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Iranian Journal of Pharmaceutical Research : IJPR logoLink to Iranian Journal of Pharmaceutical Research : IJPR
letter
. 2017 Winter;16(Suppl):227–228.

Relationship Between Temperaments of Herbal Diuretics and Their Effects Based on Avicenna’s Teaching

Amir Mohammad Jaladat a, Fatemeh Atarzadeh a, Reihane Moeini b, Ali Ghobadi c, Omid Sadeghpour d,*
PMCID: PMC5963664  PMID: 29844794

Letter to editor

Avicenna (980-1037 AD), the foremost Iranian physician, introduced numerous herbs as diuretics in his renowned book of Canon of Medicine. He has recommended herbal diuretics for most ailments accompanied by fluid superabundance like lassitude, oedema, and ascites. (1)

He has classified diuretics as cold and hot ones according to their primary action and temperament (Table 1). Hot temperament diuretics have the power to dissolve or dilute viscous and congealed fluids from the pores of an organ and move them toward the urinary tract, while cold temperament diuretics act as a detergent and moistener to wash the residual matter from the body. (1)

Table 1.

Different classes and actions of herbal diuretics in the Canon of Medicine. (1, 7)

Common name Scientific name Name in Canon Part used family
Common hot temperament / strong diuretics
(Act as d issolvent, deobstruent, and emmenagogue)
Anise Pimpinella anisum Anisun Fruit Apiaceae
Black seed Nigella sativa Shuniz Fruit Ranunculaceae
Celery seed Apium graveolens Karafs Fruit Apiaceae
Carrot fruit Daucus carota Jazar Fruit Apiaceae
Cassia bark Cinnamomum cassia Salikhah Bark Lauraceae
Fennel Foeniculum vulgare Razianeh Fruit Apiaceae
Orris root Iris germanica Irsa Rhizome Iridaceae
Asparagus Asparagus racemosus Willd Hilyun Root Asparagaceae
Parsley Petroselinum crispum (Mill) Fuss Futrasaliyun Whole plant Apiaceae
Common cold temperament / mild diuretics
(Act as a detergent and moistener and useful in lower urinary tract symptoms like dysuria)
Cucumber Cucumis flexuosus Qitha Fruit Cucurbitaceae
Pumpkin Cucurbita pepo Qar Fruit Cucurbitaceae
Common malva Malva sylvestris Khubbazi Flower malvaceae
Purslane Portulaca oleracea Baqla hamqa Leaves and seeds Portulacaceae
Small caltrops Tribulus terrestris Hasak Fruit Zygophyllaceae
Winter – cherry Physalis Alkekengi Kakenj Fruit solanaceae

Hot temperament diuretics are more potent than cold ones and can cause menorrhagia. They are contraindicated in the presence of irritative urinary symptoms whereas cold diuretics are advised for burning sensation secondary to urinary tract injuries and dryness. (1)

Today studies on the introduced herbal diuretics by Avicenna are scarce, though some have indicated their properties. For example Positive effects of cold temperament herbal diuretics like Pumpkin seeds in lower urinary tract symptoms of altered prostate health factors have been shown in clinical study (2) while hot diuretics like celery has been prohibited in the presence of symptomatic urinary tract infection due to its irritative volatile oil effect. (3)

The concept regarding potency of diuretic herbs, introduced by Avicenna is in line with the recent findings; hot temperament diuretics like parsley and celery are considered as strong diuretic herbs, (4) while cold ones like Malvaceae are used as mild diuretic. (5)

In recent investigation hot temperament diuretic herbs like anise, and fennel that are dissolvent were more efficient in decreasing weight of normal rats than cold ones such as cucumber, watermelon, and pumpkin; however, none of them did not increase the amount of urine output significantly. (6)

Overall, it seems that different medicinal indications could be considered for hot and cold temperament herbal diuretics, they do not act specifically in the nephrons, and they may play different therapeutic role in gastrointestinal and urogenital systems.

References

  • 1.Avicenna (850-1037a) Canon of Medicine. Electronic version. 2009. [[31 October 2014]]. Available from: http://www.elib.hbi.ir/persian/traditional-medicine/canon-web/canon-02/K2-00.htm.
  • 2.Vahlensieck W, Theurer C, Pfitzer E, Patz B, Banik N, Engelmann U. Effects of pumpkin seed in men with lower urinary tract symptoms due to benign prostatic hyperplasia in the one-year, randomized, placebo-controlled GRANU study. Urologia Int. 2015;94:286–295. doi: 10.1159/000362903. [DOI] [PubMed] [Google Scholar]
  • 3.Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. Montvale: Thomson PDR; 2004. p. 184. [Google Scholar]
  • 4.Yarnell E. Botanical medicines for the urinary tract. World J. Urol. 2002;20:285–93. doi: 10.1007/s00345-002-0293-0. [DOI] [PubMed] [Google Scholar]
  • 5.Wright CI, Van-Buren L, Kroner CI, Koning MMG. Herbal medicines as diuretics: A review of the scientific evidence. J. Ethnopharmacol. 2007;114:1–31. doi: 10.1016/j.jep.2007.07.023. [DOI] [PubMed] [Google Scholar]
  • 6.Parvinroo S, Zahediasl S, Sabetkasaei M, Kamalinejad M, Naghibi F. The effects of selected hot and cold temperament herbs based on Iranian traditional medicine on some metabolic parameters in normal rats. Iran. J. Pharm. Res. 2014;13 ((Suppl)) [PMC free article] [PubMed] [Google Scholar]
  • 7.Ghahreman A, Okhovvat A. Matching The Old Descriptions of Medicinal Plants with the Scientific Ones. Iran: Tehran University Press; 2010. several pages. [Google Scholar]

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