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Turmeric And Curcumin

Turmeric (Curcuma longa Linn.) and CurcuminBackground The rhizome (root) of turmeric ( Curcuma longa Linn.) has long been used in traditional Asian medicine to treat gastrointestinal upset, arthritic pain, and "low energy." Laboratory and animal research has demonstrated anti-inflammatory, antioxidant, and anti-cancer properties of turmeric and its constituent curcumin. Preliminary human evidence, albeit poor quality, suggests possible efficacy in the management of dyspepsia (heartburn), hyperlipidemia (high cholesterol), and scabies (when used on the skin).
Synonyms Amomoum curcuma, anlatone (constituent), CUR, Curcuma , Curcuma aromatica , Curcuma aromatica salisbury, Curcuma domestica , Curcuma domestica valet, Curcuma longa , Curcuma longa rhizoma, Curcuma oil, curcumin, curcumin (I, II, III), diferuloylmethane, E zhu, Gelbwurzel, gurkemeje, Haldi, Haridra, Indian saffron, Indian yellow root, Jiang huang, kunir, kunyit, Kurkumawurzelstock, Kyoo, Olena, radix zedoaria longa, rhizome de curcuma, safran des Indes, shati, turmeric oil, turmeric root, tumerone, Ukon, yellowroot, Zedoary, Zingiberaceae (family), zingiberene, Zitterwurzel.
Evidence These uses have been tested in humans or animals. Safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. | Uses based on scientific evidence | Grade* |
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Cancer Several early animal and laboratory studies report anti-cancer (colon, skin, breast) properties of curcumin. Many mechanisms have been considered, including antioxidant activity, anti-angiogenesis (prevention of new blood vessel growth), and direct effects on cancer cells. Currently it remains unclear if turmeric or curcumin has a role in preventing or treating human cancers. There are several ongoing studies in this area. | C | Dyspepsia (heartburn) Turmeric has been traditionally used to treat stomach problems (such as indigestion from a fatty meal). There is preliminary evidence that turmeric may offer some relief from these stomach problems. However, at high doses or with prolonged use, turmeric may actually irritate or upset the stomach. Reliable human research is necessary before a recommendation can be made. | C | Gallstone prevention/bile flow stimulant It has been said that there are fewer people with gallstones in India, which is sometimes credited to turmeric in the diet. Early studies report that curcumin, a chemical in turmeric, may decrease the occurrence of gallstones. However, reliable human studies are lacking in this area. The use of turmeric may be inadvisable in patients with active gallstones. | C | High cholesterol Early studies suggest that turmeric may lower levels of low-density lipoprotein ("bad cholesterol") and total cholesterol in the blood. Better human studies are needed before a recommendation can be made. | C | HIV Several laboratory studies suggest that curcumin, a component of turmeric, may have activity against HIV. However, reliable human studies are lacking in this area. | C | Inflammation Laboratory and animal studies show anti-inflammatory activity of turmeric and its constituent curcumin. Reliable human research is lacking. | C | Osteoarthritis Turmeric has been used historically to treat rheumatic conditions. Laboratory and animal studies show anti-inflammatory activity of turmeric and its constituent curcumin, which may be beneficial in people with osteoarthritis. Reliable human research is lacking. | C | Peptic ulcer disease (stomach ulcer) Turmeric has been used historically to treat stomach and duodenal ulcers. However, at high doses or with prolonged use, turmeric may actually further irritate or upset the stomach. Currently, there is not enough human evidence to make a firm recommendation. | C | Rheumatoid arthritis Turmeric has been used historically to treat rheumatic conditions, and based on animal research may reduce inflammation. Reliable human studies are necessary before a recommendation can be made in this area. | C | Scabies Historically, turmeric has been used on the skin to treat chronic skin ulcers and scabies. It has also been used in combination with the leaves of the herb Azadirachta indica ADR or "neem." More research is necessary before a firm recommendation can be made. | C | Uveitis (eye inflammation) Laboratory and animal studies show anti-inflammatory activity of turmeric and its constituent curcumin. A poorly designed human study suggests a possible benefit of curcumin in the treatment of uveitis. Reliable human research is necessary before a firm conclusion can be drawn. | C | Irritable bowel syndrome (IBS) Irritable bowel syndrome (IBS) is a common functional disorder for which there is no reliable medical treatment. One study investigated the effects of Curcuma xanthorriza on IBS and found that treatment did not show any therapeutic benefit over placebo. More studies are needed to verify these findings. | D |
*Key to grades A: Strong scientific evidence for this use; B: Good scientific evidence for this use; C: Unclear scientific evidence for this use; D: Fair scientific evidence against this use; F: Strong scientific evidence against this use. Grading rationale Uses based on tradition or theoryThe below uses are based on tradition or scientific theories. They often have not been thoroughly tested in humans, and safety and effectiveness have not always been proven. Some of these conditions are potentially serious, and should be evaluated by a qualified healthcare provider. Alzheimer's disease, antifungal, antimicrobial, antispasmodic, anti-inflammatory, anti-venom, appetite stimulant, asthma, bleeding, bloating, boils, bruises, cataracts, colic, contraception, cough, cystic fibrosis, diabetes, diarrhea, dizziness, epilepsy, gas, gonorrhea, heart damage from doxorubicin (Adriamycin®, Doxil®),Helicobacter pyloriinfection, hepatitis, hepatoprotection, high blood pressure, human papillomavirus (HPV), infections (methicillin-resistantStaphylococcus aureus), insect bites, insect repellent, jaundice, kidney disease, lactation stimulant, leprosy, liver protection, male fertility, menstrual pain, menstrual period problems/lack of menstrual period, liver damage from toxins/drugs, multidrug resistance, neurodegenerative disorders, pain, parasites, ringworm, scarring, scleroderma.
DosingThe below doses are based on scientific research, publications, traditional use, or expert opinion. Many herbs and supplements have not been thoroughly tested, and safety and effectiveness may not be proven. Brands may be made differently, with variable ingredients, even within the same brand. The below doses may not apply to all products. You should read product labels, and discuss doses with a qualified healthcare provider before starting therapy. Adults (18 years and older) Doses used range from 450 milligrams of curcumin capsules to 3 grams of turmeric root daily, divided into several doses, taken by mouth. As a tea, 1 to 1.5 grams of dried root may be steeped in 150 milliliters of water for 15 minutes, and taken twice daily. Average dietary intake of turmeric in the Indian population may range between 2 to 2.5 grams, corresponding to 60 to 200 milligrams of curcumin daily. One reported method for treating scabies is to cover affected areas once daily with a paste consisting of a 4:1 mixture of Azadirachta indica ADR ("neem") to turmeric, for up to 15 days. Scabies should be treated under the supervision of a qualified healthcare professional. Children (younger than 18 years) Scabies should be treated under the supervision of a qualified healthcare professional. AllergiesAllergic reactions to turmeric may occur, including contact dermatitis (an itchy rash) after skin or scalp exposure. People with allergies to plants in the Curcuma genus are more likely to have an allergic reaction to turmeric. Use cautiously in patients allergic to turmeric or any of its constituents (including curcumin), to yellow food colorings, or to plants in the Zingiberaceae (ginger) family.
Growing Evidence Turmeric Potent Anticancer A growing body of laboratory research suggests the spice turmeric has potent anticancer activity -- and researchers have launched a slew of human trials to find out just how powerful it may be. "I think the promise is enormous," said Bharat Aggarwal, PhD, chief of the cytokine research laboratory in the department of experimental therapeutics at the University of Texas MD Anderson Cancer Center. Aggarwal has conducted numerous lab and animal studies of turmeric and its primary component, curcumin, and recently gave a lecture on the topic at the annual conference of the Society for Integrative Oncology. Turmeric is a yellow powder made from the roots of a plant in the ginger family. It is the main ingredient in curry powder and is widely used in Indian and Southeast Asian cooking. Many cultures also use turmeric for medicinal purposes, to treat everything from heartburn to arthritis. The idea to try turmeric against cancer developed as researchers learned about the role inflammation plays in cancer. "Turmeric and curcumin are anti-inflammatory," Aggarwal said. "That has been described in traditional medicine like Ayurveda for thousands of years." Lab and Animal Studies Show Effect on Many Cancers The early lab research Aggarwal and others have done focuses on curcumin, the most active compound in turmeric. The studies show that curcumin can indeed slow inflammation. It also appears to slow the spread of cancer (metastasis), slow down the growth of new tumor blood vessels (angiogenesis), and cause cancer cells to die the way normal cells do (apoptosis). What's more, these effects don't appear to be limited to just one type of cancer. Curcumin has shown effects in lab studies against metastatic melanoma, mantle cell lymphoma, and other cancers. Most recently, Aggarwal published a study in the journal Clinical Cancer Research showing that eating curcumin could keep breast cancer from spreading to the lungs Â- at least in mice. In addition, it appeared to enhance the positive effects of the chemotherapy drug paclitaxel and lessen the severity of its side effects. However, not all research on curcumin has had such positive results. At least one laboratory study suggests curcumin may inhibit the action of other chemotherapy drugs, including camptothecin, mechlorethamine, doxorubicin, and cyclophosphamide. That's why it's so important to conduct well-designed studies in people of how curcumin affects different types of cancer. At MD Anderson alone, Aggarwal said, doctors are testing curcumin in multiple myeloma and advanced pancreatic cancer. The institution is also seeking funding for a study of curcumin in women with breast cancer, he said. Studies from other institutions, both in the US and overseas, are looking at curcumin as a potential treatment for myelodysplastic syndromes, and for preventing colorectal cancer in individuals with familial adenomatous polyposis or with sporadic polyps. Curcumin is also being studied as a treatment for Alzheimer's disease and psoriasis.
Notes:
Bharat Aggarwal, PhD
American Cancer Society
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(last edited October 3, 2008)
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