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MELANTHIACEAE

(Bunchflower family)

 

• Medicinal / Folk-medicinal aspects:  •
• Adverse effects: [Summary yet to be added] •
• Veterinary aspects:  •

Referred to as the Melanthaceae in some older publications, this family of about 120 species in 21 genera comprises plants that were until recently considered to belong to the Liliaceae. They are perennial rhizomatous herbs found in the Northern Hemisphere and in South America (Mabberley 1997). Many are to be found in cultivation as ornamentals, for example species of Chamaelirium Willd., Chionographis Maxim., Helonias L. (including Heloniopsis A.Gray), Melanthium L., Stenanthium Kunth, Tofieldia Huds., Veratrum L., Xerophyllum Michx., and Zigadenus Michx.

Medicinal and insecticidal activities have been documented for a number of species. However, the toxicity of many of these plants to humans severely limits their use. The more recently discovered teratogenicity of alkaloids present in these plants — see, for example, Keeler (1975) and Gaffield & Keeler (1994) — adds a further dimension to the toxicity profile.



Schoenocaulon jaliscense Greenm.
Cebadilla

von Reis Altschul (1973) found an herbarium note stating that the roots of this Mexican plant are employed for killing maggots in wounds, either powdered and applied or decocted to make a wash.



Schoenocaulon officinale (Schltdl. & Cham.) A.Gray ex Benth.
[syns Asagraea officinalis (Schltdl. & Cham.) Lindl., Helonias officinalis (Schltdl. & Cham.) D.Don, Sabadilla officinalis (Schltdl. & Cham.) Standl., Sabadilla officinarum Brandt & Ratzeb., Veratrum officinale Schltdl. & Cham.]
Caustic Barley, Cebadilla, Sabadilla, Spike-Flowered Asagraea, Cévadille, Sabadillgermer

The seeds of this Mexican species provide the crude drug known as Sabadilla, otherwise known as Semina Sabadillae Mexicanae. Felter & Lloyd (1898) noted that although at one time used in medicine as a vermifuge and to destroy vermin in the hair, its dangerous drastic and irritating properties have caused it to be dismissed from practice. Interestingly, Sabadilla remained official in the British Pharmaceutical Codex until 1934. Pereira (1842) described the toxicity thus:

Externally, the powder of the seeds has been used to destroy pediculi. But it cannot be applied with safety to children, and especially when the skin is broken. … an infant whose nurse had sprinkled the powder in its hair, died in convulsions. … [a young man] was rendered temporarily insane by the application of powder of cebadilla to the head. … [the powder] excites violent sneezing and discharge from the nostrils. Rubbed on the skin, the tincture causes a stinging sensation similar to that produced by veratria. After its use for some days, a slight eruption appears on the skin.

Veratria is an alkaloidal mixture, otherwise known as veratrine, which may be isolated from cebadilla seeds (Todd 1967), to which the toxic properties described above have been ascribed. Morrow (1893), for example, noted that veratria causes, when applied to the skin in the strength of the ordinary ointment, sensations of tingling, smarting, and increased heat, not only on the point of contact but on remote parts of the body. When applied in a concentrated form it is highly irritant, producing erythema, and even pustular and petechial eruptions. Grant (1974) referred to the toxic effects of veratria on the eyes.



Veratrum L.

The 24 species of Veratrum are natives of northern temperate regions. Few genera illustrate more impressively the futility of employing popular plant names in scientific writing. The popular name hellebore is applied to at least two Veratrum species and is also applied to botanically unrelated Helleborus L. species (fam. Ranunculaceae). In the American West the name skunk cabbage is applied to Veratrum californicum Durand [see below]; in the American East, skunk cabbage is applied to the botanically unrelated aroid Symplocarpus foetidus (L.) Salisb. ex W.P.C.Barton (fam. Araceae).



Veratrum album L.
European White Hellebore, Giant False Helleborine, Itchroot, White False Hellebore, White False Helleborine, White Hellebore, White Veratrum, Gemeiner Germer, Kratzwurzel, Weißer Germer

This Eurasian species is almost indistinguishable from the North American species Veratrum viride Aiton (Trease & Evans 1966). Its rhizome is the source of White Hellebore Powder, which has in the past been used as an insecticide (see, for example, Piper 1922).

The crude drug Rhizoma Veratri, otherwise known as Radix Hellebori Albi, is derived from this species (Pereira 1842, Felter & Lloyd 1898). Standardised preparations of the alkaloids — protoveratrines — from the rhizome were at one time used to treat hypertension (Todd 1967, Claus et al. 1970).

Felter & Lloyd (1898) wrote:

White hellebore is a violent irritant poison, occasioning, when snuffed up into the nostrils, severe coryza. At present it is rarely used, except in the form of decoction or ointment, as an external application to kill lice, and cure the itch, pruritis [sic], and some other cutaneous affections; but, used thus, it is not always free from danger.

Pereira (1842) describes similar uses, noting also that when placed in contact with the skin it is an energetic irritant. He also notes that the common name itch-root refers to the activity of the plant against scabies and tinea capitis.



Veratrum californicum Durand
California False Hellebore, Corn Lily, Skunk Cabbage, Western False Hellebore, Kalifornischer Germer

Pammel (1911) listed this plant as being irritant, but may have been referring to its burning and acrid properties on ingestion.

This species is the source of cyclopamine, a teratogenic alkaloid that causes cyclopian and other deformities in foetuses of animals that have grazed on the plant during gestation (Keeler 1975, Gaffield & Keeler 1994).

Taş & Avcı (2004) reported that topically applied cyclopamine cleared plaque and guttate forms of psoriasis in 3–4 days.

[Cyclopamine]



Veratrum dahuricum (Turcz.) O.Loes.
[syn. Veratrum album var. dahuricum Turcz.]
Dahurian False Hellebore

The dried root and rhizome from this and several other species of Veratrum L. is the source of the traditional Chinese medicine known as li lu (藜芦) or Rhizoma et Radix Veratri. Made into a fine powder and added to vegetable oil to make a paste, it is used externally for scabies, ringworm and lice. It is highly toxic if taken internally. Note that li lu (藜芦) may also refer to the root and rhizome of Hemerocallis thunbergii Barr or Hemerocallis citrina Baroni, fam. Asphodelaceae.a Perry & Metzger (1980) recorded that the rhizome is made into a dressing for boils and skin diseases, and that an aqueous extract is used to kill maggots or insects. [See also Veratrum nigrum L. below].



Veratrum grandiflorum (Maxim. ex Miq.) O.Loes.
[syns Veratrum album var. grandiflorum Maxim. ex Miq., Veratrum bracteatum var. tibeticum O.Loes., Veratrum puberulum O.Loes.]

The dried root and rhizome from this and several other species of Veratrum L. is the source of the traditional Chinese medicine known as li lu (藜芦) or Rhizoma et Radix Veratri.a Referring to Veratrum puberulum, Perry & Metzger (1980) noted that in Chinese traditional medicine, the rhizome is made into a dressing for boils and skin diseases, and that an aqueous extract is used to kill maggots or insects. [See also Veratrum dahuricum (Turcz.) O.Loes. above and Veratrum nigrum L. below].



Veratrum maackii Regel
[syns Veratrum mandschuricum O.Loes., Veratrum nigrum ssp. maackii (Regel) Kitam., Zigadenus japonicus Miq.]
Korean Meadow False Hellebore

The dried root and rhizome from this and several other species of Veratrum L. is the source of the traditional Chinese medicine known as li lu (藜芦) or Rhizoma et Radix Veratri.a Perry & Metzger (1980) noted that in Chinese traditional medicine, the rhizome is made into a dressing for boils and skin diseases, and that an aqueous extract is used to kill maggots or insects. [See also Veratrum dahuricum (Turcz.) O.Loes. above and Veratrum nigrum L. below].



Veratrum nigrum L.
[syn. Veratrum ussuriense (O.Loes.) Nakai]
Black Hellebore, False Hellebore, Vérâtre Noir, Schwarzer Germer

The dried root and rhizome from this and several other species of Veratrum L. is the source of the traditional Chinese medicine known as li lu (藜芦) or Rhizoma et Radix Veratri.a Prepared as an ointment, it has been used for itch and other parasitic skin diseases. It has also been used in skin diseases of the horse (Stuart 1911). According to Perry & Metzger (1980) who also referred to the use of this plant in Chinese traditional medicine, the rhizome is made into a dressing for boils and skin diseases; and an aqueous extract is used to kill maggots or insects (Perry & Metzger 1980, Huang 1993). [See also Veratrum dahuricum (Turcz.) O.Loes. above].

The traditional use of a decoction of the roots or leaves of this species in Central Italy as a ovine scabicide was noted by Guarrera (1999).



Veratrum schindleri O.Loes.
[syns Veratrum atroviolaceum O.Loes., Veratrum warburgii O.Loes.]

The dried root and rhizome from this and several other species of Veratrum L. is the source of the traditional Chinese medicine known as li lu (藜芦) or Rhizoma et Radix Veratri.a Perry & Metzger (1980) noted that in Chinese traditional medicine, the rhizome is made into a dressing for boils and skin diseases, and that an aqueous extract is used to kill maggots or insects. [See also Veratrum dahuricum (Turcz.) O.Loes. above and Veratrum nigrum L. above].



Veratrum viride Aiton
[syns Helonias viridis (Aiton) Ker Gawl., Veratrum album f. viride (Aiton) Regel]
American False Hellebore, American Wild Hellebore, Giant False Helleborine, Green False Hellebore, Green Hellebore, Green Veratrum, Indian Poke, Itchweed, Swamp Hellebore, White Hellebore

The crude drug Rhizoma (or Radix) Veratri Viridis is derived from this species (Felter & Lloyd 1898). Standardised preparations of the alkaloids from the rhizome were at one time widely used to treat hypertension (Todd 1967, Claus et al. 1970).

Felter & Lloyd (1898) wrote:

Applied to the skin, veratrum is rubefacient, and to the nose, excites sneezing. Veratrum has been justly praised as a remedy for erysipelas. It may be used both topically and internally. It is best adapted to that form showing tumefaction and redness, simulating ordinary inflammations. It has been successfully used, internally and locally, for the relief of poisoning by Rhus Toxicodendron. Boils, carbuncles, inflamed pimples, felons, ulcers, with heat and tumefaction, cellular inflammations, and labial herpes are well treated by painting specific veratrum upon them.

Morrow (1893) similarly noted that:

Veratrum viride is … irritant to the skin, its local application causing redness and burning

adding that:

the use of the drug hypodermatically is sometimes followed by painful swellings around the point of puncture, with extensive erythema.

Pammel (1911), Weber (1937), and Schwartz et al. (1957) citing Muenscher (1951), included this species in lists of irritant plants. Massey (1941) included Veratrum viride in a list of plants described as "less troublesome" causes of dermatitis, but did not cite the source of his information.

Interestingly, Coulter (1904) in an experiment on himself using Indian poke, or otherwise Veratrum viride, experienced absolutely no redness or burning after applying the plant to his skin. It is pertinent to mention that the common name Indian poke is also used for Phytolacca acinosa Roxb., fam. Phytolaccaceae.


References

  • Claus EP, Tyler VE, Brady LR (1970) Pharmacognosy, 6th edn. Philadelphia: Lea & Febiger [WorldCat] [url]
  • Coulter S (1904, published 1905) The poisonous plants of Indiana. Proceedings of the Indiana Academy of Science: 51–63 [url] [url-2]
  • Felter HW, Lloyd JU (1898) King's American Dispensatory, 18th edn; 3rd revn, I & II. Cincinnati: Ohio Valley [WorldCat] [url]
  • Gaffield W, Keeler RF (1994) Structure-activity relations of teratogenic natural products. Pure and Applied Chemistry 66(10/11): 2407-2410
  • Grant WM (1974) Toxicology of the Eye. Drugs, chemicals, plants, venoms, 2nd edn. Springfield, IL: Charles C Thomas [WorldCat]
  • Guarrera PM (1999) Traditional antihelmintic, antiparasitic and repellent uses of plants in Central Italy. Journal of Ethnopharmacology 68(1-3): 183-192 [doi] [url] [pmid]
  • Huang KC (1993) The Pharmacology of Chinese Herbs. Boca Raton, FL: CRC Press [WorldCat]
  • Keeler RF (1975) Teratogenic effects of cyclopamine and jervine in rats, mice and hamsters. Proceedings of the Society for Experimental Biology and Medicine 149(1): 302-306
  • Mabberley DJ (1997) The Plant-Book. A portable dictionary of the vascular plants, 2nd edn. Cambridge: Cambridge University Press
  • Massey AB (1941) Plant poisoning. The Merck Report 50(3): 24–28 [url]
  • Morrow PA (1893) Drug Eruptions. A clinical study of the irritant effects of drugs upon the skin. In: Colcott Fox T (Ed.) Selected Monographs on Dermatology, Vol. 143, pp. 355-568. London: New Sydenham Society [WorldCat] [url] [url-2]
  • Muenscher WCL (1951) Poisonous Plants of the United States, 2nd edn. New York: Macmillan Company [WorldCat] [url] [url-2]
  • Pammel LH (1911) A Manual of Poisonous Plants. Chiefly of North America, with Brief Notes on Economic and Medicinal Plants, and Numerous Illustrations. Cedar Rapids, IA: Torch Press [WorldCat] [url] [url-2]
  • Pereira J (1842) Elements of Materia Medica and Therapeutics, 2nd edn, Vols 1 & 2. London: Longman, Brown, Green, and Longmans [WorldCat] [url] [url-2]
  • Perry LM, Metzger J (1980) Medicinal Plants of East and Southeast Asia: Attributed Properties and Uses. Cambridge, MA: MIT Press [WorldCat] [doi] [url] [url-2]
  • Piper CV (1922) Manure heaps in relation to house flies. Bulletin of Green Section of the United States Golf Association 2(8): 247-248
  • Schwartz L, Tulipan L, Birmingham DJ (1957) Irritant plants and woods. In: Occupational Diseases of the Skin. 3rd edn, pp. 636-672. London: Henry Kimpton [doi] [WorldCat] [url] [url-2]
  • Stuart GA (1911) Chinese Materia Medica. Vegetable Kingdom. Extensively revised from Dr. F. Porter Smith's work. Shanghai: American Presbyterian Mission Press [doi] [WorldCat] [url] [url-2]
  • Taş S, Avcı O (2004) Rapid clearance of psoriatic skin lesions induced by topical cyclopamine. A preliminary proof of concept study. Dermatology 209(2): 126-131
  • Todd RG (Ed.) (1967) Martindale. The Extra Pharmacopoeia. 25th edn. London: Pharmaceutical Press [WorldCat]
  • Trease GE, Evans WC (1966) A Textbook of Pharmacognosy, 9th edn. London: Baillière, Tindall and Cassell [WorldCat]
  • von Reis Altschul S (1973) Drugs and Foods from Little-Known Plants. Notes in Harvard University Herbaria. Cambridge, MA: Harvard University Press [WorldCat] [doi] [url] [url-2]
  • Weber LF (1937) External causes of dermatitis. A list of irritants. Archives of Dermatology and Syphilology 35(1): 129-179 [doi] [url]



Richard J. Schmidt

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