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DOI: 10.1055/s-0039-1700532
A Prospective Observational Study on the Therapeutic Effect of Plantago Major in Reducing Craving for Tobacco
Publication History
Publication Date:
12 December 2019 (online)
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Abstract
Background and Objectives Tobacco Dependence is a well acknowledged social and health evil. In India, 8–9 lakh persons die every year due to Tobacco related diseases Numerous studies show that tobacco cessation leads to considerable decrease in health risks posed by tobacco use. Therefore there is a need that homoeopathic medicines should be incorporated in the treatment of tobacco cessation, as it is very palatable and will have no such side effect. Moreover, there is not much documented research evidence about the usefulness of homoeopathic system of therapeutics in tobacco cessation. Main objective of the study is to ascertain the effects of Plantago major in modifying craving for Tobacco.
Methods Prospective study was conducted in randomly selected 30 patients attending the outpatient, inpatient of Bakson Homeopathic Medical College and Hospital. Adults of age group 15–60 who showed tobacco dependence were included in the study. In this study cases were reviewed in every 2 weeks. Outcome of study were measured by fagerstrom test score changes.
Result It was noted that out of 30 cases, 27(90%) cases showed change in Tobacco dependence, 3(10%) cases didn’t show any change. To assess this change in tobacco dependence fagerstrom test score of patients before and after treatment were taken into consideration. The statistical analysis was done using the paired t test. Significance was accepted at p value < 0.05 to assess differences before and after taking medicine. Baseline Mean ± SD FTND was 6.93 ± 1.41 which improved to 5.33 ± 1.32 after treatment. A paired student t test showed that the above changes were statistically significant (p < 0.005) which shows a significant reduction in patient’s tobacco dependence. p-Value is < 0.001 which is significant this shows that Plantago major has effect in reducing craving for tobacco.
Conclusion These results confirm the age old observations of homoeopathic stalwarts regarding the use of Plantago Major in reducing craving for tobacco especially in the present scenario when large number of tobacco users were planning or thinking of quitting tobacco use.
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References
- 1 Davies GE, Soundy TJ. The Genetics of Smoking and Nicotine Addiction. S D Med 2009; ;Spec No: 43-49
- 2 Steinberg ML, Williams JM, Ziedonis DM. Financial implications of cigarette smoking among individuals with schizophrenia. Tob Control 2004; 13 (02) 206
- 3 WHO Report on the Global Tobacco Epidemic. Geneva: World Health Organisations; 2008
- 4 Hering Constantine MD. The Guiding Symptoms of Our Materia Medica, Vol.viii. New Delhi: B. Jain Publishers Pvt Ltd; 2007: 596
- 5 Surani NS, Pednekar MS, Sinha DN, Singh G, Warren CW. Tobacco use and cessation counseling in India-data from Global Health Professions Students Survey,2005–09. Indian J Cancer 2012; 49 (04) •••
- 6 Boericke William MD. Pocket Manual of Homeopathic Materia Medica comprising of the Characteristics and Guiding Symptoms of All Remedies. Ninth Edition. New Delhi: IBPP; 2015: 521-522
- 7 Constance J, DiFiglia MD. Clinical Study, An Open Label Evaluation of the Tobacco Aversion Caused by Plantago Major Tincture in Subjects Who Are Heavy Smokers. Verona, NJ: Essex Testing Clinic Inc.; 1992: 1-22
- 8 www.google.co.in/patents/Us5716635 , Filling date:1995, Publication in:1998
- 9 www.google.co.in/patents/US6303647 , Filling yr:2000, publication in: march 2001
- 10 www.google.co.in/patents/US6294193 B1, Filling yr: 2000, Publication in: sept2001
- 11 Centre for Monitoring Indian Economy (CMIE) Prowess (Release 2) database; 2004
- 12 Global Adult Tobacco Survey 2016–2017 Document. New Delhi, India, National Tobacco Control Programme, Ministry of health and family welfare, Govt. of India, 2017
- 13 Jandoo T, Mehrotra R. Tobacco control in India: present scenario and challenges ahead. Asian Pac J Cancer Prev 2008; 9 (04) 805-810
- 14 WHO. Global Status Report on Non-communicable Diseases 2010. Geneva: WHO; 2011 . Available from: http://whqlibdoc.who.int/publications/2011/9789240686458_eng.pdf . [Last Accessed on 2011 Jun 27]
- 15 WHO. Tobacco Free Initiative. Tobacco Facts. Geneva: WHO; 2011. . Available from: http://www.who.int/tobacco/mpower/tobacco_facts/en/index.html . [Last Accessed on 2011 Jun 27]
- 16 Reddy SK, Gupta PC. Report on tobacco control in India. New Delhi, India: Ministry of Health and Family Welfare, Government of India; 2004
- 17 Gupta PC. Survey of sociodemographic characteristics of tobacco use among 99,598 individuals in Bombay, India using handheld computers. Tob Control 1996; 5 (02) 114-120 . Doi: 10.1136/tc.5.2.114
- 18 Gupta PC, Sinor PN, Bhonsle RB, Pawar VS, Mehta HC. Oral submucous fibrosis in India: a new epidemic?. Natl Med J India 1998; 11 (03) 113-116
- 19 Diagnostic and Statistical Manual of Mental Disorders. 4th edition. Washington, DC: American Psychiatric Association; 1994
- 20 Lynch B, Bonnie RJ. , Eds. Growing up Tobacco Free: Preventing Nicotine Addiction in Children and Youths. Institute of Medicine Committee on Preventing Nicotine Addiction on Children and Youths. Washington, DC: National Academy Press; 1994
- 21 Ezzati M, Lopez AD. Estimates of global mortality attributable to smoking in 2000. Lancet 2003; 362 (9387): 847-852
- 22 Jha P, Jacob B, Gajalakshmi V. , et al; RGI-CGHR Investigators. A nationally representative case-control study of smoking and death in India. N Engl J Med 2008; 358 (11) 1137-1147
- 23 Murray CJL, Lopez AD. Global Burden of Disease. Global Burden of Disease and Injury Series. Vol. 1. Boston: Harvard School of Public Health; 1996
- 24 Gajalakshmi V, Peto R, Kanaka TS, Jha P. Smoking and mortality from tuberculosis and other diseases in India: retrospective study of 43000 adult male deaths and 35000 controls. Lancet 2003; 362 (9383): 507-515
- 25 Centre for Monitoring Indian Economy (CMIE) Prowess (Release 2) database; 2004
- 26 Jha P, Jacob B, Gajalakshmi V. , et al; RGI-CGHR Investigators. A nationally representative case-control study of smoking and death in India. N Engl J Med 2008; 358 (11) 1137-1147
- 27 Ruhil R. Role of primary care providers in tobacco cessation/ tobacco dependence treatment. Indian J Community Health 2015; 27: 8-12
- 28 Ruhil R. Tobacco cessation is a panacea for good oral health. Indian J Contemp Dent 2015; 3: 77-80
- 29 US Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004
- 30 Darby ML, Walsh MM. Tobacco cessation. Dental Hygiene Theory and Practice. Vol. 2. St. Louis (MO): Saunders; 2003: 590
- 31 US Department of Health and Human Services. The Health Benefits of Smoking Cessation: A Report of the Surgeon General. Rockville, MD: US Department of Health and Human Services, Centre for Disease Control, Office on Smoking and Health; 1990
- 32 Slama K. Current challenges in tobacco control. Int J Tuberc Lung Dis 2004; 8 (10) 1160-1172
- 33 Available from. https://www.homeobook.com/a-study-on-homoeopathy-in-tobacco-smoking-and-alcoholism/
- 34 Available from. https://www.researchgate.net/publication/294816667_Application_of_homeopathy_in_smoker_patients_from_the_Enrique_Varona_place
- 35 Close S. The Genius of homoeopathy lectures and essays on homoeopathic philosophy; second edition. New Delhi: B. jain publishers; 2005. Chapter susceptibility; 96-99