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338 วารสารการแพทย์แผนไทยและการแพทย์ ทางเลือก      ปีที่ 21  ฉบับที่ 2  พฤษภาคม-สิงหาคม 2566




                         Discussion                    ditional TakKaSila pharmacopoeia to be the
                Ya Prasa PraoYai, Ya Ha Rak and Ya     first-line drug formulation to treat flu according

           Chanthalila drug formulations which are tradi-  and was also recommended to alleviate symp-
           tionally used to treat flu due to their antipyretic   toms during the Covid-19 infection.  In contrast
           properties were screened for anti-SARS-CoV-2   Ya Chanthalila has been effectively used dur-

           activity.  The aqueous extract of PSP, CTL and   ing the recovery period following Covid-19
                                                               [22]
           Y5R are reported here for the first time to pose   infection.   Testing of the Anti-viral properties
           anti- SARS-CoV-2 activity. The three prepa-  of the three preparations at 5 mg/mL did not re-
           rations used in this study are similar to the   veal significant differences. The main plant in
           types of preparations used in Thai traditional   the Ya Prasa Pro Yai preparationwas K. galanga

           medicine which are made of various medici-  L. which has been used to treat measles and
                                                                                  [21]
           nal plants.  K. galanga L. which is the main   herpes simplex virus infection.   Ya Ha Rak
                    [11]
           component in PSP, is now reported to include   preparation consisted of five herbal roots in
           phytochemchemicals such as terpenoids, phe-  the same proportion. Some sources reported
           nolics, cyclic dipeptides, diarylheptanoids, fla-  that chlorophyll derivatives and quercetin in

                                                 [21]
           vonoids, polysaccharides, and essential oils.     T. triandra (Colebr.) Diels) could be potential
           These phytochemicals were mostly presented   therapeutic agents for treating COVID-19. [23]
           in blue and yellow to anisaldehyde sulphuric   Meanwhile, Ya Chanthalila is made of different

           acid reagent in contrast to Y5R and CTL which   plants, some of which are used in Chinese tra-
           mostly presented yellow spots indicating the   ditional medicine and reported to be promising
           presence of different phytochemicals.       for SARS-CoV-2 treatment. A. lancea (Thunb)

                Ya Prasa Pro Yai preparation is normally   DC.) has been found using molecular docking
           used to treat gastrointestinal tract symptoms,   analysis to lower binding energy with key

           e.g., stomach pain, flatulence and anorexia [18]  proteins, suppresse cytokine storm and regu-
                                                                                 [24]
           because the main herbal component is K.     late some anti-viral pathways.  A. vulgaris L.
           galanga L. or PraoHom in Thai.  PraoHom is   has also been reported to demonstrate in vitro

           also found to be one of the main components in   inhibition of FCoV or SARS-CoV-2 virus. [16]
           the YaKheawHom preparation, which is used   D. loureiroi Gagnep. and T. hoaensis Pit., the

                                                 [18]
           to treat measles and herpes simplex virus.     mixed ingredients in Kerra formulation have
           Ya Ha Rak formulation or the five roots drug   been found to inhibit the SARS-CoV-2 main
           formulation, is recommended by the Thai tra-  protease and SARS-CoV-2 RdRp with IC 50
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