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456 วารสารการแพทย์แผนไทยและการแพทย์ ทางเลือก       ปีที่ 18  ฉบับที่ 3  กันยายน-ธันวาคม 2563





              Anti-inflammatory and Pain-Relieving Activities of Medicinal Herbs Used for
              Hot Salt Pot Compression

              Pannawat Chaiyawatthanananthn , Bhanuz Dechayont, Pathompong Phuaklee, Srisopa Ruangnoo,
                                         *
              Jitpisute Chunthorng-Orn
              Department of Applied Thai Traditional Medicine, Faculty of Medicine, Thammasat University, Pathumthani 12120, Thailand.
              * Corresponding author: pannawat@tu.ac.th

                                                Abstract

                   Hot salt pot compression is a process of postpartum care in Thai traditional medicine. Research studies
              or clinical trials on Hot Salt Pot Compression have indicated that the process can effectively support postpartum
              recovery, relieve aching pain and reduce waist size. The main ingredients of Hot Salt Pot Compression are seven
              herbs: Curcuma comosa, Zingiber montanum, Curcuma aromatica, Curcuma aeruginosa, camphor, sea salt and
              Crinum asiaticum. To date there have been no reviews of these herbs.  Therefore, this article aims to provide
              information on the ingredients which are related to anti-inflammation and relieving pain by reviewing secondary
              data. The reviews indicate that C. comosa, Z. montanum, C. aromatica, C. aeruginosa, C. camphora and
              C. asiaticum decrease inflammation on in vitro and in vivo studies by inhibiting inflammatory mediators (i.e. nitric
              oxide, prostaglandin E2 and cyclooxyganse-2) and relieving inflammation and pain in the rat model. In addition,
              C. comosa rhizome decreases uterine contraction in rats. In a clinical study, Z. montanum rhizome cream and oil
              reduce muscle pain in patients with muscle strain, myofascial pain syndrome and pain after exercise. The leaves
              of C. asiaticum are used in this process to wrap the Tha-Non pot; and there is research evidence showing that
              C. asiaticum leaves that have been dry-heated at 50 ºC for 30 minutes have the highest amount of active compound
              (lycorine) for anti-inflammation – the amount being higher than in fresh leaves. Thus, the results are consistent with
              the usage of C. asiaticum leaves in Hot Salt Pot Compression because the leaves are heated in Tha-Non pot before
              using with postpartum women. But there has been no report on the effect of sea salt on inflammatory reduction.
              In conclusion, Hot Salt Pot Compression can relieve uterine pain, muscle pain and inflammatory edema through
              two pathways: heating from sea salt and anti-inflammatory and pain-relieving properties of the herbal constituents.
              However, we suggest that future studies should be undertaken to investigate anti-inflammatory activities of
              C. comosa, C. aromatica, C. aeruginosa, C. camphora and C. asiaticum in a topical form in clinical trials to obtain
              basic data for developing herbal remedies for postpartum women in the future.
                   Key words:  Hot Salt Pot Compression, medicinal plants for Hot Salt Pot Compression, anti-inflammatory
                            activity, pain relieving



                    บทนำ�และวัตถุประสงค์               บนสมุนไพรห่อด้วยผ้า แล้วนำาไปนาบบริเวณหน้าท้อง


                การทับหม้อเกลือ (Hot salt pot compres-  กระเบนเหน็บ หลัง ขาด้านนอก และขาด้านใน มารดา
           sion) เป็นการประคบมารดาหลังคลอดโดยใช้หม้อ   คลอดแบบปกติจะทำาได้หลังคลอดแล้ว 7 วัน ในกรณี
           ดินหรือหม้อทะนนใส่เกลือ ตั้งไฟให้ร้อนวางหม้อลง  มารดาที่ผ่าหน้าท้องคลอด จะทำาได้หลังคลอดแล้ว
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