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 | Senna Other Names: Alexandrian Senna. Nubian Senna. Cassia Senna. Cassia lenitiva Botanical Name: Cassia acutifolia Family: N.O. Leguminosae |
Description: |
Several species of Cassia contribute to the drug of commerce, and were comprised in a single species by Linnaeus under the name of Cassia Senna. Since his day, the subject has been more fully investigated, and it is known that several countries utilize the leaves of their own indigenous varieties in the same way. The two most widely exported and officially recognized are C. acutifolia and C. angustifolia (India or Tinnevelly Senna). C. acutifolia, yielding the finest and most valuable variety of the drug is a small shrub about 2 feet high. The stem is erect, smooth, and pale green, with long, spreading branches, bearing leaflets in four or five pairs, averaging an inch long, lanceolate or obovate, unequally oblique at the base, veins distinct on the under surface, brittle, greyish-green, of a faint, peculiar odour, and mucilaginous, sweetish taste. The form of the base, and freedom from bitterness, distinguish the Senna from the Argel leaves, which are also thicker and stiffer. The flowers are small and yellow. The pods are broadly oblong, about 2 inches long by 7/8 inch broad, and contain about six seeds.
Senna is an Arabian name, and the drug was first brought into use by the Arabian physicians Serapion and Mesue, and Achiarius was the first of the Greeks to notice it.He recommends not the leaves but the fruit, and Mesue also prefers the pods to the leaves, thinking them more powerful, though they are actually less so, but they do not cause griping.
The leaves of C. acutifolia are collected principally in Nubia. Ignatius Pallme, who travelled much in Africa, wrote: 'Senna is found in abundance in many parts of Kardofan, but the leaves are not collected on account of the existing monopoly. The Government draws its supplies from Dongola in Nubia.' Two crops are collected annually in Nubia, the more abundant in September, after the rains, the other in April, in dry seasons a very bad one. The plants are cut down, exposed on the rocks in hot sunshine until thoroughly dry, then stripped, and packed in palm-leaf bags, being sent thus on camels to Essouan and Darao, and by the Nile to Cairo, or via Massowah and Suakin on the Red Sea. It is made up at Boulak, near Cairo, under the superintendence of the Egyptian Government, though much adulteration takes place there. The leaves are loosely packed, and as they curl when drying, often present this appearance, while Indian Senna is packed tightly, and the leaves come out flat. Senna appears to have been cultivated in England about 1640. By keeping the plants in a hot-bed all the summer, they frequently flowered; but rarely perfected their seeds.
Commercial Senna is prepared for use by garbling, or picking out the leaflets and rejecting the lead-stalks, impurities, and leaves of other plants. The amount annually exported is about 8,000 bales of each of the varieties, and the price is high, owing to the failure of the crops at certain seasons. Good Senna may be known by the bright, fresh, yellowishgreen colour of the leaves, with a faint and peculiar odour rather like green tea, and a nauseous, mucilaginous, sweetish, slightly bitter taste. It should be powdered only as wanted, because the powder absorbs moisture, becomes mouldy, and loses its value. Boiling destroys its virtues, unless it be in vacuo, or in a covered vessel. |
Habitat: |
| Egypt, Nubia, Arabia, Sennar. |
Constituents: |
Water and diluted alcohol extract the active principles of Senna. Pure alcohol only extracts them imperfectly. The leaves yield about one-third of their weight to boiling water.
The purgative constituents are closely allied to those of Aloes and Rhubarb, the activities of the drug being largely due to anthraquinone derivatives and their glucosides. It contains rhein, aloe-emedin, kaempferol, isormamnetin, both free and as glucosides together with myricyl alcohol, etc. The ash amounts to about 8 per cent, consisting chiefly of earthy and ashy carbonates.
The active purgative principle was discovered in 1866. It is a glucoside of weak acid character, and was named Cathartic Acid. By boiling its alcoholic solution with acids it yields Cathartogenic Acid and sugar. There were also found Chrysophanic Acid, Sennacrol and Sennapicrin, and a peculiar non-fermentable saccharine principle which was named Cathartomannite or Sennit.
The conclusions reached after experimenting with Senna leaves washed with alcohol were as follows: (1) Strong spirit does not remove any of the active principle from Senna leaves. (2) The therapeutic action of cathartic acid is assisted by one or more of the constituents yielded by Senna to strong alcohol, though these constituents produce no purgative effect when taken alone. (3) Senna exhausted by alcohol is a reliable and pleasant purgative, but somewhat weaker in its action than the unexhausted leaves. Many substances produce precipitates with the infusion of Senna, but they may remove only inert ingredients, and not be really incompatible medicinally. Cathartic acid is precipitated by infusion of galls and solution of lead subacetate. Lead acetate and tartar emetic, which disturb the infusion, have no effect upon a solution of this substance. Cathartin is the name of a mixture of the salts of cathartic acid which may be used in doses of from 3 to 6 grains.
Sennax is the name applied to the watersoluble glucoside of Senna, marketed in tablets containing 0.75 gram each. |
Medicinal Usage: |
Purgative. Its action being chiefly on the lower bowel, it is especially suitable in habitual costiveness. It increases the peristaltic movements of the colon by its local action upon the intestinal wall. Its active principle must pass out of the system in the secretions unaltered, for when Senna is taken by nurses, the suckling infant becomes purged. It acts neither as a sedative nor as a refrigerant, but has a slight, stimulating influence. In addition to the nauseating taste, it is apt to cause sickness, and griping pains, so that few can take it alone; but these characteristics can be overcome or removed, when it is well adapted for children, elderly persons, and delicate women. The colouring matter is absorbable, and twenty or thirty minutes after the ingestion of the drug it appears in the urine, and may be recognized by a red colour on the addition of ammonia.
The addition of cloves, ginger, cinnamon, or other aromatics are excellent correctives of the nauseous effects. A teaspoonful of cream of tartar to a teacupful of the decoction of infusion of Senna, is a mild and pleasant cathartic, well suited for women if required soon after delivery. Some practitioners add neutral laxative salts, or saccharine and aromatic substances. The purgative effect is increased by the addition of pure bitters; the decoction of guaiacum is said to answer a similar purpose. Senna is contraindicated in an inflammatory condition of the alimentary canal, hemorrhoids, prolapsus, ani, etc. The well-known 'black draught' is a combination of Senna and Gentian, with any aromatic, as cardamom or coriander seeds, or the rind of the Seville orange. The term 'black draught,' it is stated, should never be used, as mistakes have been made in reading the prescriptions, and 'black drop' or vinegar of opium has been given instead, several deaths having been caused in this way.
SENNA PODS, or the dried, ripe fruits, are official in the British Pharmacopceia, though the quantity is restricted, as an adulterant, in the United States Pharmacopoeia.
They are milder in their effects than the leaflets, as the griping is largely due to the resin, and the pods contain none, but have about 25 per cent more cathartie acid and emodin than the leaves, without volatile oil. From 6 to 12 pods for the adult, or from 3 to 6 for the young or very aged, infused in a claret-glass of cold water, act mildly but thoroughly upon the whole intestine.
The fluid extract was formerly treated with alcohol for the removal of the griping principles, but the process was deleted from the United States Pharmacopoeia. The fluid extract is a dark, blackish, thick and somewhat turbid liquid, with a strong flavour of Senna. It is well adapted for exhibition with saline cathartics, such as Epsom salt or cream of tartar. In this ease not more than half the full dose should be given at once. The British Pharmacopoeia 1898 'Liquor Sennae Concentratus' was more like a concentrated infusion than a fluid extraet, but had the same strength as the latter, the menstrum being distilled water; tincture of ginger and alcohol being added.
The infusion of Senna, or Senna Tea, consists of 100 grams of Senna leaves, 5 grams of sliced Ginger, 1,000 millilitres of distilled water, boiling. Infuse in a covered vessel for fifteen minutes, and strain, while hot. The United States Pharmacopoeia prefers coriander to ginger. The infusion deposits, on exposure to air, a yellowish precipitate, so it is advisable to make it in very small quantities, as the deposit aggravates its griping tendency. It is usual to prescribe manna and one of the saline cathartics with it. The cold infusion is said to be less unpleasant in taste, and equal in strength to the hot.
SYRUP OF SENNA is prepared by mixing 8 fluid ounces, 218 minims of fluid extract of Senna, with 81 minims of oil of Coriander and sufficient syrup to make 33 fluid ounces (6 1/2 fluid drachms).
The Aromatic Syrup includes also jalap, rhubarb, cinnamon, clove, nutmeg, oil of lemon, sugar, and diluted alcohol.
The Compound Syrup includes rhubarb, frangula, methyl salicylate, alcohol, and syrup. |
Ancient Lore: |
SENNA (Red-flowered Bladder) COLUTEA ORIENTALIS (= C. CRUENTA) It cleanses and purifies the blood and causes a fresh and lively habit of the body. A shrub with winged leaves, each being made up of six pairs of smaller leaves. The yellow flowers, produced in longish spikes at the tops of the branches, are moderately large and are striped with red. Where to find it: It is a native of Eastern countries. Flowering time: Summer. Astrology.. It is under Mercury. Medicinal virtues: The leaves have a purging quality, but afterwards have a binding effect. It is corrected with Caraway seed, Aniseed, or Ginger and a dram (1.7 g) taken in wine, ale or broth, on an empty stomach comforts and cleanses the stomach and purges phlegm from the head and brain, lungs, heart, liver and spleen. It strengthens the senses, procures mirth, and is good in chronic agues. The Common Bladder Senna (Colutea arborescens) works violently both upwards and downwards, offending the stomach and bowels. Modern uses. In modern practice Cassia angustifolia is the variety of Senna used as a laxative. It is given with aromatic herbs, such as Ginger or Aniseed, to prevent griping pains. Both leaves and pods are used in over-the-counter pharmaceutical preparations. For domestic use, one teaspoonful of powdered Ginger is added to 2 oz (56 g) of Senna leaves in 1 Pt (568 mi) of boiling water. Infuse for 20 minutes. The dose is 2 fl oz (56 ml). Senna should not be used during pregnancy. |
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