Camptotheca, Xi Shu 喜树

Happy Tree
Xi Shu (TCM)
Picture
Picture Camptotheca acuminata
Manual of Vascular Plants of the Lower Yangtze Valley China (Wikimedia)

Picture Camptotheca mature fruit
(
Photo by Syrio) (Wikimedia)

Botanical name:


Camptotheca acuminata

Parts used:


Fruit; Root bark

Temperature & Taste:


Cold, dry. Bitter, Pungent, Toxic

Classification:




Uses:


1. Clears Heat and Toxin:
-Herpes, Psoriasis (topical)
-Toxic Sores
Hepatosplenomegaly caused by schistosomiasis

2. Moves the Blood, Clears Stasis, Resolves Masses:
–various Cancers including Esophageal, Lung, Breast, Ovarian, Stomach, Liver, Colorectal, Head and Neck, Bone etc.
choriocarcinoma, lymphosarcoma
-acute and chronic Leukemia

3. Externally:
-topically for Psoriasis, Herpes, Toxic Skin Sores


Dose:


1. The Fruit is generally regarded as stronger in effect, but is more toxic than the root-bark.
2. Begin with lower doses increasing as needed
3. It should not be cooked in iron vessels
Fruit in Decoction: 3–9 grams
Root-bark in Decoction 10–15 grams

Main Combinations:



Major Formulas:




Cautions:


1. Avoid overdose.
2. Do not cook in Iron pots.
3. Use cautiously in Immunosuppressed. Immunosuppression caused by camptothecin was temporary; immunity  recovered after 9 days of drug withdrawal

Toxicity:


Isolated camptothecin has been used in Cancer therapy, but was discontinued due to severe toxicity, particularly hemorrhagic cystitis. However, less toxic analogues have seen a resurgence of interest. As with other toxic medicines used in Cancer therapy, there can still be use for the whole plant rather than its isolated compound.

Main Preparations used:




1. ANTI-FUNGAL
Antifungal activity of camptothecin, trifolin, and hyperoside isolated from Camptotheca acuminata.

2. ANTI-VIRAL:
Camptothecin and 1O-methoxycamptothecin have obvious inhibitory effects on herpes virus in vitro

3. PSORIASIS
Plant extracts for the topical management of psoriasis: a systematic review and meta-analysis.

4. ULCERATIVE COLITIS
Therapeutic Mechanism and Effect of Camptothecin on Dextran Sodium Sulfate-Induced Ulcerative Colitis in Mice.

5. CONTRACEPTIVE
Camptothecin 5mg/kg, once a day, by gavage or subcutaneous injection for 1-3 times, can be 100% resistant to early pregnancy in rats 7-9 days after mating





6. CANCER
The long story of camptothecin: From traditional medicine to drugs.
Extraction and composition of three naturally occurring anti-cancer alkaloids in Camptotheca acuminata seed and leaf extracts.
Anticancer drugs from traditional toxic Chinese medicines.
Camptothecin and its analogues: a review on their chemotherapeutic potential.
Camptothecin, over four decades of surprising findings.
Advances in cancer therapy with plant based natural products.
[Camptothecin and derivatives: a new class of antitumor agents].
ENDOMETRIAL
Antitumor Effects and Biological Mechanism of Action of the Aqueous Extract of the Camptotheca acuminata Fruit in Human Endometrial Carcinoma Cells
LIVER:
Triterpenes from the fruit of Camptotheca acuminata suppress human hepatocellular carcinoma cell proliferation through apoptosis induction.
LUNG:
Camptothecin analogues in the treatment of non-small cell lung cancer.