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Article history:
The term nervios is referred as a folk illness recognized by Mexican Traditional Medicine, and
also widely reported across many countries in Latin America. Nervios are characterized by
a state of bodily and mental unrest, which decreases the ability to achieve daily goals. The
causes are varied; in fact, any situation that alters the emotional state or mood is interpreted
Keywords:
as a possible triggering agent. Depression and anxiety are psychiatric disorders, which share
symptoms, or can be included in the same group of disorders with nervios. The therapies are
Nervios
designed to reassure health, i.e. calm the nerves. For this propose, the oral administration of
Anxiety
plants infusions is common. In this review we compile information regarding the plants used
Depression
for the treatment of nervios in Mxico, along with those for which reports of anxiolytic or/and
antidepressive activity exist. We found 92 plant species used in folk medicine for the treatment
of nervios, among these, sixteen have been studied experimentally. The most studied plant is
Galphimia glauca Cav., Malpighiaceae, which current clinical studies have validated its efficacy in
patients, and their active components, the triterpenes galphimine A, B, and C, identified. Interestingly only nine plants were found to be reported in folk medicine for the treatment of sadness or/and depression, but their antidepressant activity has not been investigated. However,
among the plants used in folk medicine for treatment of nervios, several, as Litsea glaucescens
Kunth, Lauraceae, have been proven to show antidepressant activity in experimental models,
and some of their active compounds have been determined. These species could be a potential
source of compounds with activity in the central nervous system.
2014 Sociedade Brasileira de Farmacognosia. Published by Elsevier Editora Ltda. All rights reserved.
Introduction
Nervios is a group of human maladies recognized by Mexican
Folk or Traditional Medicine, which can be translated as
jitters. Synonyms are: alteration of nerves, nerves, and
nervousness. Nervios are characterized by a state of
* Corresponding author.
E-mail: bjh@xanum.uam.mx (H.B. Jaime).
0102-695X/$ - see front matter 2014 Sociedade Brasileira de Farmacognosia. Published by Elsevier Editora Ltda. All rights reserved.
http://dx.doi.org/10.1016/j.bjp.2014.10.007
592
Chart 1
Summarized information about the plant species used in Mxico for the treatment of nervios.
Plant
Achillea millefolium L.
Agastache mexicana
(Kunth) Lint & Epling.
Family
Popular name
Part used
Location
Asteraceae
Milenrama
Branches
Puebla, Quimixtln
Against nervios
Nervios illness
Analgesic*
Distrito Federal
Reference
Toronjil
All.
Annona diversifolia
Saff.
Annonaceae
Ilama
Seeds
Apium graveolens L.
Umbelliferae
Apio
Roots
Sinaloa, Ahome
Nervios
Marquez-Salazar, 1997
Magaa, 2009
Artemisia ludoviciana
Nutt.
Asteraceae
Estafiate
Leaves
Baccharis glutinosa
Pers.
Asteraceae
Jarilla
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Buddleja perfoliata
Kunth.
Loganiaceae
Salvia de bolita
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Calea zacatechichi
Schltdl.
Asteraceae
Zacatechichi
Leaves
Morelos, Tepoztln
Nervios
Casimiroa edulis La
Llave & Lex.
Rutaceae
Zapote blanco
Leaves Bark
As soothing nervios
Cecropia obtusifolia
Bertol.
Moraceae
Guarumbo
Leaves
Tabasco, Nacajuca
Nervios
Magaa, 2009
Chiranthodendron
pentadactylon Larreat.
Sterculiaceae
Flor de manita
Flowers
Nervios illness
Rutaceae
Naranjo mexicano
Leaves
Puebla
Against nervous
Martnez, 1939
Nervios
Chrysanthemum sp.
Asteraceae
Crisantemo
Leaves
Citrus aurantifolia
(Christm.) Swingle
Rutaceae
Limn
Flowers
Fruits
Branches
Nervios
Nervios
Tranquilizer for
nervous person
Rutaceae
Naranja agra
Leaves Flowers
Fruits
Rutaceae
Pomelo
Fruit
Sinaloa, Ahome
Nervios
Rutaceae
Naranja dulce
Flowers
Pericarp
Branches
Morelos, Tepoztlan;
Tabasco, Nacajuca; Distrito
Federal; Michoacn,
Ocampo and Puebla
Nervios
593
Citrus aurantium L.
Lamiaceae
Plant
594
Chart 1 cont.
Family
Popular name
Part used
Location
Reference
Bark
Sinaloa, Ahome
Nervios
Marquez-Salazar, 1997
Euphorbiaceae
Cymbopogon citrates
(DC.) Stapf
Poaceae
Zacate limn
Leaves
Tabasco, Nacajuca
Nervios
Magaa, 2009
Cynara scolymus L.
Alcachofa
Leaves
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Caryophyllaceae
Clavel
Flowers
Sinaloa, Ahome
Nervios
Marquez-Salazar, 1997
Ebenaceae
Zapote Negro
Bark
Morelos, Tepoztln
Nervios
Dracocephalum
moldavica L.
Lamiaceae
Toronjil chino
Toronjil azul
Branches
Nervios
Boraginaceae
Roble
Beek
Fruits
Snaloa, Ahome
Nervios
Marquez-Salazar, 1997
Eryngium foetidum L.
Apiaceae
Cilantro cimarrn
Roots
Tabasco, Nacajuca
Nervios
Magaa-Alejandro, 2009
Foeniculum vulgare
Mill.
Apiaceae
Hinojo
Seeds
Distrito Federal
Nervios illness
Malpighiaceae
Calderona Amarilla
Branches
Seeds
Distrito Federal
Nervios excitement
Gelsemium
sempervirens (L.) J. St.
Hil.
Loganiaceae
Retama
Branches
Morelos
Against nervios
Baytelman, 1982
Zygophyllaceae
Guayacn
Buds
Sinaloa, Ahome
Nervios
Marquez-Salazar, 1997
Guazuma ulmifolia
Lam.
Sterculiaceae
Guazima
Roots
Tabasco, Nacajuca
Nervios
Magaa, 2009
Haematoxylum sp.
Leguminosae
Palo de Brasil
Flowers
Distrito Federal
Nervios
Torres-Herrera, 1985
Helianthus annuus L.
Asteraceae
Girasol
Steam Seeds
Nervios
Marquez-Salazar, 1997
Heliotropium pringlei
B.L. Rob.
Boraginaceae
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Heteropterys
beecheyana A. Juss.
Malpighiaceae
Bejuco
Stems
Morelos, Tepoztln
As soothing nervios
Hibiscus sabdariffa L.
Malvaceae
Jamaica
Flowers
Sinaloa, Ahome
Nervios
Marquez-Salazar, 1997
Arecaceae
Yucatn
Nervios
Martnez, 1939
Convolvulaceae
Roots
Nervios
Branches
Tabasco, Nacajuca
Nervios
Magaa, 2009
Ehretia tinifolia L.
Guaiacum coulteri A.
Garay.
Tumbavaqueros
Acanthaceae
Lactuca sativa L.
Asteraceae
Lechuga
Leaves
Tabasco, Nacajuca
Nervios
Lepidium virginicum L.
Cruciferae
Lentejilla
Branches
San Luis
Nervios
Martnez, 1939
Verbenaceae
Salve Real
Branches
Sinaloa, Ahome
Nervios
Marquez-Salazar, G. 1997
Asteraceae
Dianthus caryophyllus
L.
Chart 1 cont.
Plant
Litsea glauucescens
Kunth
Loeselia mexicana
(Lam.) Bran.
Family
Popular name
Part used
Location
Reference
Nervios
Hernndez, 1959
Lauraceae
Laurel
Leaves
Polemoniaceae
Espinosilla
Leaves
Branches
Guerrero, Michoacn,
Nayarit, Durango,
Zacatecas, Aguascalientes,
Guanajuato, among others
Susto*
Magnoliaceae
Eloxochitl
Bark Leaves
Puebla
Nervios Tranquilizer
Matricaria chamomilla L.
Asteraceae
Manzanilla
Branches
Tabasco, Nacajuca
Nervios
Magaa, 2009
Marrubium vulgare L.
Lamiaceae
Manrrubio
Branches
Distrito, Federal
Nervios
Azcarraga-Rosette, 2004
Melissa officinalis L.
Lamiaceae
Toronjil
Branches
Tabasco, Nacajuca
Nervios
Magaa, 2009
Montanoa frutescens
(Mairet) Hemsley
Asteraceae
Zoapatle
Leaves
Mood disorders*
Musa acuminata
Colladon
Musaceae
Pltano
Leaves
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Musaceae L.
Pltano
Leaves
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Nervios
Against
Nervios
Baytelman, 1982
Musa paradisiaca L.
Lamiaceae
Albahacar
Branches
Parkinsonia aculeata L.
Leguminosae
Flowers
Morelos
Passifloraceae
Ala de murcielago
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Passifloraceae
Maracuy
Leaves
Michoacn, Ptzcuaro
Nervios
Passiflora foetida L.
Passifloraceae
Pasiflora
Leaves
Tabasco, Nacajuca
Nervios
Magaa, 2009
Passiflora sp.
Passifloraceae
Pasiflora
Leaves
Morelos, Tepoztlan
To control nervios
Cedillo, 1990
Passiflora subpeltata
Ortega
Passifloraceae
Granada cimarrona
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Monimiaceae
Boldo
All
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Asteraceae
Hierba de San
Nicols
Leaves
Against nervios
Martnez, 1939
Phalaris canariensis L.
Gramineae
Alpiste
Seeds
Tabasco, Nacajuca
Nervios
Magaa 2009
Phoradendron velutinum
(DC.) Nutt.
Loranthaceae
Injerto
Leaves
Morelos, Tepoztln
To calm nervios
tension
Cedillo, 1990
Verbenaceae
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Psidium guayava L.
Myrtaceae
Gayaba
Leaves
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Rosaceae
Capuln
Branches
Oaxaca
Martnez, 1928
Portulaca oleracea L.
Portulacaceae
Verdolaga
Branches
Nervios
Paredes, 2001.
Ocimum basilicum L.
Rosaceae
Pera
Flowers
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Pyrus malus L.
Rosaceae
Manzano
Flowers
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
595
Pyrus communis L.
596
Chart 1 cont.
Plant
Rhipsalis baccifera (Mill.)
Stearn
Rivina humilis L.
Family
Popular name
Part used
Location
Reference
Nervios
Alcorn, 1983
Cactaceae
Diciplinilla
Steams
Phytolaccaceae
Bajatripa
Branches
Puebla, Pahuatlan
Nervios
Castro, 1988
Ruta graveolens L.
Rutaceae
Ruda
Seeds
Morelos, Tlatempa
Against nervios
Baytelman B. 1982
Labiateae
Mirto
Branches
Distrito Federal
Azcarraga-Rosette, 2004
Labiateae
Cha
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Lamiaceae
T de monte
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Selaginella pallescens
(C. Presl) Spring
Selaginellaceae
Flor de piedra
Doradilla
Leaves
Nervios
Messer, 1978
Asteraceae
Pericn
Branches
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Magnoliaceae
Yoloxchitl
Seeds
Distrito Federal
Nervios
Theaceae
Tila
Flowers
Puebla, Quimixtln
Nervios
Theaceae
Tila
Flowers
Morelos, Tepoztln
As soothing nervios
Cedillo, 1990
Nervios
Ternstroemia sylvatica
Schltdl. &Cham.
Theaceae
Flor de tila
Flowers
Ternstroemia tepezapote
Schltdl. & Cham.
Theaceae
Manglillo Tronpillo
Flowers
Nervios
Tiliaceae
Tila
Flowers
Nervios
Commelinaceae
Zopitolera
Leaves
Tabasco, Nacajuca
Nervios
Magaa, 2009
Poaceae
Trigo
Seeds
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Turneraceae
Damiana
Leaves
Branches
Nervios
Baytelman, 1982
Urticaceae
Ortiga,
chichicastle
Branches
To calm nervios
Urtucaceae
Ortiga
Branches
To calm nervios
Caprifoliaceae
Valeriana
Leaves
Tabasco, Nacajuca
Nervios
Magaa, 2009
Valeriana
Raz de gato
Roots
Michoacn; Estado de
Mxico
Against nervios
Martnez, 1939
Roots
Morelos
Against nervios
Michocn; Estado de
Mxico
Against nervios
Martnez, 1939
Leaves
Nervios
Gutirrez-Miranda, 2003
Leaves
Distrito Federal
Nervios
Azcarraga-Rosette, 2004
Caprifoliaceae
Valeriana officinalis L.
Caprifoliaceae
Valeriana
Raz de gato
Caprifoliaceae
Valeriana
Verbenaceae
Verbena
Violaceae
*Reported for an illness related to central nervous system but not for nervios.
Alcorn, 1983
Bye, 1976
Blanckaert, 2007
Blanckaert, 2007
Marquez-Salazar, 1997
Azcarraga-Rosette, 2004
Baytelman, 1982
Reference
597
Depression, anguish
San Luis Potos
Asrearaceae
Porophyllum macrocephalum
DC.
Ppaloquelite
Leaves
Sadness of children
Chihuahua
Leguminosae
Haematoxylum brasiletto
Karst
Palo de brasil
Bark
Depression
Oaxaca, Santa Mara
Tecomavaca
Cyperaceae
Cyperus flavescens L.
Paja de guillo
Cyperaceae
Cyperus esculentus L.
Cebolln
Roots
Depression
Oaxaca, Santa Mara
Tecomavaca
Roots
Sadness
Sinaloa, Ahome. El fuerte
Rutaceae
Citrus limetta Risso.
Lima
Leaves
Depression, nostalgia
Distrito Federal
Chiranthodendron
pentadactylon Larreat.
Sterculiaceae
Flor de manita
Flowers
Sadness of children
Morelos, Tlatempa
Chenopodium ambrosioides L. Chenopodiaceae
Epazote
All
Sadness of children
Puebla, Coxcatln
Bugambilia
Nyctaginaceae
Bougainvillea spectabilis
Willd
Popular name
Family
Flowers
Part used
Plant
Chart 2
Summarized information about the plant species used in Mxico for the treatment of sadness or/and depression.
598
599
600
601
602
603
604
Discussion
In Mxico, 92 plant species are used in folk medicine for the
treatment of nervios (Chart 1), sixteen have been studied
experimentally for anxiolytic or antidepressant activity.
Regarding their anxiolytic activity, eleven species have been
studied scientifically. These figures contrasts with the number
of plants used in Mexican Traditional Medicine to treat other
diseases, and scientifically investigated; for instance, in the
case of respiratory illness, 63 out of 187 species have been
tested against Mycobacterium tuberculosis in vitro (GmezCancino et al., 2014). In addition, interest in depression
treatment is relatively recent, as well, as the development
of animal models to evaluate antidepressant activity (Porsolt
et al., 1977), whereas medical interest in infectious diseases
and antibacterial asssay development has a long history.
In addition, other plant species without ethobotanical
reports, or not directly related to nervios, such as mood
disorders, have also been studied, and their anxiolytic effect
demonstrated. The studies were carried out using different
extracts prepared from dried plant material, but none was
more potent than diazepam (1 mg/kg, i.p.), the most common
used positive control. However, these extracts at their lowest
active doses, do not elicit diazepams secondary effects, like
sedation or myo-relaxation, which imply an advantage. The
most studied plant is Galphimia glauca, which current clinical
studies have validated its efficacy in patients, and their active
components, the triterpenes galphimine A, B, and C, have
been identified. Tilia americana var. mexicana has been studied
by two different research groups, both of which coincide that
methanol extract is active. In the case of Galphimia glauca,
Tilia americana var. mexicana, Lippia alba, Annona diversifolia,
Matricaria chamomilla and Valeriana edulis ssp. procera, their
active principles have been identified. There is a great chemical
diversity among the isolated compounds such as: triterpenes
for G. glauca (galphimines); flavonoids for T. americana var.
mexicana (quercetin and kaempferol glycosides, tiliroside)
and M. chamonilla (apigenin); iridoid triesters of V. edulis ssp.
procera (valtrate and isovaltrate), a derivate of palmitic acid
for A. diversifolia (palmitone); and the monoterpene carvone
for L. alba. Therefore, the anxiolytic activity is not exclusive
of one kind of compound, and the mechanisms of action may
be different. Anxiety is a complex illness that can imply the
alteration of performance of different anatomical structures
of brain; this entails that there are different targets on
which drugs can act against the disease, similar to the way
synthetic compounds as benzodiazepines that act through
GABAA receptor or buspirone that acts as partial agonist of
5HT1A receptors. Due to the different isolated compounds, or
compound mixtures, is not possible to compare their potency
due to the different experimental conditions tested. The ED50
was calculated only for palmitone isolated from A. diversifolia
in two different anxiolytic models (i.p.) (Gonzlez-Trujano
et al., 2006). The range of anxiolytic activity of T. americana
active components were: E-sitosterol 1-10 mg/kg, i.p. (AguirreHernndez, et al., 2007a), quercetin and kaempferol 10 mg/kg,
i.p. (Aguirre-Hernndez et al., 2010); for carvone identified from
L. alba essential oil was 25 mg/kg, i.p. In the case of Matricaria
chamomilla, the active component, apigenin, was active in mice
at 3 mg/kg, but not in rats (Avallone et al., 2000), in both cases
administered i.p. All in vivo studies were tested using an i.p.
administration route, which eliminates the absorption process
through the gastrointestinal system. In the case of Casimiroa
edulis, Montanoa frutescens, Magnolia dealbata and Ipomea stans
the anxiolytic activity of extracts was reported, but no attempt
to isolate or identify the active compounds was carried out.
The most active was the EtOAc extract of I. stans (i.p.), and
the next was the aqueous extract of M. frutescens (p.o.). For
these two species the mechanism action was suggested. The
scenario previously exposed indicates that a lot of work is still
needed to complete the pharmacology profiles of these species.
A different case is G. glauca, the most promissory phytodrug
for the treatment of anxiety in Mxico.
Interestingly the plants reported for the treatment of
sadness or/and depression (Chart 2) have not been tested for
antidepressant activity. However, other plant species used
or not in folk medicine for the treatment of nervios (Chart
1) have been studied scientifically and their antidepressant
activity reported. Different extracts were prepared from these
species, and in all cases administered more than once; this
is a logical procedure, since nowadays any antidepressant
drug needs more than a single administration to show its
effect, one disadvantage of antidepressants is the time it
takes to show such effect. The experimental protocols vary
between three administrations to daily administrations, this
makes comparison not feasible, since doses, and route of
administration vary. Mimosa pudica, Annona cherimolla, and
Litsea glaucescens extracts were administered by i.p. route
which deliver the active component quickly to the central
nervous system. We can stand out that for aqueous extract
of Mimosa pudica elicited activity at the lowest active doses
obtained (6.0 and 8 mg/kg, i.p.) administered for a 30-day
period, while for Byrsonia crassifolia the higher dose (500 mg/
kg, p.o.) was administered five times before showing activity.
Only in the case of Tagetes lucida the serotonergic mechanism
of action of the aqueous extract was suggested, which is one
of the targets of antidepressant drugs. For the essential oil
of Litsea glaucescens, E-pinene and linalool (100 mg/kg, i.p.)
were identified as the active principles. The monoterpenes
are the major constituents of essential oils, and some of
them have shown activity on the central nervous system, for
instance (+)-pulegone also significantly increased the latency
of convulsions as assessed by the pentylenetetrazole (PTZ)
method (de Sousa et al., 2011) and D-terpineol is an analgesic
Conclusion
Nervios is a folk illness intimately related to stress and
psychological distress, and with psychiatric disorders, especially
mood and anxiety disorders. In Mxico, it is reported that people
who suffer this type of disorder show depressive symptoms in
comparison with healthy persons. Medicinal plants were reported
effective in the treatment of different health problems, among
them nervios. The chemical and pharmacological study of plants
with potential activity in the central nervous system started 25
years ago in Mxico. However, there are few research research
groups in this area; available scientific scientific information is low
compared to the number of medicinal species of plants reported
in this review for nervios. The efforts should be directed towards
the isolation and characterization of active principles. Furthermore,
detailed analysis of the active constituents of natural drugs
should be directed towards clinical relevance. The isolated active
compounds described in this review are of different chemical
nature, mainly triterpenes, monoterpenes and flavonoids. The
standardization of methods of extraction is essential to maintain
reproducible biological activity; since potency can vary due to
genetic variation, growing conditions, timing and method of
harvest, exposure to air, light, moisture, and type of preservation
of the plant materials.
A number of drugs are available for the treatment of
depression, but clinical evaluation of these drugs has shown
relapse incidence, side effects, and drug interaction. This has
been the rationale for the development of new antidepressants,
which include herbal drugs. The study of plants with potential
effect on the CNS has flourished, especially preclinical in vitro
and in vivo studies validating phytomedicines, especially for the
treatment of depression and anxiety. These studies have provided
evidence of beneficial therapeutic activity over the last decades.
Authors contribution
SLG-G participated in data collection and writing of the
manuscript. All the authors contributed to the critical reading
and final editing of the manuscript.
Conflicts of interest
The authors declare no conflicts of interest.
Acknowledgements
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