Sanna Makki (Cassia angustifolia Vahl.): An Ancient Remedy in Modern Pharmacology: An Overview
Abstract
Objective(s): This paper aims to give a comprehensive account of Senna (Cassia spp.) and its related species, with a focus on Senna Makki (Cassia angustifolia), by comparing its traditional uses in the Unani System of Medicine with modern pharmacological evidence.
Data Sources: Classical Unani literature, historical records, and modern scientific references were reviewed. Databases such as PubMed, Scopus, and Google Scholar were searched for studies on ethnomedicine, phytochemistry, pharmacology, and clinical uses of various Cassia species.
Study Selection: Both traditional references and contemporary studies addressing medicinal uses, active constituents, pharmacological effects, and clinical safety of various Cassia species were included in the search.
Summary of the Contents of the Article: There are 250-300 accepted species of Senna distributed throughout the world. Out of them, Cassia angustifolia (Senna Makki) and Cassia acutifolia (Alexandrian Senna) are officially mentioned in various pharmacopoeias. Historically, Senna Makki's medicinal use dates back to the 9th – 10th centuries, with Arabian physicians employing its leaves and pods for different ailments. In Islamic medicine, it was prescribed for constipation, gout, haemorrhoids, arthritis, paralysis, sciatica, headaches, and back pain, and externally for wounds, pruritus, scabies, and alopecia. Its diverse therapeutic roles are reflected across Unani and other traditional medical systems, now supported by contemporary pharmacological studies.
Conclusion: Senna Makki exemplifies the integration of traditional medicine with modern pharmacology. While its role as a laxative is well-supported, further studies are needed to validate the wider therapeutic claims of Unani medicine in managing other challenging diseases.
Keywords: Senna Makki; Cassia angustifolia; Unani medicine; Laxative; Sennosides.
Keywords:
Senna Makki, Cassia angustifolia, Unani medicine, Laxative, SennosidesDOI
https://doi.org/10.22270/jddt.v15i10.7379References
1. Sultana N, et al. A Comprehensive Review of Berg-e-Sana Makhi (Cassia angustifolia) in Unani System of Medicine. Ijsrm, Human. 2025;28(3):11-17.
2. Adhikary MD, Chaudhuri BN, Guchhait P, Das S. Antifungal Activities of Cassia angustifolia Leaf Ethanolic Extract against Various Candida Spp. Sch Acad J Biosci. Jul 2023;11(7):249-253. https://doi.org/10.36347/SAJB
3. AL-adhal A. The effect of Cassia angustifolia (senna) leaves on the fasting blood sugar in a sample of mild diabetic Yemeni patients. Yemeni Journal for Medical Sciences. 2009;1(3):1-6. http://www.med.ust.edu.ye/Journal/Journal.html .
4. Cupp MJ, et al. Toxicology and Clinical Pharmacology of Herbal Products. Humana Press. 2000;273-280. https://doi.org/10.1007/978-1-59259-020-9_26
5. Evans WC. Trease and Evans' Pharmacognosy. 15th ed., Elsevier Health Sciences. 2009;8.1 https://doi.org/10.1016/B978-0-7020-2933-2.00003-4
6. Prajapati ND, Purohit SS, Sharma AK, Kumar T. A Handbook of Medicinal Plants: A Complete Source Book. 1st ed. Jodhpur, India: Agrobios. 2008;317.
7. Kokate CK, Purohit AP, Gokhale SB. Pharmacognosy. 21th ed., Pune: Nirali Prakashan. 2002;8.9-8.13.
8. Shah CS, Qadry JS. A Textbook of Pharmacognosy. 16th ed., New Delhi: CBS Publishers and Distributers Pvt. Ltd. 1971;306-310.
9. Anonymous. Standardization of Single Drugs of Unani Medicine. CCRUM. Part 5. 1st ed. New Delhi: Ministry of Health and Family Welfare, Govt of India; 1992: 214-217.
10. Ali M. Pharmacognosy & Phytochemistry. New Delhi: 1st ed., CBS Publishers and Distributers Pvt. Ltd. 2018;(1):329-333.
11. Qasmi IA. Kitab-ul-Mufridat. Iqbal Ahmad Qasmi. 2000:142-143.
12. Hakeem M. Bustan ul Mufradat. NM ed., New Delhi: Idara Kitabul Shifa. 2002:264-265.
13. Usmani MI. Tanqeeh-ul-Mufridat. Zia book Depo. 2020:154-155.
14. Kirtikar. KR, Basu BD. Indian Medicinal Plants with Illustrations. 2nd ed., Uttaranchal: Oriental Enterprises. 2003:854-879.
15. Nadkarni KM. Indian Plants and Drugs. 5th ed., New Delhi: Srishti Book Distributers; 2005:282-292.
16. W. Dymock CJHW, D. Hooper. Pharmacographia Indica: A History of the Principal Drugs of Vegetable Origin. 3rd ed., New Delhi: Srishti Book Distributors; 2005:511-515.
17. Yeong YL, Pang SF, Chong SY, Gimbun J. Comparison of Microwave and Ultrasonic Assisted Extraction of Kaempferol from Cassia Alata. International Journal of Engineering & Technology. 2018;7(3.13):84-89. https://doi.org/10.14419/ijet.v7i3.13.16330
18. Ghani N. Khazainul Advia, NM ed., New Delhi; Idara Kitabul Shifa; YNM
19. Dwivedi PSR, et al. Exploring the therapeutic mechanisms of Cassia glauca in diabetes mellitus through network pharmacology, molecular docking and molecular dynamics. RSC Adv. 2021; 11:39362-39375. https://doi.org/10.1039/D1RA07661B PMid:35492478 PMCid:PMC9044434
20. Alhawarri MB, et al. Antioxidant, Anti-Inflammatory, and Inhibition of Acetylcholinesterase Potentials of Cassia timoriensis DC. Flowers. Molecules 2021; 26:1-14. https://doi.org/10.3390/molecules26092594 PMid:33946788 PMCid:PMC8125573
21. Essien EE, Thomas PS, Ascrizzi R, Setzer WN, Flamini G. Senna occidentalis (L.) Link and Senna hirsuta (L.) H. S. Irwin & Barneby: constituents of fruit essential oils and antimicrobial activity. Natural Product Research. 2018:1-4. https://doi.org/10.1080/14786419.2018.1425842 PMid:29347835
22. Dos Santos CM, et al. Chemical Composition, Antioxidant, and Cytotoxic Effects of Senna rugosa Leaf and Root Extracts on Human Leukemia Cell Lines. Pharmaceuticals. 2024;17,974:1-18. https://doi.org/10.3390/ph17080974 PMid:39204079 PMCid:PMC11357643
23. Kumavat UC, Shimpi1 SN, Jagdale SP. Hypoglycemic activity of Cassia javanica Linn. in normal and streptozotocin-induced diabetic rats. J. Adv. Pharm. Tech. Res. 2012;3(1):47-51. https://doi.org/10.4103/2231-4040.93562 PMid:22470893 PMCid:PMC3312727
24. Chittam KP, Deore SL. Cassia Javanica Linn: A Review on Its Phytochemical and Pharmacological Profile. Journal of Biomedical and Pharmaceutical Research. 2013;2(1):33-35.
25. Archer MA, et al. Medicinal Uses of Cassia Sieberiana; A Review. International Journal of Sciences: Basic and Applied Research (IJSBAR). 2019;48(2):161-180. https://www.researchgate.net/publication/336135482 .
26. Ayo RG. Phytochemical constituents and bioactivities of the extracts of Cassia nigricans Vahl: A review. J. Med. Plant. Res. 2010;4(14):1339-1348. https://doi.org/10.5897/JMPR10.010
27. Chidume FC, et al. Pharmacological Activity of the Methanolic Extract of Cassia Nigricans Leaves. Indian Journal of Pharmacology. 2001; 33:350-356.
28. Akomolafe RO, et al. An in vitro study of the effects of Cassia podocarpa fruit on the intestinal motility of rats. Phytomedicine. 2004; 11:249-254. http://www.elsevier-deutschland.de/phymed . https://doi.org/10.1078/0944-7113-00330 PMid:15070180
29. Wath MR, Lande PM. Anthelmintic efficacy and preliminary phytochemical investigations of Cassia mimosoides (L).: Unexplored plant. International Journal of Creative Research Thoughts (IJCRT). 2021; 9:797-804.
30. Mongalo NI, Mafoko BJ. Cassia abbreviata Oliv. A review of its ethnomedicinal uses, toxicology, phytochemistry, possible propagation techniques and Pharmacology. Afr. J. Pharm. Pharmacol. 2013;7(45):2901-2906. https://doi.org/10.5897/AJPP12.1017
31. Olofinsan K and George B. Senna petersiana (Bolle) leaf alkaloid-rich extracts exert cytotoxic and photodynamic activities in MCF-7 breast cancer cells. South African Journal of Botany. 2025; 180:315-324. https://doi.org/10.1016/j.sajb.2025.03.001
32. Kolawole A. Olofinsan et al. Senna petersiana inhibits key digestive enzymes and modulates dysfunctional enzyme activities in oxidative pancreatic injury. Asian Pacific Journal of Tropical Biomedicine 2022; 12(7): 300-311. https://doi.org/10.4103/2221-1691.350178
33. Tolentino NM, Saludarez MU, L. Maslang JA. Anti-Inflammatory Property Evaluation of Parameria laevigata (Lupiit) Plant. International Journal of Multidisciplinary Research and Publications (IJMRAP). 2023;5(8):73-76.
34. https://stuartxchange.org/Malakaturai .
35. https://tropical.theferens.info/viewtropical.php?id=Senna+singueana&utm .
36. Ambasta BK, Prasad G, Sinha KS, Verma PR. An anthraquinone derivative from Cassia grandis Linn. Indian Journal of Chemistry. 1996;35(9):990-991. https://doi.org/10.1002/chin.199647255
37. Ripanda A, Luanda A, Mtabazi GS, Makangara JJ. Senna singueana (Delile) lock: Ethnomedicinal uses and medicinal properties. Heliyon. 2023; 9:1-15. https://doi.org/10.1016/j.heliyon.2023.e14098 PMid:36923862 PMCid:PMC10008984
38. Oladeji OS, Adelowo FE, Oluyori AP, Bankole DT. Ethnobotanical Description and Biological Activities of Senna alata. Evidence-Based Complementary and Alternative Medicine. 2020;1-12. https://doi.org/10.1155/2020/2580259 PMid:32148534 PMCid:PMC7054808
39. Khan HM Azam. Qarabadeen-e-azam. CCRUM, New Delhi, 2009.
40. Kabeeruddin HM. Alqarabadeen. CCRUM, New Delhi, 2006.
41. Arzani A. Qarabadeen-e-Qadri. Ejaz Publishing House, New Delhi, 1998.
42. Abdul-hafeez H. Qarabadeen-e-Jadeed. CCRUM, New Delhi, 2005.
43. Unani Tibbi conference. Qarabadin Majeedi. All India Unani and Tibbi conference. 2018.
44. Kabiruddin M. Makhzan ul Mufradat, NM ed., New Delhi: Idara Kitabul Shifa;2007:350.
45. Khan HM Azam. Muheet-i-Azam. Vol 3rd (Urdu Translation) CCRUM, New Delhi, 2018:153-154.
46. Guarize L, et al. Anti-inflammatory, laxative and intestinal motility effects of Senna macranthera leaves. Natural Product Research. 2012;26(4):331-343. https://doi.org/10.1080/14786411003754264 PMid:21432718
47. http://tropical.theferns.info/viewtropical.php?id=senns+alexandrina&redir=Cassia+angustifolia .
48. Adedayo O, et al. Phytochemistry and Antibacterial Activity of Senna alata Flower. Pharmaceutical Biology. 200; 39:6,408-412, https://doi.org/10.1076/phbi.39.6.408.5880
49. Kalsoom A, et al. In vitro antiproliferative potential of Cassia angustifolia extracts on HepG2 cells to combat liver cancer. International Journal of Applied and Experimental Biology. 2024;3(2):113-123.
50. Kumar R and Gupta B. Beneficial effects of cassia angustifolia (senna leaves) treatment improves constipation, liver functions and defense of red blood cells in type 2 diabetic patients. Gut. 2019;68: A111-A112. https://doi.org/10.1136/gutjnl-2019-IDDFAbstracts.215
51. Kamble S, Shinge T & Shinde P. A Review Extraction and Standardization Techniques of Senna Leaves. J Drug Design Discov Res. 2020;1(1):33-35.
52. Oladeji OS, Adelowo FE, Oluyori AP. The genus Senna (Fabaceae): A review on its traditional uses, botany, phytochemistry, pharmacology and toxicology. South African Journal of Botany. 2021; 138:1-32. https://doi.org/10.1016/j.sajb.2020.11.017
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Copyright (c) 2025 Jahan Najeeb , Arhama Mohammed , Nasreen Jahan , Parwej Ahmad , KMY Amin

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