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Medicinal
241
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Plants Used for the Treatment and Management of Bilharziasis and Other
ITexLi.113291
Scientific name Pharmacological
properties
Euphorbia schinzii Pax
Faurea saligna Harv
Flacourtia indica
(Burm.f) Merr
Antimicrobial, anti­diabetic, anthelmintic hepatoprotective, antiviral, *anthelmintic (antitrypanosomal and antileishmanial), anti­inflammatory,
antimalarial, anti­plasmodial, antioxidant and anti-asthmatic activities.
Gymnosporia senegalensis Loes Maytenus senegalensis
(Lam) Exell
Khaya anthotheca
(Welw.) C. DC.
Khaya nyasica
Bak.f.
*Anthelmintic (antileishmanial), antioxidant, antiviral, antibacterial and antifungal activities.
Antimicrobial, antioxidant, *anthelmintic (antitrypanosomal and antileishmanial), antiplatelet, antiviral and anti-plasmodial activities.
Hydnora abyssinica A.
Braun ex Schweinf.
Antibacterial, antioxidant, anti-diarrhoeal, antiglycation and antifungal activities.
Hydnora solmsiana
Dinter
Kigellia africana
(Lam.) Benth.
Kigelia pinnata
(Jacq.) DC.
Antiplasmodial, antiviral, antiulcer, anticancer, anti­diarrhoeal, antimicrobial, antioxidant, anti-diabetic, *anthelmintic (antitrypanosomal), effects on reproductive system and anti-inflammatory activities.
Landolphia kirkii
Dyer ex Hook. f.
Lannea discolor
(Sond.) Engl.
*Anthelmintic (nematicidal), antibacterial, antimycobacterial, antifungal, antioxidant and antiplasmodial activities.
Biological target Toxicological
evaluation
no records found no records foundno records found
Trypanosome:
Trypanosoma brucei brucei,
Moderately toxic LC
467.31 39.01 μg/
50
ml
Trypanosoma brucei rhodesiense, Trypanosoma cruzi
Leishmania:
Leishmania donovani
SafeCestodes LC
–2185.61 872.
50
25 μg/ml LD
> 1600 mg/kg
50
Trypanosome: Trypanosoma
Moderately toxic LC50 -
482.19 43.49 μg/ml. brucei rhodesiense and Trypanosoma cruzi Leishmania: Leishmania donovani
no records found Weak or low toxicity or
mildly toxic LD
> 1600 mg/kg
50
Trypanosomes:
Trypanosoma
Safe LD
> 5000 mg/kg
50
brucei and Trypanosoma bruceirhodesiense
no records found no records foundno records found
Weak or low toxicity orCestodes mildly toxic LC
values ranging
50
0.408 mg/mL to
>1.0 mg/mL
Reference
[114]no records found no records foundAntifungal activity.
[19, 66, 115– 119]
[19, 23, 66, 120–122]
[19, 66, 116, 123, 124]
[125–128]
[66, 129– 131]
[23, 34, 35, 132]
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Medicinal Plants – Chemical, Biochemical, and Pharmacological Approaches
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Scientific name Pharmacological
properties
Lannea edulis
(Sond.) Engl.
*Anthelmintic, anti-human immunodeficiency virus, antihyperglycemic, antihyperlipidemic, antimalarial, antimicrobial, antioxidant and cytotoxicity activities.
Lecaniodiscus
*Anthelmintic activity. Cestodes no records found [23]
fraxinifolias Bak.
Loranthus on
no records found no records found no records found
Dichrostachys cinerea,
Mondia whitei
(Hook.f.) Skeels
Antidepressant, anti­diarrheal, antiepileptic, antibacterial, aphrodisiac, anti-convulsant, pro­erectile, antimicrobial, tyrosinase-inhibitory, anti­inflammatory, androgenic *anthelmintic, anti­tyrosinase, antioxidant, anticancer anti­spermatogenic and antifertility activities.
Mucuna coriacea
no records found no records found no records found Baker subsp. irritans (Burtt Davy) Verdc.
Musa sp. Antioxidant, antibacterial,
antiviral, anti-ulcerogenic,
antithrombotic, anti-
allergic, anti-inflammatory,
antiallergenic, anti-
diabetic, diuretic,
mutagenecity, wound
healing, antidiarrhoeal,
*anthelmintic, antimalarial,
anti-snake venom
and vasodilatory
activities.
Ozoroa reticulata
(Baker f.) R. Fern. & A. Fern.
Antimicrobial, cytotoxic,
antibacterial and
*anthelmintic activities.
Ozoroa insignis
Del. subsp. reticulata (Bak. f.) Gillett
Heeria reticulata
Engl.
Peltophorum africanum Sond.
Antibacterial, antifungal,
antiviral, antioxidant and
*anthelmintic activities.
Biological target Toxicological
evaluation
Cestodes Safe
LD
> 6000 mg/kg
50
Schistosomes Safe
LD
> 5000 mg/kg
50
Nematodes:
Haemonchus
Safe LD
> 5000 mg/kg
50
contortus and Trichostrongylus colubriformis
Cestodes Schistosomes
Highly toxic LC
ranging 2.21–
50
10.63 μg/ml
Schistosomes Weak or low toxicity
LC
ranging 882–
50
1060 106 μg/ml
Reference
[23, 36, 100]
[133–136]
[137–141]
[23, 31, 142– 145]
[23, 65, 100]
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Plants Used for the Treatment and Management of Bilharziasis and Other
ITexLi.113291
Scientific name Pharmacological
Phaseolus vulgaris L
Piliostigma thonningii
(Schumach.) Milne-Redh.
Pogonarthria squarrosa
(Licht.) Pilg.
Pterocarpus angolensis DC.
Ricinus communisLAnticonceptive,
Sansevieria hyacinthoides
(L.) Druce
Sclerocarya birrea (A. Rich.)
Hochst. subsp. caffra (Sond.) Kokwaro
properties
Hypocholesterolemic, nephroprotective, anticancer, anti­hypertensive, diuretic, neuroprotective, antifertility, analgesic, antibacterial, hepatoprotective, antiobesity, osteoprotective, anti­inflammatory, antioxidant, antidiabetic, *anthelmintic, immunostimulatory, cardio-protective, litholytic, trypsin and α­amylase inhibitor activities.
*Anthelmintic (antileishmanial), anti­oxidative, antiviral, antipyretic, antibacterial and anti-inflammatory activities.
*Anthelmintic, antibacterial, anti­plasmodial, anti­inflammatory and antifungal activities.
antioxidant, antidiabetic, antifertility, anti­inflammatory, antioxidant, *anthelmintic, hepatoprotective, insecticidal, wound­healing, anti-asthmatic, lipolytic, immunomodulatory and antimicrobial activities.
*Anthelmintic, antibacterial, antifungal and antioxidant activities.
Anti-diarrhoeal, anti­diabetic, anti­inflammatory, anti­plasmodial, *anthelmintic, antimicrobial, antioxidant, antihypertensive, anti­convulsant and antinociceptive activities.
Biological target Toxicological
Nematodes:
Trichostrongylus colubriformis and Teladorsagia circumcincta
Cestodes Nematodes:
Haemonchus contortus
no records found no records foundno records found
Nematodes Safe
Nematode:
Caenorhabditis elegans
Nematode:
Haemonchus contortus
evaluation
Safe LD
up to 2000 mg/kg
50
Safe LD
> 5000 mg/kg in
50
rats.
Weak or low toxicity orCestodes mildly toxic LC
ranging 478–
50
1320 266 μg/ml.
LD
–8000 mg/kg
50
Safe LC
50
1112.37 210.04 μg/ml.
Reference
[146–151]
[23, 51, 152– 154]
[23, 100, 155–157]
[158–161]
[31, 38,no records found 110, 162– 164]
[19, 51, 66, 165]
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Medicinal Plants – Chemical, Biochemical, and Pharmacological Approaches
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Scientific name Pharmacological
properties
Securidaca longipedunculata
Fresen
Senna italica
Mill. subsp.
micrantha
(Brenan) Lock
Cassia italica
(Mill.) F.W. Andr.
Antibacterial, anti-
plasmodial, *anthelmintic
and antifungal activities.
Antibacterial,
hypoglycemic effect anti-
inflammatory, antipyretic,
uteruscontractions,
*anthelminthic,
antioxidant,
antiproliferative, analgesic,
prostaglandin (PG) release,
antineoplastic and antiviral
activities.
Senna petersiana
(Bolle) Lock
Cassia petersiana
Bolle
*Anthelmintic,
antibacterial, antifungal,
cyclooxygenase (COX)
inhibitory, antiviral and
antimicrobial activities.
Senna singueana
(Delile) Lock
Cassia singueana
Del
*Anthelmintic, antioxidant,
antiplasmodial, antiulcer,
antipyretic, anti-
inflammatory and analgesic
activities.
Solanum campylacanthum Solanum delegoense Dunal S. incanum
*Anthelmintic,
antinociceptive effect,
antipyretic, analgesic,
antimicrobial, anti-
inflammatory and anti-
cytotoxic activities.
Steganotaenia araliacea
Hochst.
*Anthelmintic
(antileishmanial and
larvicidal), antimitotic,
antitubulin, uterotonic,
antioxidant, antibacterial,
diuretic and antiplasmodial
activities.
Strychnos cocculoides Bak.
Termilia sericea
Burch ex. DC
Antimalarial and
antioxidant activities.
Antibacterial, antifungal,
anti-neurodegenerative,
anticancer, antioxidant,
antiviral, anti-HIV, anti-
fungal, antibacterial,
anticancer, lipolytic,
wound healing,
*anthelmintic
(antiprotozoal), anti-
inflammatory and anti-
oxidant activities.
Terminalia brachystemma
*Anthelmintic, antifungal
and antioxidant activities. Welw.
Biological target Toxicological
Reference
evaluation
Nematode:
Haemonchus
Moderately toxic LD
value of 771 mg/kg
50
[51, 100, 155, 157, 166]
contortus
Nematodes:
Haemonchus
Safe LD
> 5000 mg/kg
50
[167–175]
contortus
Nematode:
no records found [176, 177]
Caenorhabditis elegans
Cestodes Safe
LD
Cestodes Safe
LD
–2150 mg/kg
50
> 2000 mg/kg
50
[23, 178, 179]
[23, 180– 184]
Cestodes no records found [23, 185–187]
no records found no records found [31, 188,
189]
Protozoa:
Trichomonas
Toxic LC
50
< 300 μg/ml.
[19, 66, 190– 196]
vaginalis
Cestodes no records found [23, 197,
198]
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Plants Used for the Treatment and Management of Bilharziasis and Other
ITexLi.113291
Scientific name Pharmacological
properties
Toddalia asiatica
(L.) Lam.
Toddalia aculeata Pers.
Anti-inflammatory, anti­bacterial, anti-tumor, antifeedant analgesic, anti­HIV, anti-plasmodial, antiviral, *anthelmintic, analgesic, antiplatelet aggregation, wound healing, anticancer, spasmolytic activity and skin whitening activities.
Trichilia emetica
Vahl subsp.
emetic Trichilia roka
Chiov.
*Anthelmintic (antischistosomal and antitrypanosomal), anti­diarrhoeal, antifungal, anti­oxidant, anti-infective, anti­inflammatory, antiviral, anticonvulsant, antifeedant, anti-plasmodial, antitussive, antimutagenic, bactericidal hepatoprotective and growth regulating activities.
Trichodesma ambacense Welw.
subsp. hockii (De. Wild) Brummitt
Vangueria infausta Burch.
subsp. infausta
Antibacterial, antifungal, antimycobacterial, anti­inflammatory, antioxidant, *anthelmintic (antileishmanial), anti­plasmodial, antifeedant and prostaglandin synthesis inhibitory activities.
Vernonia amydalina Del
Antimicrobial, antimalarial, antithrombotic, antioxidant, antipyretic, analgesic, anti­diabetic, laxative, hypoglycemic, anticancer, *antihelmintic, antifertility, anti-inflammatory, cathartic, antifungal and antibacterial activities.
Vernonia philipsoniana
Lawaltree
Vigna unguiculata (L.)
Walp.
Antioxidant, *anthelmintic, antibacterial, anti-diabetic, anti-depressant, anti­sickling, antifungal, antiviral, antimicrobial, antinociceptive, hypocholesterolemic, thrombolytic and hypolipidaemic activities.
Biological target Toxicological
evaluation
Protozoa:
Ichthyophthirius multifiliis
Cestodes Schistosomes Trypanosomes:
Weak or low toxicity or mildly toxic LD
> 1000 mg/kg
50
Safe 2000 < LD
50
< 5000 mg/kg
Trypanosoma brucei brucei and Trypanosoma brucei rhodesiense
no records found no records foundno records found
Leishmania:
Leishmania donovani
Moderately toxic LC
values ranging
50
338–416 28.3 μg/mL
SafeCestodes LD
–5152.3 mg/kg.
50
3721 mg/kg.
LD
50
no records found no records foundno records found
Earthworms:
Edrilus euginiae
Safe LD
> 2000 mg/kg
50
Reference
[199–206]
[23, 207– 212]
[39, 100, 101, 213– 217]
[23, 218– 220]
[221–225]
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Scientific name Pharmacological
properties
Warburgia
no records found no records found no records found
Biological target Toxicological
evaluation
Reference
sulcata
Ximenia caffra
Sond.
*Anthelmintic, anti-
amoebic, antibacterial,
Cestodes Highly Toxic
LC
–11.25 μg/ml
50
[23,142, 226–
229] antigonococcal agent, antifungal, anti­inflammatory, antioxidant, anti-parasitic, anti­proliferative, insecticidal, HIV-1 reverse transcriptase (RT) inhibitory and non­mutagenic activities.
Zanthoxylum chalybeum Engl.
Anti-plasmodial, antibacterial, *anthelmintic
Nematodes:
Ascaris suum
Safe LD
> 5000 mg/kg
50
[230–235]
(antitrypanosomal), antifungal antiviral, anti­hyperglycemic, anti­hyperlidemic and anti­measles virus activities.
Ziziphus mucronata Willd
Antimicrobial, antiviral, anti-diabetic, anti­inflammatory, anti­oxidant, anti-plasmodial,
Schistosomes Nematode:
Caenorhabditis elegans
Safe LC
> 1000 μg/ml
50
LD
> 5000 g/kg
50
[23, 236,
237]
*anthelmintic and anti­anemic activities.
In vitro experiments were carried-out and reported by Mølgaard et al. [23] demonstrating dose-dependent anthelmintic
activity. Anthelmintic activities reported were conducted on a number of biological targets (Figure 6): Cestodes; Earthworms: Pheretima posthuma, Edrilus euginiae, Eisinia fetida; Leishmania: Leishmania donovani; Nematode:
Ascaris suum, Ascaridia galli, Caenorhabditis elegans, Chabertia ovina, Cooperia spp., Haemonchus contortus, Trichostrongylus spp., Trichostrongylus colubriformis, Teladorsagia circumcincta, Teladorsagia spp; Protozoa: Ichthyophthirius multifiliis, Trichomonas vaginalis, T. b. rhodesiense; Schistosomes: Schistosoma haematobium;
Trypanosome: Trypanosoma brucei brucei, Trypanosoma brucei rhodesiense, Trypanosoma cruzi. More studies should be carried out on more prevalent biological targets such as Schistosomes: Schistosoma haematobium. * signifies the major pharmacological activity attributed by the different plant species of plants which is the anthelmintic activity.
Table 2.
Pharmacological and toxicological evaluation of medicinal plants used to treat and manage bilharziasis and other parasitic infections in Zimbabwe.
Scientific name Anthelmintic activity
Abrus precatorius
Acacia karoo
AIbizia antunesiana
Cassia abbreviata
Celtis africana
Dicoma anomala
22
Lethal concentrations after 1 h
a
a
Schistosomes: Stem 1.5 Root 0.6 mg/ml
a
Cestodes: Leaves 3.1 mg/ml Root 17 mg/ml
c
Schistosomes: Leaves 103 mg/ml
a
Cestodes: Leaves and stem 16.8 mg/ml Root bark 6.3
c
Schistosomes: Root bark 100 mg/ml
a
Cestodes: Root and root bark 17.1 mg/ml
b
Cestodes: Leaves 63.0 mg/ml
a
Cestodes: Root 31.0 mg/ml
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Plants Used for the Treatment and Management of Bilharziasis and Other
ITexLi.113291
Anthelmintic activityScientific name Lethal concentrations after 1 h
a
Elephantorrhiza goetzei
Gymnosporia senegalensis Maytenus senegalensis
Lannea discolor
Lannea edulis
Lecaniodiscus fraxinifolias
Ozoroa reticulata Ozoroa insignis
Peltophorum africanum
Piliostigma thonningii
Pterocarpus angolensis
Senna singueana Cassia singueana
Solanum campylacanthum Solanum delegoense
Steganotaenia araliacea
Terminalia brachystemma
Trichilia emetica Trichilia roka
Vernonia amydalina
Ziziphus mucronata
a
All cestodes: schistosomules died.
b
Some of the cestodes: schistosomules died.
c
No cestodes: schistosomules died.
Schistosomules of Schistosoma mansoni, Cestodes of Hymenolepis dimin.
Cestodes: Stem bark 4.2 mg/ml fruits 12.1 mg/ml Root 17.4 Leaves and stem
15.9 mg/ml
a
Schistosomes: Stem bark 0.8 mg/ml
a
Cestodes: Leaves and stem 25.0 mg/ml Root 25.0 mg/ml Root bark 2.5 mg/ml
b
Schistosomes: Root bark 100 mg/ml
b
Cestodes: Leaves and stem 10 mg/ml Root and root bark 12.9 mg/ml
b
Cestodes: Leaves and stem 4.0 mg/ml
a
Cestodes: Leaves and stem 6.3 mg/ml Root 6.4 mg/ml
a
Cestodes: Leaves 2.5 mg/ml Schistosomes: 34.0 mg/ml
a
Cestodes: Stem bark 51.0 mg/ml
a
Cestodes: Root bark 0.8 mg/ml
a
Schistosomes: Root bark 26.3 mg/ml Leaves + stem 25.3 mg/ml
c
Schistosomes: Leaves and stem 100 mg/ml
a
Cestodes: Root and root bark 30.8 mg/ml
a
Cestodes: Leaves 102.0 mg/ml Bark 51.3 mg/ml
c
Schistosomes: Leaves 102, stem 117 mg/ml
a
Cestodes: Leaves ad stem 15.9 mg/ml Root bark 17.2 mg/ml
a
Cestodes: Leaves 50.2 mg/ml
a
Cestodes; Leaves and stem 62.7 mg/ml
a
Cestodes: Leaves 13.4 mg/ml, Root 33.3 mg/ml, Fruit 1 66.5 mg/ml, Fruit 2
15.4 mg/ml
b
Cestodes: Root and root bark 84.7 mg/ml
b
Schistosomes: Root 6.25 mg/ml
b
Trypanosomes: Leaves Trypanosoma brucei
brucei - 14.9 mg/ml and Trypanosoma brucei rhodesiense - 8.6 mg/ml
b
Cestodes: Root 1.7 mg/ml Root bark 59.5 mg/ml
c
Schistosomes: Root bark 101 mg/ml
Table 3.
Anthelmintic screening of Zimbabwean plants traditionally used against schistosomiasis [23].
3.3 Screening
Retrieved articles were first screened based on the titles and abstracts for relevance to the study excluding articles that reported on malaria and on veterinary use of medicinal plants. For example, we excluded articles on bovine mastitis and Oriental medicines, although they appeared in the search results. However, articles that
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Figure 2.
Growth habit of medicinal plant species used to treat and manage bilharziasis and other parasitic infections in Zimbabwe.
Figure 3.
Parasites managed or treated using medicinal plants in Zimbabwe.
included both malaria and schistosomiasis were considered. The eligible full articles were then assessed further for inclusion in the study using the inclusion/exclusion criteria.
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ITexLi.113291
Figure 4.
Mode of preparation of medicinal plant species used to treat and manage bilharziasis and other parasitic infections in Zimbabwe.
Plants Used for the Treatment and Management of Bilharziasis and Other
Figure 5.
Plant parts used for medicinal preparations used for the management of bilharziasis and other parasitic infections in Zimbabwe.
3.4 Inclusion and exclusion criteria
Full-text articles that at least reported on ethnobotany of Zimbabwean medicinal plants written in English and published in peer-reviewed journals, reports, books,
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Figure 6.
Biological targets of tested parasites of medicinal plants reported.
theses and dissertations dated 31 December 2020 were considered. All publishing years were included without any geographical restrictions. Articles that reported data not relevant to the study or reviews or those not written in English were excluded from the study.
3.5 Data extraction
A data collection tool was designed in Microsoft Excel (Microsoft Corporation, USA) to capture data on different aspects of Zimbabwean medicinal plants. Three reviewers independently extracted relevant data from the included articles regarding the ethnobotany of Zimbabwean medicinal plants. For ethnobotanical data, the dis­eases or ailments managed, parts used and mode of preparation and administration were captured. The collected data were checked for completeness and processed independently by two other reviewers.
4. Results and discussion
From the several scientific papers reviewed based on ethnobotanical surveys of different areas of Zimbabwe, the results are presented in the following sections.
4.1 Literature search and publications
A total of 750 reports were retrieved out of which 138 met the inclusion criteria and were reviewed. Most of the articles were published in the 2010–2019 decade, indicating a lot of research is being done as compared to the preceding decades. This could be due to: (1) the growing need for more effective and less toxic medicinal products of plant origin, (2) emerging antimicrobial resistance that has rendered most
26