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Family Umbelliferae
Takip-kohol
Centella asiatica (L.) Urb.
PENNYWORTH / GOTU KOLA
Chi-hsueh Ts'ao

Scientific names Common names
Centella asiatica (L.) Urb. Hahanghalo (C. Bis.)
Centella boninensis Nakai ex Tuyama Panggaga (Sub.) 
Centella glochidiata (Benth.) Drude Pispising (Bon.) 
Centella hirtella Nannf. Tagaditak (Iv.) 
Centella tussilaginifolia (Baker) Domin Gotu kola
Centella ulugurensis (Engl.) Domin Takip-kohol (Tag.)
Centella uniflora (Colenso) Nannf. Takip-suso (Tag.) 
Chondrocarpus asiaticus Nutt. Taingan-daga (Tag.) 
Glyceria asiatica Nutt. Tapiñgan-daga (Tag.) 
Glyceria triflora Nutt. Yahong-yahong (S-L. Bis.)
Hydrocotyle asiatica L. Indian Hydrocotyle (Engl.) 
Hydrocotyle biflora P. Vell. Pennyworth (Engl.) 
Hydrocotyle ficarifolia Stokes Spade leaf (Engl.)
Hydrocotyle ficarioides Lam. Tiger grass (Engl.)
Hydrocotyle inaequipes DC.  
Hydrocotyle lurida Hance  
Hydrocotyle nummularioides A.Rich.  
Hydrocotyle reniformis Walter  
Hydrocotyle repanda Pers.  
Hydrocotyle triflora Ruiz & Pav.  
Hydrocotyle tussilaginifolia Baker  
Hydrocotyle uniflora Colenso  
Pennyworth is a shared common name between (1) Takip-kohol, centella asiatic, pennywort, asiatic pennywort, and (2) Pennywort, Hydrocotyle vulgaris
Centella asiatica (L.) Urb. is an accepted name. The Plant List

Other vernacular names
ASSAMESE : Aghinya, Bor-mani-muni, Manimuni.
BENGALI: Bora thulkari, Brahmi, Peruk, Thankuni, Tholkuri.
CHINESE: Ji xue cao, Lei gong cao, Lei gong gen, Lei gong teng, Beng da wan, Chi-hsueh Ts'ao.  
DANISH: Asiatisk centella.
FIJIAAN: Totodro.
FRENCH: Centelle asiatique, Écuelle d'eau, Fausse violette, Hydrocotyle asiatique, Hydrocotyle érigée.
GERMAN: Asiatischer Wassernabel, Indischer Wassernabel.
GUJARATI: Barmi, Brahmi, Khadabrahmi.
HAWAIIAN: Pohekula.
HINDI: Bemgsag, Brahma manduki, Brahma manduki, Brahmi, Mandukaparni, Thankuni.
ITALIAN: Erba delle tigri, Idrocotile, Scodella d'acqua.
JAPANESE: Tsubo kusa.
KANNADA: Brahmi soppu, Elavarige soppu, Ondelaga, Vondelaga.
KHMER: Trachiek kranh.
MADURESE: Kos tekosan.
MALAGASY : Talapetraka.
MALAY : Daun kaki kuda, Gagan-gagan, Pegaga, Pegagan, Kerok batok, Rendeng.
MALAYALAM: Codagen, Kodangal, Kudangal, Kudakan, Kutakan, Kutannai, Kutannal, Mandukaparni, Muthil, Muttil.
MARATHI: Brahmi, Karinga.
NEPALESE: Brahambuti, Braahamii, Ghodtaapre, Ghorataap, Kholca ghayn.
ORIYA: Hnahbial, Lambak, Theelkudi.
PUNJABI: Brahmibuti.
RUSSIAN: Gotu kola.
SAMOAN: Tono.
SANSKRIT: Brahmi, Brahma manduki, Brahamamanduki, Divya, Jalneem, Maha aushadhi, Mandukaparni, Manduki, Mandukparni, Nandukparni, Thankuni.
SINHALESE: Gotukola, Heen gotukoda, Hin gotukola.
SPANISH: Centella asiática, Hierba de clavo , Sombrerito.
SUNDANESE: Antanan rambat.
TAHITIAN: Tohatupou.
TAMIL: Mantukaparani, Pantakirikkoti, Parni, Saraswathi, Vallaarai, Vallarai, Vallarai elai, Viriyatacicceti, Viriyatecu.
TELUGU: Babassa, Bekaparnamu, Bokkudu, Mandooka brahmi, Mandooki-brahmi, Mandukbrammi, Nacley, Saraswataku, Saraswathi aaku, Saraswati aku, Vellaaraku..
THAI: Bua bok, Phak nok, Phak waen.
VIETNAMESE: Cay rau ma, Rau ma.

General info
- Gotu kola— also known as Centella asiatica, Indian pennywort—has been used for centuries as a medicinal herb, as far back as 3000 years ago in Indian Ayurvedic medicine, 2000 years ago in Chinese medicine, in the late 1800s in French pharmacopoeia.
- Contrary to its name, it contains no cola or caffeine.

Botany
Takip-kohol is a prostrate, creeping, sparingly hairy or nearly smooth perennial herb, with delicate and slender stems rooting at the nodes. Leaves are rounded to reniform, 2 to 5 centimeters wide, horizontal, more or less cupped, rounded at the tip, and kidney-shaped or heart-shaped at the base, palmately veined, margins undulate-crenate, the rounded lobes often overlapping. Petioles are erect, 3 to 20 centimeters long. Flowers are dark-purple, axillary, ovate, and about 1 centimeter long. Peduncles occur in pairs or threes, less than 1 centimeter long and usually bear 3 sessile flowers. Fruits are minute, ovoid, white or green, and reticulate, each with 9 subsimilar longitudinal ridges. Carpels are five, cylindric compressed, about 2.5 millimeter long, white or green, reticulate. Ovary is inferior. Stamens are 5, epigynous.

Distribution
- Found in gardens, thickets, and open, damp grasslands, on rice paddy banks and streams throughout the Philippines.
- Pantropic.

Constituents
• Leaves yield vellarine (1% in dry plant), an oily, non-volatile liquid, responsible for the odor, and considered to be the chemically active principle of the plant.
• Analysis has described vellarine as an inspissated oil of pale yellowish color, with a bitter, pungent, and persistent taste, with a marked odor of hydrocotyle, subject to variations of heat, humidity, and atmosphere.
• Chemical analysis of the plant shows the presence of vellarine, high vitamin B content in the leaves and roots, and a miscellany of other constituents such as carbohydrates, resins, proteins, ash, alkali, alkaline salts, phosphates, and tannins. The vellarine is obtained principally from the roots.
• Phytochemical studies have shown triterpenoid glycosides, phytosterols, amino acids, free acids, volatile oils and flavonoids.

• Analysis has reported chemical composition as: Resinous and oil substances, 8.9%; tannic acid and sugar, 24.5%; mucilage and extractive, 11.5%; pectin and albuminous matter, 12.5%, ash, mostly as alkaline chlorides, 12.0%.
• Triterpenoid saponins include asiaticoside, centelloside, madecassoside and asiatic acid.
• Qualitative phytochemical analysis of methanol extract of plant confirmed the presence of alkaloids, flavonoids, tannins, terpenoids, saponin, steroids, and proteins, reducing sugars, carbohydrates and cardiac glycosides. (25)
• Nutrient analysis yield 37.0 Kcal in 100 g, K 391 mg, calcium 171 mg, protein 2.0%, carbohydrate 6.7%, and fat 0.2%. It yields 87.7% moisture, 1.6% crude fiber, 1.8% ash, 32.0 mg/100 g phosphorus, 5.6 mg/100g iron and 21 mg/100g sodium. Vitamin analysis yields per 100g: vitamin C 48.5 mg, B1 0.09 mg, B2 0.19 mg, niacin 0.1 mg, carotene 2649 µg, and vitamin A 442 µg. (28)
• Essential oil analysis showed the major constituent to be terpenic acetate ß, while other prominent constituents were ß-caryophyllene, farnesene, tans-ß-farnesene, gemacrene-D, α-humulene, bicylogermacrene, sesquiterpene and p-cymol. (44)
• Study of methanol extract for triterpene content yielded asiatic acid 12%, madecassic acid 0.54%, asiaticoside 0.25%, and madecassoside 1.02%. (see study below) (61)

Properties
• Leaves are considered tonic, diuretic, emmenagogue, and stimulant.
• Plant has blood pressure-lowering effect.
Rich in Vitamin B.
Studies have suggested anxiolytic, bactericidal, wound healing, antioxidant, immunomodulatory, gastroprotective, larvicidal, antidiabetic, antimicrobial properties.

Parts utilized
· Leaves, seeds, roots, sap.

Uses
Edibility
- Eaten as a salad or vegetable dish.
- In Malaysia and Indonesia, common eaten as fresh vegetable (ulam and salad), eaten raw or cooked as  soup ingredient. Mild bitterness is countered by the addition of coconut milk and/or shredded coconut. Used as health tonic and processed into cordial drinks or blended to make juice drink. (28)
- Used in the preparation of juices and other food products.

Folkloric
· In the Philippines, sap of leaves used as curative for sclerotic wounds.
· Decoction of leaves used as diuretic and considered useful for gonorrhea.
· Useful in the treatment of chronic and obstinate eczema. Also prescribed for secondary and tertiary syphilis accompanied by gummatous infiltration and ulceration, in chronic and callous ulcers, as a stimulant in infantile diarrhea and eczema and abscess, and in chronic rheumatism.
· Leaves are toasted and given as infusion in bowel complaints and fevers of children. Also applied as anti-inflammatory to areas of blows and bruises.
· Seeds used for dysentery, fever, and headache.
· Infectious hepatitis, measles, respiratory tract infections - colds, tonsillitis, laryngopharyngitis, bronchitis.
· Fresh material: 60 to 260 gms, dried material: 30 to 60 gms: Take in form of decoction.
· Counterirritant: Pound fresh leaves, mix with vaseline or oil and apply over affected area as poultice.
· Wounds and sore: The sap of the leaves is used on wounds and skin sores. Also, on chaps, scratches and superficial burns.
· In many folkloric systems, used for tuberculosis, syphilis, dysentery, hypertension, venous extremity problems and common cold.
· In India and Fiji, roots used for skin inflammation, to improve blood circulation, to treat bloating, congestion and depression.
· Also considered to be a brain and memory stimulant, used for Alzheimer's disease and senility.
· In Ayurvedic and Chinese medicine, used for depression and anxiety. Also used as nerve tonic and brain tonic.
· In Sri Lanka and Madagascar, used for a variety of mental and neurological problems.

· In India and Africa, used for leprosy, hypertension and cancer.
· Worldwide, herb believed to improve memory and enhance concentration.

Others
New Age Use
• Stretch marks: Some studies suggest that the use of a special mixture of gotu kola, vitamin E, and a collagen compound in a cream (Trofolastin) in the last six months of pregnancy might reduce stretch marks associated with pregnancy. Another study suggests a mixture
of gotu kola, vitamin E, essential fatty acids, hyaluronic acid, elastin, and menthol in an ointment forms (Verum®0 might help prevent the same. (52)
• Psoriasis: Some studies suggest use on gotu kola on the skin might reduce the symptoms of psoriasis. (52)

Studies
TECA / Mixture of Three Triterpenes: TECA, the titrated extract of Centella asiatica is a reconstituted mixture of three triterpenes extracted from the plant. Used extensive in Europe as a wound healing drug, it has been shown to stimulate collagen synthesis and increase tissue tensile strength. It has been found successful in the treatment of burns, scars and wound healing defects.
Anxiolyti
c / Double-Blind Placebo-Controlled Study: Rat studies have shown decrease in locomotor activity, enhanced maze performance and attenuated started response. This double-blind placebo- controlled study evaluated the anxiolytic activity of Gotu Kola in healthy subjects. Results showed Gotu Kola has anxiolytic activity in humans as shown by the ASR (acoustic startle response). (
1)
Bactericida
l / Enteric Pathogens: In vitro study on the effect of CA on enteric pathogens. The alcohol extract was bactericidal against V cholera, Shigella spp, and Staph aureus and suggests further studies in its potential as an antidiarrheal drug. (2)
Wound Healing: Study on albino rats showed the leaf extract of CA significantly promoted wound healing and was able to overcome the wound-healing suppression of dexamethasone. (3)
Study evaluated the wound healing activities of various extracts of C. asiatica in incision and partial-thickness burn wound models in rats. Results showed all extracts facilitated wound healing process in both models. The asiatic acid in the ethyl acetate extract seemed the most active component for wound healing. (24) An aqueous-ethanol extract showed bacteriostatic activity to all gram-negative and gram-positive bacteria isolated from wounds of different etiology. Applied topically as 1% cream the extract showed tendency to reduce carrageenan-induced edema. (
43)
Antioxidant: Study showed CA extract and power may ameliorate H202-induced oxidative stress by decreasing lipid peroxidation.
(4)
Immunomodulatory: Study revealed immunomodulatory activity of C asiatica and R nasutus extracts in both non-specific cellular and humoral immune responses. Results suggest a chemoproventive or anticancer potential.
(6)
Nerve Regeneration: Study indicates components in CA ethanolic extract may be beneficial for accelerating repair of damaged neurons. In a rat study, centella extract in the drinking water hastened recovery after nerve damage, with increased axonal regeneration and accelerated functional recovery.  
(8)
Gastroprotective / Anti-Ulcer: Fresh juice extract of gotu kola has shown protection against aspirin- and ethanol-induced gastric ulcers with increased gastric mucin secretion and mucosal cell glycoprotein production.
Scleroderma: Single study found gotu kola decreased joint pain and skin hardening and improved finger movement. (19)
Periodontal Healing : Study results indicate that the combined use of extracts of CA and P granatum pericarp significantly reduced the clinical signs of chronic periodontitis. (9)
Larvicidal: Crude extract of leaves of CA showed larvicidal and adult emergence inhibition against
mosquito Cules quinquefasciatus, possibly through various biologically active compounds–phenolics, terpenoids and alkaloids. (10)

Keloid and Scar Management: Oral and topical use have reported benefits on wound and scar management with relief of symptoms, disappearance of inflammation and hastening of scar maturity.
Economy Class Microangiopathy: A study on airline flight
microangiopathy showed significant improvements in microcirculatory function in those utilizing TTFCA (triterpenoid fraction of Centella asiatica) with edema and rate of ankle swelling approaching normal values.
Carotid Artery Plaques: A study on patients taking anti-aggregating medications showed a significant decrease in plaque echolucency in those on TTFCA.
Diabetic Microangiopathy: Diabetes is characterized by blood pooling from decreased venous return and increased skin blood flow. A trial of TTFCA showed a significant reduction in skin blood flow compared to baseline values.
Venous Insufficiency: In a study of 96 patients with venous insufficiency, use of a TECA (triterpenoid extract of C asiatica demonstrated significant clinical improvements in limb heaviness, edema, and venous distention. In a study of 40 patients with severe venous hypertension, a trial of the herbal extract showed a decrease in skin flux and rate of ankle swelling, with improvement in edema, restless limbs and change in skin color.
Anti-Enteropathogens: Study demonstrated the antimicrobial activity of Centella asiatica against enterophathogens. Broad spectrum activity of the herb was observed against a range of enteric pathogens. Against V cholera, Shigella species and S aureus, the
alcoholic extract was bactericidal within 2 hr. (12)
Cognitive Effects: Study findings suggest the potential for Centella asiatica to attenuate age-related decline in cognitive functions in healthy middle age and elderly adults. The mechanism/s underlying these effects require further investigation.(13)
Anti-Convulsant / Neuroprotective: Study results showed the extracts of C asiatic, except the aqueous extract, possess anticonvulsant and neuroprotective activity and suggest a use in the management of epileptic seizures. (14)
Antibacterial: Crude water extract of Asiatic Pennywort, particularly extracted with water, showed promising antibacterial effect against Staphylococcus aureus. (16)
Antioxidant / Lipid Effects / Safety : Study in rats showed no toxic effects to the heart, liver and kidney on long term consumption of C asiatica extract. Results also showed CA extract and powder may ameliorate H2O2-induced oxidative stress by increasing HDL concentration, decreasing TG, LDL, lipid peroxidation. Effects are attributed to antioxidant components and polyphenols substances present.
(17)
Anxiolytic / Double-Blind Placebo-Controlled Study: A double-blind, placebo-controlled study evaluated the anxiolytic activity of Gotu kola in healthy subjects. Compared with placebo, Gotu kola significantly attenuated acute acoustic response. GK has anxiolytic activity in humans. It remains to be seen whether it has efficacy for use in anxiety syndromes. (20)
Improvement of Behavioral Deficits / Alzheimer's Model: Study evaluated the use of Centella asiatica herb to enhance memory and nerve function. A water extract of CA in a murine model of Alzheimer's disease with high ß-amyloid burden. There was attenuation of ß-amyloid associated behavioral abnormalities in the mouse murine model of AD. The combination of in vitro and animal studies support the C. asiatica potential for clinical benefit in Alzheimer's disease. (21)
Neuritogenic Effect / Human Neuroblastoma Cells: Study showed neurite outgrowth promoting activity of Eca 233. Besides the in vivo neuroprotective effect of ECa 233, study supports further development of ECa 233 for clinical use in neuronal injury or neurodegenerative diseases. (22)
Phagocytosis Effect / Human Neutrophils / Cell-Mediated Immune System Stimulation: Study investigated the effect of an ethanol extract of leaves on neutrophil phagocytic function. CA extract stimulated chemotactic, phagocytic, and intracellular killing potency of human neutrophils. Results showed Ca stimulates cell-mediated immune system by increasing neutrophil phagocytic function. (23)
Pentacyclic Triterpenoid Saponins / Centelloids: C. asiatica accumulates large amounts of pentacyclic triterpenoid saponins called centelloids. These include asiaticoside, centelloside, madecassoside, brahmoside, brahminoside, thankuniside, sceffoleoside, centellose, asiactic-, brahmic-, centellic- and madecassic acids. The review lists the product range of extracts with its chemical composition and medicinal applications. (26)
Anti-Ulcer Against Ethanol-Induced Gastric Mucosal Injury / Leaves: Study evaluated the anti-ulcerogenic activity of an ethanol extract of C. asiatica against ethanol induced gastric mucosal injury in rats. Pretreatment of leaf extract showed significant gastric mucosal protection, reduction or absence of edema and leukocytes infiltration of submucosal layer. (27)
Antibacterial in Bovine Mastitis: Study evaluated crude ethanol or water extracts for in vitro antibacterial activity against 30 isolates of S. aureus from milk samples of dairy cows. Results showed antibacterial activity with the ethanol extracts showing more potential antibacterial activity against S. aureus than the water extracts. Results suggest testing in an in vivo study. (29)
Anti-Diabetic / Leaves: Study evaluated ethanol and methanol extracts of leaves for anti-diabetic activity in normal and alloxan induced diabetic rats. Both extracts exhibited significant anti-diabetic activity compared to glibenclamide, with amelioration of alloxan induced biochemical damages with long-term treatment. (30)
Neuroprotective / Aluminum Induced Neurotoxicity: Study explored the neuroprotective effect of CA on chronic aluminum chloride exposure induced neurotoxicity in various brain regions of Wistar albino rats. Results demonstrated neuroprotective potential against AlCl-3 induced oxidative damage and cognitive dysfunction. (31)
Mentat / Improvement of Learning Disability: Mentat is a polyherbal formulation containing Centella asiatica, together with B. monnieri, W. somnifera, N. jatamansi, A. calamus, T. cordifolia, E. officinalis, T. arjuna among others. Centella asiatica contains brahmic acid, isobrahmic acid, brahmoside and brahminoside. A double-blind placebo controlled trial evaluated the efficacy of Mentat in children with learning disability. Findings conclude Mentat improved attention and concentration in school children with learning disability. (32)
Anti-Inflammatory / Membrane Stabilization: Study evaluated the in vitro anti-inflammatory activity of C. asiatica by HRBC membrane stabilization by hypotonicity induced membrane lysis. Maximum membrane stabilization of CA extracts was found to be 94.97% at a dose of 2000 µg/ml. (34)
Neurostimulant / Neuroprotector / Memory Improvement: Study evaluated the mechanism of CA as neurostimulant and neuroprotector. Findings showed C. asiatica improved memory function by increasing the arboration and elongation of dendrite branches due to increasing level of BDNF hippocampus. In vitro study showed neuroprotective effects in reducing apoptosis of neuronal cells through decreased expression of NFkB (nuclear factor kappa beta) and levels of tumor necrosis factor α. (35)
Phagocytic Function / Stimulation of Cell-Mediated Immune System: Study evaluated an ethanol extract of leaves on neurtrophil phagocytic function using in vivo methods of phagocytosis. Results showed Centella asiatic stimulates cell-mediated immune system by increasing neutrophil phagocytic function. (36)
Neuroprotective / Amelioration of 3-NPA-Induced Oxidative Stress in Mitochondria: Study evaluated the propensity of dietary intake of CA leaf powder to modulate oxidative markers in mouse brain regions and the efficacy to abrogate 3-NPA induced oxidative stress in mitochondria. Results showed CA has the propensity to modulate both endogenous and neurotoxicant induced oxidative impairments in the brain and may have potential as neuroprotective adjuvant to abrogate oxidative stress in vivo. (37)
DNA Protective Effect / Modulation of Genotoxicity: Study evaluated an aqueous methanolic extract and various fractions against hydrogen peroxide (H2O2) induced DNA damage. Results showed potent dose-dependent genoprotective activity. CA showed to be a strong modulator of genotoxicity caused by oxidative mutagen and presents a potential for use in chemopreventive trials. (38)
Antimicrobial / Antifungal: Study evaluated the antimicrobial activity of various extracts against selected strains, viz., P. vulgaris, S. aureus, E. coli, B. subtilis, A. flavus, A. niger, and C. albicans. Results showed the ethanolic extract to have higher antimicrobial activity than petroleum ether and water extract. (39)
Acute Toxicity Study / Whole Plant Powder: Acute toxicity study on Swiss mice with dose of 3, 5 and 7 kg/kbw in form of an aqueous slurry showed the whole plant powder to be nontoxic. (42)
Anti-Carcinogenic on Human Colon Cancer Cell Line Study: Study investigated the anticancer potential of Centella asiatica and Elytropappus rhinocerotis. Results showed the plants induces apoptosis in CaCO-2 cells, an important step in elucidating the underlying molecular mechanism for anti-tumor activity. (45)
Toxicity Studies: Oral toxicity study of C. asiatica powder in mice showed median lethal dose (LD50) of more than 8 g/kbw. Histopathological studies revealed no abnormality attributable to CA. Chronic toxicity study in Wistar rats produced no toxicity with no hispathological visceral organ changes. (46)
Neuroprotective on Hippocampal CA3 Neurons: Study showed a neuroprotective role for C. asiatica leaves extract on hippocampal CA3 neurons against stress induced neurodegeneration in albino mice.     (47)
Ameliorating Effect on Learning and Memory Deficit: Study showed an ameliorating effect of ethanolic extract of C. asiatica on learning and memory impairment induced by transient bilateral common carotid arteries occlusion (T2VO). The positive effect could be, at least partly, attributable to its antioxidative effect on memory impairment caused by oxidative stress. (48)
Anticonvulsant Effect: Study of aqueous extract of C. asiatica suppressed clonic seizures in mice. The anticonvulsant action was comparable to sodium valproate in PTZ-induced seizures. (49)
Anti-Proliferative on Human Respiratory Epithelial Cells in vitro: Study of an aqueous extract of C. asiatica demonstrated a dose-dependent inhibitory effect towards the proliferation activities of human respiratory epithelial cells. Results suggest the possibility of using C. asiatica extract as an anti-polyps therapy. (50)
Diuretic Effect / Leaves: Study investigated the diuretic effect of methanolic and ethanolic extracts of C. asiatica in wistar rats. The extracts showed significant diuretic effect with increase in urine electrolyte concentration compared to standard drug furosemide (20 mg po). The ethanolic extract showed more potent diuretic effect than the methanolic extract. (51)
• No Effect on Cognitive Function / Positive Mood Related Outcomes / Meta-Analysis: Centella asiatica has been used as a brain tonic for mental disorders and enhancement of memory. This systematic review includes five randomized controlled trials conducted to determine the effects of C. asiatica on cognitive function and its related properties. Meta-analysis indicated that there are no significant differences in all cognitive function domains of C. asiatica when compared to placebo. However, it could improve mood by improving alertness and relieving anger. There are limitations on dose regimens, plant preparation, standardization and product variation. Well-designed trials are suggested. (53)
• Triterpene Composition / Bioactivities / Leaves: Study evaluated leaves of C. asiatica for triterpene composition and bioactivity such as collagen enhancement, antioxidant, anti-cellulite and UV protection properties. Study yielded significant amounts of madeccassoside (3.10 ± 4.58 mg/mL) and asiaticoside (1.97 ± 2.65 mg/mL), but low in asiatic and madecassic acid. Highest collagen synthesis was found at 50 mg/ml of extracts. Antioxidant activity was 84% compared to vitamin C (88%) and grape seed extract (83%). Centella extracts exhibited similar UV protection to OMC at 10% concentration. Results suggest potential application in food and pharmaceutical industries. (54)
• Potential in Cosmetology / Mechanisms: Centella asiatica has been found effective in the treatment of small wounds, hypertrophic wounds, burns, psoriasis, and scleroderma. This review paper describes the mechanisms involved i.e., promotion of fibroblast proliferation, increase of collagen synthesis and intracellular fibronectin content, and improved of tensile strength of newly formed skin, along with inhibition of inflammatory phase of hypertrophic scars and keloids. Studies have suggested potential use in the treatment of photoaging skin, cellulite, and striae. (55)
• Enhancement of Memory in Rats: Study evaluated the effect of C. asiatica on learning ability and memory in male Wistar rats measuring two important parameters using Operant conditioning technique, viz., latency period and total number of bar pressings. Results conclude that CA facilitated retention of a learned task for a longer period suggesting good retention of memory but did not accelerate the learning process as expected. (56)
• Safety Assessment of C. asiatica-Derived Ingredients Used in Cosmetics: The CIR (Cosmetic Ingredient Review) Expert Panel reviewed the safety of 9 Centella asiatica-derived ingredients, used primarily as skin conditioning agents in cosmetic products. Panel concluded that CA extract, callus culture, flower/leaf/stem extract, meristem cell culture, meristem cell culture extract, and root extract are safe in present practices of use and concentration in cosmetic products. (57)
• Antidepressant Activity: Study evaluated the antidepressant-like effect of C. asiatica using forced swimming test (FST). Doses of 10 mg and 20 mg/kg significantly decreased immobility time, suggesting antidepressant activity. At 20 mg/kbw, the antidepressant activity was almost similar to standard drug imipramine (10 mg/kg). (58)
• Antiplatelet Aggregation: Study evaluated the anti-platelet aggregation activity of an ethanolic extract of C. asiatica in male Sprague Dawley rats. In vitro study showed antiplatelet aggregation activity. n-Hexane purification of the CA herbs powder dose not affect antiplatelet aggregation activity significantly. (59)
• Effect on Ethinylestradiol Induced Genotoxic Damage on Cultured Human Lymphocytes: Study evaluated the effect of C. asiatica extract against genotoxic doses of ethinylestradiol on human lymphocytes culture. Results suggest C. asiatica extract reduced genotoxic damage during ethinyl- estradiol therapy in patients, thereby reducing the chances of cancer development in humans. (60)
• Wound Healing / Topical Spray / Excision Wound Model: Study evaluated the wound healing effect of a topical spray formulation on C. asiatica. The extract was complexed with hydroxypropyl-ß-cyclodextrin (HP-ß-CD) and formulated with Eudragit E100, glycerol, PEG 400, copovidone, ethanol, and purified water. Skin irritation study showed the formulation was non-irritating in the rat model. Results showed complete healing after 14 days in the in vivo excision wound model. (see constituents above) (61)
• Review / Mechanisms of Neuroprotection and Cognitive Enhancement: Review describes the phytochemistry and neurological effects of C. asiatica. Many studies in rodent models and some human studies support C. asiatica as a cognitive enhancer, anxiolytic, and anticonvulsant. Neuroprotective effects in invitro models include antioxidant improvement, inhibition of pro-inflammatory enzyme. Neurotropic effects include increased dendritic arborization and synaptogenesis. Many of these effects are attributed to triterpene compounds asiatic acid, asiaticoside, and madecassoside. (62)
• Effect on Spatial Working Memory: Study evaluated the effect of C. asiatica ethanol extract on spatial working memory of normal adult male rats using Y-Maze before and after treatment. Treated groups showed better spatial working memory performance than control group. (63)
• UVB Protective Effect / Alteration of Mice RNA Expression in Human Dermal Fibroblasts: Study evaluated the photoprotective role of titrated extract of C. asiatica (TECA) via microRNA expression profiling analysis. Low dose TECA did not exhibit toxicity and showed a protective effect against UVB irradiation. Results suggest TECA may serve as potential natural chemoprotective agent against UVB-mediated damage in NHDFs through changes in expression of specific mRNAs. (64)
• Effect on Spermatogenesis: Study evaluated the effects of C. asiatica extract on spermatogenesis and testicular tissue of rats. Results showed a calculated plant LD50 of 500 mg/kg. Results showed significant increase in body and testis weight in rats. Histological changes during spermatogonal evolution were degeneration of spermatozoa and interstitial congestion in some tubules. Sperm analysis showed decrease in number of spermatozoa (p<0.01), motile sperms (p<0.001) and epididymal sperm storage (p<0.001) with no changes in sperm morphology. Results suggest potential as temporary contraceptive agent in animals. (s65)
Erroneous Substitution of M. emarginata for Centella asiatica (Takip kohol / Gotu kola): Medicinal plants collected from the wild are vulnerable to adulteration and substitution. Mandukaparni (Centella asiatica) is valued in Indian systems of medicine for improving memory and treatment of nervine disorders. This study reports on a plant material sold in the name of Vallarai that was not C. asiatica and identified as Merremia emarginata (Kupit-kupit), a trailing plant that resembles C. asiatica. The study stresses the importance of standardization of herbal drugs at raw drug levels by use of taxonomic and other validation methods. (66)

Toxicity studies
• Alcoholic extracts have shown no toxicity in rats.
• Patients have reported GI upsets and nausea as adverse effects. Rashes have been reported with topical use. Few cases of liver enzyme elevations resolved on discontinuation of the herb use.

Availability
- Wildcrafted. 
- Tinctures, capsules, extracts in the cybermarket.

Abuse and Plagiarism of the Compilation on Philippine Medicinal Plants Under the Guise of Fair Use

Updated May 2019 / Aprl 2017 / June 2016

Photos /Content © Godofredo Stuart / StuartXchange
Line Drawing / Centella asiatica / USDA-NRCS PLANTS Database / Britton, N.L., and A. Brown. 1913. An illustrated flora of the northern United States, Canada and the British Possessions. Vol. 2: 651./ aterVISTA
OTHER IMAGE SOURCE / SEEDS / Centella asiatica (L.) Urb. - spadeleaf / USDA-NRCS PLANTS Database / Steve Hurst @ USDA-NRCS PLANTS Database./ USDA

Additional Sources and Suggested Readings
(1)
A Double-Blind, Placebo-Controlled Study on the Effects of Gotu Kola (Centella asiatica) on Acoustic Startle Response in Healthy Subject / Bradwejn J, Zhou Y, Koszycki D, Shlik J. / Journal of Clinical Psychopharmacology: Dec 2000 - Volume 20 - Issue 6 - pp 680-684
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An in vitro study of the effect of Centella asiatica [Indian pennywort] on enteric pathogens / Indian J Pharmacol | February 2004 | Vol 36 | Issue 1 | 41-44
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Effect of Centella asiatica L (Umbelliferae) on Normal and Dexamethasone-Suppressed Wound Healing in Wistar Albino Rats / B. Somashekar Shetty, Msc, PhD, S. L. Udupa, Msc, PhD, A. L. Udupa, MD, PhD, S. N. Somayaji, Msc, PhD / The Intern Journal of Lower Extremity Wounds, Vol. 5, No. 3, 137-143 (2006) / DOI: 10.1177/1534734606291313
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Protective effect of Centella asiatica extract and powder on oxidative stress in rats / doi:10.1016/j.foodchem.2005.10.022 / Food Chemistry Vol 100, Issue 2, 2007, Pages 535-541
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High Frequency in vitro Multiplication of Centella asiatica: An Important Industrial Medicinal Herb
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Immunomodulatory Activities of Centella asiatica and Rhinacanthus nasutus Extracts / Khanittha Punturee et al / Asian Pacific J Cancer Prev, 6, 396-400
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Gotu-Kola
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Centella asiatica accelerates nerve regeneration upon oral administration and contains multiple active fractions increasing neurite elongation in-vitro / J Pharm Pharmacol. 2005 Sep;57(9):1221-9.
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Adjunctive periodontal treatment with Centella asiatica and Punica granatum extracts. A preliminary study / Int Acad Periodontol. 2003 Oct;5(4):106-15.
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Larvicidal and Adult Emergence Inhibition Effect of Centella asiatica Brahmi (Umbelliferae) against Mosquito Culex quinquefasciatus Say (Diptera : Culicidae) / African Journal of Biomedical Research, Vol. 8 (2005); 31 - 33 / ISSN 1119 – 5096

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Centella asiatica / Monograph / Alternative Medicine Review Volume 12, Number 1 2007
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An in vitro study of the effect of Centella asiatica [Indian pennywort] on enteric pathogens / B. Mamtha, K. Kavitha, K. K. Srinivasan, P. G. Shivananda / Indian J Pharmacol., February 2004; Vol 36, Issue 1: pp 41-44s
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Comparison on Cognitive Effects of Centella Asiatica in Healthy Middle Age Female and Male Volunteers / Roxana Dev Omar Dev, Suhaila Mohamed et al / European Journal of Scientific Research, No.4 (2009), pp.553-565
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The antiepileptic effect of Centella asiatica on the activities of Na + /K + , Mg 2+ and Ca 2+ -ATPases in rat brain during pentylenetetrazol-induced epilepsy / G Visweswari, K Siva Prasad, V Lokanatha, W Rajendra / Indian Journ of Pharmacology, 2010, Vol 42, No 2, Pp 82-86
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THE SCIENCE SUPPORTING TITRATED EXTRACT OF CENTELLA ASIATICA
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A study on antibacterial activity of crude extracts of asiatic pennywort and water pennywort against Staphylococcus aureus / Duangkamol Taemchuay et al / KMITL Sci. J. Vol 8, No 2, July - Dec 2008
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Efficacy of Centella Asiatica in Reducing Oxidative Stress in Hydrogen Peroxide-induced Sprague Dawley Rats / Hussin, Mahanom / May 2008 / Masters thesis, Universiti Putra Malaysia.

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Sorting Centella names / Authorised by Prof. Snow Barlow / Maintained by: Michel H. Porcher / MULTILINGUAL MULTISCRIPT PLANT NAME DATABASE / Copyright © 1997 - 2000 The University of Melbourne.
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Gotu kola / University of Maryland Medical Center
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A double-blind, placebo-controlled study on the effects of Gotu Kola (Centella asiatica) on acoustic startle response in healthy subjects. / Bradwejn J, Zhou Y, Koszycki D, Shlik J. / J Clin Psychopharmacol. 2000 Dec;20(6):680-4.
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Centella asiatica Extract Improves Behavioral Deficits in a Mouse Model of Alzheimer's Disease: Investigation of a Possible Mechanism of Action / Amala Soumyanath, Yong-Ping Zhong, Edward Henson, Teri Wadsworth, James Bishop, Bruce G. Gold, and Joseph F. Quinn / International Journal of Alzheimer's Disease, Volume 2012 / http://dx.doi.org/10.1155/2012/381974
(22)
Neuritogenic effect of standardized extract of Centella asiatica ECa233 on human neuroblastoma cells
/
Oraphan Wanakhachornkrai, Varisa Pongrakhananon, Preedakorn Chunhacha, Aree Wanasuntronwong, Anusara Vattanajun, Boonyong Tantisira, Pithi Chanvorachote* and Mayuree H Tantisira* /
BMC Complementary and Alternative Medicine 2013, 13:204 doi:10.1186/1472-6882-13-204
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An in vitro study of Effect of Centella asiatica on Phagocytosis by Human Neutrophils / Ravindra G. Mali, and Basavraj C. Hatapakki / International Journal of Pharmaceutical Sciences and Nanotechnology Volume 1 • Issue 3 • October - December 2008
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Wound healing activities of different extracts of Centella asiatica in incision and burn wound models: an experimental animal study / Juraiporn Somboonwong, Mattana Kankaisre, Boonyong Tantisira and Mayuree H Tantisira* / BMC Complementary and Alternative Medicine, 2012; 12:103 / doi:10.1186/1472-6882-12-103
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Qualitative Estimation of Bioactive Compound Present in Centella Asiatica: An Important Medicinal Plant / Dharmendra Singh, Poonam Singh, Abhishek Gupta, Shikha Solanki, Ekta Sharma, Rajeev Nema / International Journal of Life Science and Medical Research (LSMR)
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Pentacyclic Triterpenoids from the Medicinal Herb, Centella asiatica (L.) Urban / Jacinda T. James and Ian A. Dubery */ Molecules 2009, 14, 3922-3941 / doi:10.3390/molecules14103922
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Anti-ulcer activity of Centella asiatica leaf extract against ethanol-induced gastric mucosal injury in rats
/ M. A. Abdulla, F. H. AL-Bayaty*, L. T. Younis and M. I. Abu Hassan / Journal of Medicinal Plants Research Vol. 4(13), pp. 1253-1259, 4 July 2010
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MiniReview Centella asiatica in food and beverage applications and its potential antioxidant and neuroprotective effect / Hashim, P. / International Food Research Journal 18(4): 1215-1222 (2011)
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Antibacterial Activity of Crude Extracts of Centella asiatica against Staphylococcus aureus in Bovine Mastitis
/ Duangkamol Taemchuay, Theera Rukkwamsuk, Thavajchai Sakpuaram and Nongluck Ruangwises / Kasetsart Veterinarians vol. 19 No. 3. 2009
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Evaluation of the Anti-diabetic Effect of Ethanolic and Methanolic Extracts of Centella asiatica Leaves Extract on Alloxan Induced Diabetic Rats / P.K. Chauhan, I.P. Pandey and Vinod Kumar Dhatwalia / Advances in Biological Research 4 (1): 27-30, 2010
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Protective Effect of Centella asiatica against Aluminium-Induced Neurotoxicity in Cerebral Cortex, Striatum, Hypothalamus and Hippocampus of Rat Brain-Histopathological, and Biochemical Approach / Amjad S, Umesalma S / J Mol Biomark Diagn, 2015, 6:212. / doi: 10.4172/2155-9929.1000212
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Evaluation of the Efficacy of Mentat in Children with Learning Disability: A Placebo-Controlled Double-Blind Clinical Trial / (Ms.) Upadhyay, S.K., Bhatia, B.D., and Kala Suhas Kulkarni, M.D. / Neurosciences Today (2002): (VI), 3, 184-188
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Therapeutic efficacy of Centella asiatica (L.) and Momordica charantia: As traditional medicinal plant / Tyagi Tulika, Agrawal Mala / Journal of Plant Sciences, 2015; 3(1-1): 1-9 / doi: 10.11648/j.jps.s.2015030101.11
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IN VITRO ANTI INFLAMMATORY ACTIVITY OF METHANOLIC EXTRACT OF CENTELLA ASIATICA BY HRBC MEMBRANE STABILISATION / Seema Chaitanya Chippada, Sharan Suresh Volluri, Srinivasa Rao Bammidi and Meena Vangalapati* / Rasayan J. Chem, Vol 4, No 2, 2011, pp 457-460
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Neurostimulant and neuroprotector effect of Centella asiatica (CeA) : in vitro and vitro studies on Rattus norvegicus / Khotimah Husnul, Riawan Wibi, Kalsum, Umi / Poster presentation on International Symposium of Austronesian Humanities and Custom Medicine / HerbalNet, A Digital Repository in Herbal Medicine
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An in vitro study of Effect of Centella asiatica on Phagocytosis by Human Neutrophils
/ *Ravindra G. Mali, and Basavraj C. Hatapakki / International Journal of Pharmaceutical Sciences and Nanotechnology, Volume 1 • Issue 3 • October - December 2008
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Effect of Centella asiatica leaf powder on oxidative markers in brain regions of prepubertal mice in vivo and its in vitro efficacy to ameliorate 3-NPA-induced oxidative stress in mitochondria / Shinomol, George K.
Muralidhara, null / Phytomedicine: International Journal of Phytotherapy and Phytopharmacology, 2008, Vol 15, Issue 11, pp 971-984
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DNA-protective effect of extract/fractions from Centella asiatica (L.) Urban in single cell gel electrophoresis assay / Tejpal Gill, Manish Kumar, Subodh Kumar, Satwinderjeet Kaur. / Spatula DD. 2011; 1(4): 207-212 / doi: 10.5455/spatula.20111206115727
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Antimicrobial and Antifungal Activity of Centella asiatica (L.)Urban, Umbeliferae / NS Jagtap*, SS Khadabadi, DS Ghorpade, NB Banarase, SS Naphade / Research J. Pharm. and Tech.2 (2): April.-June.2009
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Centella asiatica / Synonyms / The Plant List
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Pharmacological Review on Centella asiatica: A Potential Herbal Cure-all / Kashmira J. Gohil,* Jagruti A. Patel, and Anuradha K. Gajjar / Indian J Pharm Sci. 2010 Sep-Oct; 72(5): 546–556. / doi: 10.4103/0250-474X.78519

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ACUTE TOXICITY STUDY FOR CENTELLA ASIATICA WHOLE PLANT POWDER / Shirish S. Pingale / Pharmacologyonline, 2008; 3: pp 80-84
(43)
Studies on the biological properties of extracts from Centella asiatica (L.) Urban herb / BOGDAN KĘDZIA*, TERESA BOBKIEWICZ-KOZŁOWSKA, MIROSŁAWA FURMANOWA, PRZEMYSŁAW MIKOŁAJCZAK, ELŻBIETA HOŁDERNA-KĘDZIA, IRENA OKULICZ-KOZARYN, JOANNA WÓJCIK, JOANNA GUZEWSKA, WALDEMAR BUCHWALD, ALINA MŚCISZ, PRZEMYSŁAW M. MROZIKIEWICZ
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THERAPEUTIC EFFICIENCY OF Centella asiatica (L.) Urb. AN UNDERUTILIZED GREEN LEAFY VEGETABLE : AN OVERVIEW / KANCHAN JOSHI AND PREETI CHATURVEDI* / International Journal of Pharma and Bio Sciences, 4(1): pp 135-149, 2013
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Anti-carcinogenic activity of Centella asiatica and Elytropappus rhinocerotis on a human colon cancer cell line / Dwarka, Depika / Theses and dissertations (Applied Sciences) / DUT Durban Library
(46)
Toxicity study of Centella asiatica (L.) Urban / Songpol Chivapat, Pranee Chavalittumrog, Aimmanas Attawish, Thidarat Boonruad, Jaree Bansiddhi, Songphol Phadungpat, Somkiat Punyamong, Jiranuch Mingmuang / Journal of Thai Traditional & Alternative Medicine, Vol 2, No 3, June-Sept 2004
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EFFECT OF CENTELLA ASIATICA LEAVES EXTRACT ON HIPPOCAMPAL CA3 NEURONS: A MORPHOLOGICAL STUDY IN MICE / Hemamalini *, Rao M.S / International Journal of Anatomy and Research, 2016, Vol 4(1):1961-66. / DOI: http://dx.doi.org/10.16965/ijar.2016.121
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Study of Ameliorating Effects of Ethanolic Extract of Centella asiatica on Learning and Memory Deficit in Animal Models / Saowalak Doknark BSc, Salin Mingmalairak PhD, Anusara Vattanajun PhD, Boonyong Tantisira PhD, Mayuree H. Tantisira PhD / J Med Assoc Thai 2014; 97 (Suppl. 2): S68-S76
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Anticonvulsant action of aqueous extract of Centella asiatica and sodium valproate—A comparative study in pentylenetetrazole-induced seizures / Megaravalli R Manasa, Idoor D Sachin. / Natl J Physiol Pharm Pharmacol. 2016; 6(2): 128-131 / doi: 10.5455/njppp.2016.6.0211201595
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Anti-Proliferative Activities of Centella Asiatica Extracts on Human Respiratory Epithelial Cells in vitro / P. M. Mutua; M. M. Gicheru; A. N. Makanya & S. G. Kiama / Int. J. Morphol., 31(4):1322-1327, 2013.
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Diuretic Activity of Methanolic and Ethanolic Extracts of Centella asiatica Leaves in Rats / Chitrala Roopesh et al / IRJP 2011, 2 (11), 163-165
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Medicinal uses and Toxic effects of Centella asiatica(Thankuni/ Gotu kola)
/ Jeasminsultana / May 20. 2014 / Daffodil International University
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Effects of Centella asiatica (L.) Urb. on cognitive function and mood related outcomes: A Systematic Review and Meta-analysis / Panupong Puttarak, Piyameth Dilokthornsakul, Surasak Saokaew, Teerapon Dhippayom et al / Scientific Reports, 2017; Vol 7, Article No 10646 
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Triterpene Composition and Bioactivities of Centella asiatica / Puziah Hashim, Hamidah Sidek, Mohd Helme M. Helan, Aidawati Sabery, Uma Devi Palanisamy and Mohd Ilham / Molecules, 2011; 16: pp 1310-1322 / doi:10.3390/molecules16021310
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Centella asiatica in cosmetology / Wiesława Bylka, Paulina Znajdek-Awiżeń, Elżbieta Studzińska-Sroka, Małgorzata Brzezińska / Postep Derm Alergol , 2013; 30(1): pp 46-49 / DOI: 10.5114/pdia.2013.33378
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Enhancement of memory in rats with Centella asiatica / Silviya Rajakumari Jared / Biomedical Research, 2010; Volume 21, Issue 4
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Safety Assessment of Centella asiatica-derived Ingredients as Used in Cosmetics / 2015 / © Cosmetic Ingredient Review / 1620 L STREET, NW, SUITE 1200 ◊ WASHINGTON, DC 20036-4702 ◊ PH 202.331.0651 ◊ FAX 202.331.0088 ◊ CIRINFO@CIR-SAFETY.ORG
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To evaluate and compare antidepressant activity of Centella asiatica in mice by using forced swimming test / Padmavathi Golla, Hemapriya Tirupathi / IJBCP: International Journal of Basic & Clinical Pharmacology, 2016; 5(5) / DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20163229
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In Vitro Antiplatelet Aggregation Activity of Centella asiatica (L.) Urban Ethanolic Extract / Agatha Budi Susiana Lestari, Achmad Fudholi, Akhmad Kharis Nugroho, Erna Prawita Setyowati / International Journal of Pharmaceutical and Clinical Research, 2016; 8(4): pp 280-283
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Effect of Centella asiatica L. extract against ethinylestradiol induced genotoxic damage on cultured human lymphocytes / Yasir Hasan Siddique, Tanveer Beg, Mohammad Afzal / Biomedical Research: An international Journal of Medical Sciences, 2009; 20(2)
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Evaluation of the topical spray containing Centella asiatica extract and its efficacy on excision wounds in rats / Somchai Sawatdee, Kanuengnit Choochuay, Wirot Chanthorn, Teerapol Srichana / Acta Pharmaceutica, June 2016; 66(2) / DOI: 10.1515/acph-2016-0018
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Centella asiatica: phytochemistry and mechanisms of neuroprotection and cognitive enhancement / Nora E. Gray, Armando Alcazar Magana, Parnian Lak, Kirsten M. Wright, Joseph Quinn, Jan F. Stevens, Claudia S. Maie, Amala Soumyana / Phytochemistry Reviews, 2017: pp 1-34
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Effect of Centella asiaticaEthanol Extract in Spatial Working Memory on Adult Male Rats / Suri, Auliyani Andam, Handayani Astri, Ferhad Adibah, Farida Siti, Redjeki Sri / Advanced Science Letters, Aug 2018; 24(8): pp 6109-6111 / DOI:https://doi.org/10.1166/asl.2018.12641
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Titrated extract of Centella asiatica provides a UVB protective effect by altering microRNA expression profiles in human dermal fibroblasts / In-Sook An, Sungkwan An, Sang-Mo Kang, Tae-Boo Choe, Sung Nae Lee, Hyun Hee Jang, Seunghee Bae / International Journal of Molecular Medicine, November 2012; 30(5): pp 1194-1202 / https://doi.org/10.3892/ijmm.2012.1117
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Evaluating the effects of Centella asiatica on spermatogenesis in rats
/ Mahnaz Heldari, Amir Hasan Jamshedi, Shahin akhondzadeh, Maerefat Ghaffari et al / Journal of Reproduction & Fertility, Jan-Mar 2007; 7(4): pp 367-374
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Merremia emarginata (Burm. F.) Hall. F.: A substituted market source for Centella asiatica (L.) Urban: An observation from Salem district, Tamil Nadu / Saravanan Subramanian and M. Padmasorna Subramanian / Ancient Science of Life: Readers Viewpoint Letters, 2013; 33(2): pp 139-140 / DOI: 10.4103/0257-7941.139062

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