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Peethaambaran Kunnathoor, Chennai October 28 , 2017
Allopathic doctors in Tamil Nadu want scientific validation of medicinal efficacy of the much-hyped Siddha poly-herbal concoction, Nilavembu Kudineer, which is distributed freely to all patients by the government with the hope that it will help prevent all types of fever and can treat dengue.

Though the herbal drug is given to all patients suffering from fever for the last several years, modern physicians are of the opinion that the safety and efficacy aspects of the medicine have not been established in lab studies. According to them, data of scientific studies of a drug as an ethical requirement is necessary when it is distributed to patients on a large scale. Prominent media, including national newspapers, are also supporting the stand of modern medical professionals and urge the Siddha community to substantiate the therapeutic underpinnings of the drug.

Those who demand for clinical studies for Nilavembu Kudineer argue that it is necessary to know how a drug benefits the people and what are the side effects of that medicine once it is consumed by a patient for healing a disease.

Supporting the scientific perspectives of the doctors, a few practitioners of Siddha system have started urging clinical studies for this Siddha traditional medicine, which is stated to have been in use for centuries. But, there are differences of opinion among the siddhars in holding scientific validation studies in order to prove the efficacy and safety of this concoction, and adverse effects if any. Major section of the practitioners are of opinion that Nilavembu Kudineer Kashayam does not need to be subjected to lab studies as its efficacy is already proven and it is not a new drug.

When there was outbreak of dengue fever a few years ago, Nilavembu Kudineer was given to all patients who visited the government and private hospitals to treat dengue and also to prevent all types of influenza. This year government has decided to freely distribute this herbal concoction to prevent outbreak of flu and to boost the immune system. Though not publicly opposing distribution of this medicine, modern physicians are arguing that no unbiased research was so far carried out on this drug and no scientific data of its efficacy is available anywhere.

Against this comment of the allopaths, Siddha practitioners have started criticizing through social media. However, certain practitioners subscribe the view that the drug should be tested for efficacy and the study should be documented. Once the data is generated, it can be highlighted as a safe and effective herbal medicine to combat dengue. Besides, the scientific validation will help the drug reach the global market also.

The poly-herbal formulation contains nine herbs which possess antiviral properties. A practitioner-cum-manufacturer has confirmed that Nilavembu Kudineer is a combination of nine herbs. Adrographis Paniculata (Seemai Nilavembu) , Vetiveria zizanoides (Vettiver) Andropogon Muricatus (Vilamicchaver), Santalum Album (sandhanam), Trichosanthes Cucumerina (Pei pudal), Cyperus Rotundus (Korai kizahngu), Zingiber Officialis (Chukku), Piper Longum (Milagu), and Mollugo Cerviana (Parapadkam) are the ingredients contained in it.

According to him, since the concoction is antipyretic, it reduces fever and brings back the normal body temperature. The anti-inflammatory effect controls infection caused by the pathogens. It is also analgesic, so it relieves body aches, and the body cleansing action of the drug detoxifies the blood, liver and spleen for pathogenic endotoxins.

Countering the current criticisms by allopathic doctors, a Siddha expert in Chennai responded that there are many reasons for the modern physicians to suspect the efficacy aspect of Nilavembu Kudineer. Recently there is a sudden increase in the number of manufacturers of this medicine in powder form, and everyone is surprised how all these manufacturers get genuine raw materials. Besides, there are many unbranded products in the market.

Thirdly, different practitioners recommend different quantities for the single dose of powder to be used. It often varies from 300 mg to 20 grams. Further, there is multiple stand on duration of use for prevention, some gives only once, some suggests three days and some say, one week. There is still a need for a concrete interventional study and these inconsistencies need to be resolved, he said.

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