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Ganodema lucidum                                   have hair growth promoting and anti-greying properties.
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              Ganodema lucidum Fr. Krast (family: Ganodermataceae)   In vivo and  in vitro studies confirming potential effect of
          is an oriental fungus, which has been widely used as a folk   H. rosa-sinensis in hair growth. Moreover, Upadhyay and et al.
          medicine for treatment of various diseases such as   showed the significant anti-androgenic alopecia activity of
          hypertension, hepatitis, cancer, nephritis, hyperglycemia and   ethanolic extract of H. rosa-sinensis. They revealed that the
          hypercholesterolemia in East Asia. In addition,     results  are  comparable  to finasteride  as a  standard  FDA
          anti-androgenic activities of fungi were demonstrated in   approved drug for androgenic alopecia. 75
          some investigations. The methanol extract of  G. lucidum
          showed a strong 5-alpha reductase inhibitory activity. 64,65    Lygodium japonicum
          Pursuant to earlier studies, triterpenoids and polysaccharides   Lygodium japonicum (Thunb.) Sw. (family: Lygodiaceae)
          are the active principle of G. lucidum, and these components   as a climbing fern is one of the most valued Chinese
          may be responsible for their actions. 31,66        medicinal herbs. The spore of L. japonicum (Lygodii spora)
                                                             has been demonstrated to contain various fatty acids. It has
          Glycyrrhiza glabra                                 been used for the treatment of urinary tract disorders, which
              Glycyrrhiza glabra or liquorice (family: Leguminosae) is   some of these functional disorders were said to consequent
          known as sweet root. It is a flavorful herb that has been used   from benign prostatic hyperplasia. Likewise, it was found
          as food and medicine for thousands of years. The major   that  the  extract  of spores  has  in vitro  testosterone  5-alpha
          active constituents of  G. glabra are triterpenoid structures   reductase inhibitor and shows in vivo anti-androgenic
          (e.g. glycyrrhizin, glycyrrhizic acid,  glycyrrhetinic acid),     activities. Oleic, linoleic and palmitic acids were identified as
          broad ranges of flavonoids and chalcone glycosides     the active principles of spores in foregoing actions. 34,76
          (e.g.  liquiritin,  neoisoliquiritin,  liquiritigenin,
          isoliquiritigenin), amino acids (e.g. asparagine, glabrine) and   Myrica rubra
          sugars (e.g. glucose, sucrose).  The roots have a various   Bayberry or Myrica rubra Sieb. et Zucc. (family:
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          pharmacological activities, such as gastroprotective,   Myricaceae) is a widespread plant in temperate, tropical and
          hepatoprotective,  anti-inflammatory,   anti-viral,    subtropical areas  all over the world.   Various phenolic
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          anti-bacterial, anti-fungal, anti-tumor actions. It is also used   compounds, including flavonoids, tannins, phenylethanoids
          for improvement of memory activity, respiratory troubles   and also some triterpenoid structures were reported in
          and psoriasis disease. 67,68  In addition, it is known traditionally   previous literatures as the main components of M. rubra. 77,78
          for stimulating hair growth. According to previous studies in   Commonly, the leaves of the plant are used as an astringent,
          animals  treated with petroleum ether  extract of  G. glabra   anti-diarrheic, and analgesics in folk medicine in China.
          roots, significant hair growth promoting effect and    Additionally, some biological effects such as anti-oxidant,
          anti-androgenic actions was observed. 69,70  Published papers   anti-inflammatory,  anti-allergic,  neuroprotective,
          also showed decreases of testosterone levels in females. These   anti-thrombotic and anti-tumor activities were reported
          effects are thought to be due to the main constituents of    from different parts of the plant. 79-81  Another study
          G. glabra roots such as phytostrogens.  The mechanism of   demonstrated anti-androgenic effect of the aqueous ethanol
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          anti-androgenic actions in treatment of hair loss is   extract of  M. rubra bark. The extract showed  in vitro
          embarrassment of DHT formation by 5-alpha reductase   testosterone 5-alpha reductase inhibition and in vivo
          enzyme inhibition. It was reported that G.glabra is able to   anti-androgenic activity by growth of flank organs in castrated
          inhibit some steroid dehydrogenases (e.g. 17-beta-HSD5 and   Syrian hamsters and/or hair regrowth after shaving in
          17-beta-HSD3) via its active component, 18-beta-   testosterone-treated C57Black/6CrSlc mice. Myricanone,
          glycyrrhetinic  acid, which  inhibiting  the  conversion of   myricanol, and myricetin are suggested the main active
          androstenedione (AdT) to testosterone resulting reduced   principles of this plant. 35
          level of testosterone. 4,32,71
                                                             Panax ginseng
          Hibiscus rosa-sinensis Linn.                          Panax ginseng  C.A. Meyer (family:  Araliaceae) rhizomes
              Hibiscus rosa-sinensis  Linn.  (family:  Malvaceae) is an   with more than thirty triterpenoid structures (saponins) called
          evergreen glabrous shrub that widely cultivated as an   ginsenoside, has been used as a tonic, adaptogen and restorative
          ornamental plant in tropical area. Phytochemical screening   agent that helps to improve general health. It has been
          of  H.  rosa-sinensis  revealed the presence of phenolic   traditionally used for sharpening the mind, reduction of stress,
          compounds, flavonoids, carbohydrates, aminiacides and   improvement of the immune system, blood sugar level
          glycosides.  The plant possesses some bioactive properties   regulation, strengthening the cardiovascular system. It is also
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          such   as  anti-complementary,  anti-spermatogenic,    used  for    anti-hepatitis,   anti-coagulant,
          anti-diarrhetic, anti-androgenic, anti-phologistic, anti-  anti-inflammatory,  immunoregulatory,  anti-fatigue,
          tumor, anti-convulsant, antidiabetic, cardioprotective,   anti- ulcer, anti-cancer and anti- proliferative activities.
          antioxidant, antibacterial activities. 73,74  In addition, traditional   Additionally, P. ginseng has been widely used for treatment of
          knowledge showed that  H. rosa-sinensis  leaves and flowers   alopecia. It has been promoted hair growth in animal models


          Asnaashari—Herbal medicines for Androgenic Alopecia  ALTERNATIVE THERAPIES, JUL/AUG 2020 VOL. 26 NO. 4   31
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