al (2014) Paeonol suppresses lipopolysaccharide-induced inflammatory cytokines in macrophage cells and protects mice from lethal endotoxin shock. Fundam Clin Pharmacol 28:268–276
Zhang L, Zhang S (2011) Modulating Bcl-2 family proteins and caspase-3 in induction of apoptosis by paeoniflorin in human cervical cancer cells. Phytother Res 25:1551–1557
Zhang LL, Zhang SL, Wang SZ (2010) Relevant study on apoptosis of cervical cancer HeLa cells induced by paeoniflorin. Natl Med J Chin 90:3371–3375
Dellai A, Souissi H, Borgi W, Bouraoui A, Chouchane N (2013) Antiinflammatory and antiulcerogenic activities of Pistacia lentiscus L. leaves extracts. Ind Crop Prod 49:879–882
Zhou L, Satoh K, Takahashi K, Watanabe S, Nakamura W, Maki J, Hatano H, Takekawa F, Shimada C, Sakagami H (2009) Re-evaluation of anti-inflammatory activity of mastic using activated macrophages. In Vivo 23:583–589
Bozorgi M, Memariani Z, Mobli M, Salehi Surmaghi MH, Shams-Ardekani MR, Rahimi R (2013) Five Pistacia species (P. vera, P. atlantica, P. terebinthus, P. khinjuk, and P. lentiscus): a review of their traditional uses, phytochemistry, and pharmacology. Sci World J 2013:1–33
Tunón H, Olavsdotter C, Bohlin L (1995) Evaluation of anti-inflammatory activity of some Swedish medicinal plants. Inhibition of prostaglandin biosynthesis and PAF-induced exocytosis. J Ethnopharmacol 48:61–76
Granica S, Czerwińska ME, Żyżyńska-Granica B, Kiss AK (2013) Antioxidant and anti-inflammatory flavonol glucuronides from Polygonum aviculare L. Fitoterapia 9:180–188
Shobeiri SF, Sharei S, Heidari A, Kianbakht S (2009) Portulaca oleracea L. in the treatment of patients with abnormal uterine bleeding: a pilot clinical trial. Phytother Res 23:1411–1414
Londonkar RL, Nayaka HB (2013) Effect of ethanol extract of Portulaca oleracea L on ovulation and estrous cycle in female albino rats. J Pharm Res 6:431–436
Chan K, Islam MW, Kamil M, Radhakrishnan R, Zakaria MNM, Habibullah M et al (2000) The analgesic and anti-inflammatory effects of Portulaca oleracea L. subsp. sativa (Haw.) Celak. J Ethnopharmacol 73:445–451
Zhao R, Gao X, Cai Y, Shao X, Jia G, Huang Y et al (2013) Antitumor activity of Portulaca oleracea L. polysaccharides against cervical carcinoma in vitro and in vivo. Carbohydr Polym 96:376–383
Rashed AN, Afifi FU, Disi AM (2003) Simple evaluation of the wound healing activity of a crude extract of Portulaca oleracea L. (growing in Jordan) in Mus musculus JVI-1. J Ethnopharmacol 88:131–136
Bekir J, Mars M, Souchard JP, Bouajila J (2013) Assessment of antioxidant, anti-inflammatory, anti-cholinesterase and cytotoxic activities of pomegranate (Punica granatum) leaves. Food Chem Toxicol 55:470–475
Bekir J, Mars M, Vicendo P, Fterrich A, Bouajila J (2013) Chemical composition and antioxidant, anti-inflammatory, and antiproliferation activities of pomegranate (Punica granatum) flowers. J Med Food 16:544–550
Ismail T, Sestili P, Akhtar S (2012) Pomegranate peel and fruit extracts: a review of potential anti-inflammatory and anti-infective effects. J Ethnopharmacol 143:397–405
Ouachrif A, Khalki H, Chaib S, Mountassir M, Aboufatima R, Farouk L et al (2012) Comparative study of the anti-inflammatory and antinociceptive effects of two varieties of Punica granatum. Pharm Biol 50:429–438
Sarker M, Das SC, Saha SK, Al Mahmud Z, Bachar SC (2012) Analgesic and anti-inflammatory activities of flower extracts of Punica granatum Linn. (Punicaceae). J Appl Pharmaceut Sci 2:133–136
Bagri P, Ali M, Aeri V, Sultana S, Bhowmik M (2010) Evalution of anti-inflammatory and analgesic activity of Punica granatum linn. Int J Drug Dev Res 2:698–702
Lee C-J, Chen L-G, Liang W-L, Wang C-C (2010) Anti-inflammatory effects of Punica granatum Linne in vitro and in vivo. Food Chem 118:315–322
Madduluri S, Sitaram B, Balasekharan C (2014) In vitro evaluation of anti inflammatory activity of methanolic and ethanolic leaf extracts of five indigenous plants in South India. Int J PharmTech Research 6:569–574
Shukla M, Gupta K, Rasheed Z, Khan KA, Haqqi TM (2008) Bioavailable constituents/metabolites of pomegranate (Punica granatum L) preferentially inhibit COX2 activity ex vivo and IL-1beta-induced PGE2 production in human chondrocytes in vitro. J Inflamm 5:1–10
Balwani S, Nandi D, Jaisankar P, Ghosh B (2011) 2-Methyl-pyran-4-one-3-O-β-D-glucopyranoside isolated from leaves of Punica granatum inhibits the TNFα-induced cell adhesion molecules expression by blocking nuclear transcription factor-κB (NF-κB). Biochimie 93:921–930
Ahangarpour A, Heidari R, Abdolahzadeh M, Oroojan AA (2012) Antispasmodic effects of aqueous and hydroalcoholic punica granatum flower extracts on the uterus of non-pregnant rats. J Reprod Infertil 13:140–142
Mossa JS, Rafatullah S, Galal AM, Al-Yahya MA (1995) Pharmacological studies of Rhus retinorrhaea. Int J Pharmacogn 33:242–246
Lajter I, Zupkó I, Molnár J, Jakab G, Balogh L, Vasas A et al (2013) Antiproliferative activity of polygonaceae species from the Carpathian Basin against human cancer cell lines. Phytother Res 27:77–85
Ravi V, Saleem TSM, Patel SS, Raamamurthy J, Gauthaman K (2009) Anti-Inflammatory effect of methanolic extract of Solanum nigrum linn berries. Int Appl Res Nat Prod 2:33–36
Zakaria ZA, Gopalan HK, Zainal H, Mohd Pojan NH, Morsid NA, Aris A, Sulaiman MR (2006) Antinociceptive, anti-inflammatory and antipyretic effects of Solanum nigrum chloroform extract in animal models. Yakugaku Zasshi 126:1171–1178
Li J, Li Q, Feng T, Li K (2008) Aqueous extract of Solanum nigrum inhibit growth of cervical carcinoma (U14) via modulating immune response of tumor bearing mice and inducing apoptosis of tumor cells. Fitoterapia 79:548–556
Li J, Li Q, Peng Y, Zhao R, Han Z, Gao D (2010) Protective effects of fraction 1a of polysaccharides isolated from Solanum nigrum Linne on thymus in tumor-bearing mice. J Ethnopharmacol 129:350–356
Li J, Li QW, Gao DW, Han ZS, Lu WZ (2009) Antitumor and immunomodulating effects of polysaccharides isolated from Solanum nigrum Linne. Phytother Res 23:1524–1530
Hiermann A, Writzel M (1998) Antiphlogistic glycopeptide from the roots of Symphytum officinale. Pharm Pharmacol Lett 8:154–157
Shipochliev T, Dimitrov A, Aleksandrova E (1981) Anti-inflammatory action of a group of plant extracts. Vet Med Nauki 18:87–94
Hariri EH, Asmar ME, Demirdjian SA, Daher CF, Mroueh MA (2013) Anti-inflammatory effect of the methanol, ethyl acetate and chloroform extracts of Tragopogon porrifolius aerial parts. Planta Med 79:PN67
Eldeen IMS, Van Staden J (2008) Cyclooxygenase inhibition and antimycobacterial effects of extracts from Sudanese medicinal plants. S Afr J Bot 74:225–229
Effraim KD, Osunkwo UA, Onyeyilli P, Ngulde A (1998) Preliminary investigation of the possible antinociceptive activity of aqueous leaf extract of Ziziphus spina christi (LINN) desf. Indian J Pharmacol 30:271–272
Adzu B, Amos S, Wambebe C, Gamaniel K (2001) Antinociceptive activity of Zizyphus spina-christi root bark extract. Fitoterapia 72:344–350
Feisst C, Franke L, Appendino G, Werz O (2005) Identification of molecular targets of the oligomeric nonprenylated acylphloroglucinols from Myrtus communis and their implication as anti-inflammatory compounds. J Pharmacol Exp Ther 315:389–396
Koeberle A, Pollastro F, Northoff H, Werz O (2009) Myrtucommulone, a natural acylphloroglucinol, inhibits microsomal prostaglandin E(2) synthase-1. Br J Pharmacol 156:952–961
Rossi A, Di Paola R, Mazzon E, Genovese T, Caminiti R, Bramanti P et al (2009) Myrtucommulone from Myrtus communis exhibits potent anti-inflammatory effectiveness in vivo. J Pharmacol Exp Ther 329:76–86
Hosseinzadeh H, Khoshdel M, Ghorbani M (2011) Antinociceptive, anti-inflammatory effects and acute toxicity of aqueous and ethanolic extracts of Myrtus communis L. Aerial parts in mice. J Acupunct Meridian Stud 4:242–247
Suntar IP, Akkol EK, Baykal T (2010) Assessment of anti-inflammatory and antinociceptive activities of Olea europaea L. J Med Food 13:352–356
Bahramsoltani R, Farzaei MH, Rahimi R (2014) Medicinal plants and their natural components as future drugs for the treatment of burn wounds: an integrative review. Arch Dermatol Res 306:601–617
Farzaei MH, Shams-Ardekani MR, Abbasabadi Z, Rahimi R (2013) Scientific evaluation of edible fruits and spices used for the treatment of peptic ulcer in traditional Iranian medicine. ISRN Gastroenterol 2013:136932
Rahimi R, Baghaei A, Baeeri M, Amin G, Shams-Ardekani MR, Khanavi M et al (2013) Promising effect of Magliasa, a traditional Iranian formula, on experimental colitis on the basis of biochemical and cellular findings. World J Gastroenterol 19:1901–1911
Rahimi R, Shams-Ardekani MR, Abdollahi M (2010) A review of the efficacy of traditional Iranian medicine for inflammatory bowel disease. World J Gastroenterol 16:4504–4514
Vaya J, Mahmood S (2006) Flavonoid content in leaf extracts of the fig (Ficus carica L.), carob (Ceratonia siliqua L.) and pistachio (Pistacia lentiscus L.). BioFactors 28:169–175
Figueirinha A, Paranhos A, Pérez-Alonso JJ, Santos-Buelga C, Batista MT (2008) Cymbopogon citratus leaves: characterization of flavonoids by HPLC–PDA–ESI/MS/MS and an approach to their potential as a source of bioactive polyphenols. Food Chem 110:718–728
Zhao MH, Jiang ZT, Liu T, Li R (2014) Flavonoids in Juglans regia L. Leaves and evaluation of in vitro antioxidant activity via intracellular and chemical methods. Sci World J 2014:1–6
Zou Y, Chang SK, Gu Y, Qian SY (2011) Antioxidant activity and phenolic compositions of lentil (Lens culinaris var. Morton) extract and its fractions. J Agric Food Chem 59:2268–2276
Tuberoso CIG, Rosa A, Bifulco E, Melis MP, Atzeri A, Pirisi FM et al (2010) Chemical composition and antioxidant activities of Myrtus communis L. berries extracts. Food Chem 123:1242–1251
Jambor J, Skrzypczak L (1991) flavonoids from the flowers of Nymphaea alba L. Acta Societatis Botanicorum Poloniae 60:119–125
de Laurentis N, Stefanizzi L, Milillo MA, Tantillo G (1998) Flavonoids from leaves of Olea europaea L. cultivars. Ann Pharm Fr 56:268–273
Vlahov G (1992) Flavonoids in three olive (Olea europaea) fruit varieties during maturation. J Sci Food Agr 58:157–159
Li C, Du H, Wang L, Shu Q, Zheng Y, Xu Y et al (2009) Flavonoid composition and antioxidant activity of tree peony (Paeonia section moutan) yellow flowers. J Agric Food Chem 57:8496–8503
Zhu H, Wang Y, Liu Y, Xia Y, Tang T (2010) Analysis of flavonoids in Portulaca oleracea L. by UV–vis spectrophotometry with comparative study on different extraction technologies. Food Anal Methods 3:90–97
Sudheesh S, Vijayalakshmi NR (2005) Flavonoids from Punica granatum–potential antiperoxidative agents. Fitoterapia 76:181–186
Mukherjee G, Gajaraj AJ, Mathias J, Marya D (2005) Treatment of abnormal uterine bleeding with micronized flavonoids. Int J Gynaecol Obstet 89:156–157
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Mobli, M., Qaraaty, M., Amin, G. et al. Scientific evaluation of medicinal plants used for the treatment of abnormal uterine bleeding by Avicenna. Arch Gynecol Obstet 292, 21–35 (2015). https://doi.org/10.1007/s00404-015-3629-x
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DOI: https://doi.org/10.1007/s00404-015-3629-x