Amrollahi-Sharifabadi Mohammad, Orimi Jamal Rezaei, Zaidi Syed Mohd Abbas, Oladejo Toheeb Olalekan, Rahman Abdur, Abass Sageer, Ahmad Sayeed, Abdelaziz Sahar, Bahrami-Tapehbour Mohammad, Fawzy Marwa M M, Mojahedi Morteza
Department of Basic Sciences, Faculty of Veterinary Medicine, Lorestan University, 5th Kilometer of Khorramabad-Boroujerd Highway, Khorramabad, 68151-44316, Iran.
Pre-hospital Emergency Medical Services and Disaster Management Center, Mazandaran University of Medical Sciences, Sari, Iran.
Naunyn Schmiedebergs Arch Pharmacol. 2025 May;398(5):4851-4873. doi: 10.1007/s00210-024-03698-0. Epub 2024 Dec 12.
Abortion remains one of the most prevalent complications of pregnancy, contributing significantly to maternal mortality and presenting a substantial public health challenge. This study aimed to explore Rhazes' perspective on abortion and abortifacient medicinal plants he mentioned in Kitāb al-Ḥāwī fī al-Ṭibb. A detailed analysis of his seminal work, Kitāb al-Ḥāwī fī al-Ṭibb, was conducted. Relevant keywords such as abortion, stillbirth, fetus, drugs, and abortifacients were examined within Kitāb al-Ḥāwī fī al-Ṭibb. The analysis included Rhazes' viewpoints on abortion and the abortogenic drugs he mentioned, as well as their methods of administration, including oral dosage forms and vaginal formulations. Furthermore, relevant current literature was used to find the potential scientific rationales for Rhazes' insights. Our findings indicate that Rhazes contributed to obstetrics and gynecology as he discussed abortion, its prevention, and management in his book. Also, he identified various medicinal plants with potential abortogenic properties. Rhazes explained various administration methods, including rub, decoction, inhalation, suppository, enema, incense, and water bath. Even though his clinical practices and detailed observations provide a rich context for understanding the historical use of these agents, evidence-based medical practices need to be conducted to cleave potentially usable parts of Rhazes' perspectives and his approaches to the prevention and treatment of abortion. Moreover, there is a pressing need for well-designed randomized clinical trials to rigorously evaluate the potential efficacy and safety of the medical insights and the potential therapeutic herbal agents he described.
堕胎仍然是妊娠最常见的并发症之一,对孕产妇死亡率有重大影响,并带来了巨大的公共卫生挑战。本研究旨在探讨拉齐斯在其《医学集成》中提到的关于堕胎及堕胎药用植物的观点。对他的开创性著作《医学集成》进行了详细分析。在《医学集成》中检索了诸如堕胎、死产、胎儿、药物和堕胎药等相关关键词。分析内容包括拉齐斯对堕胎及他所提及的堕胎药物的观点,以及它们的给药方法,包括口服剂型和阴道制剂。此外,还利用相关的当前文献来寻找拉齐斯观点背后潜在的科学依据。我们的研究结果表明,拉齐斯在其著作中讨论了堕胎、预防和管理,对妇产科领域有一定贡献。同时,他还识别出了各种具有潜在堕胎特性的药用植物。拉齐斯解释了多种给药方法,包括擦剂、煎剂、吸入剂、栓剂、灌肠剂、香薰剂和水浴法。尽管他的临床实践和详细观察为理解这些药物的历史用途提供了丰富背景,但仍需要开展循证医学实践,以筛选出拉齐斯观点及其预防和治疗堕胎方法中可能有用的部分。此外,迫切需要设计良好的随机临床试验,以严格评估他所描述的医学见解和潜在治疗草药制剂的潜在疗效和安全性。