olibanum

Boswellia serrata oleo‑gum‑resin (frankincense; olibanum) has anti‑inflammatory, analgesic, and antimicrobial effects. This study aimed to evaluate the clinical effectiveness of frankincense extract in the treatment of oral aphthous ulcers.

In a randomized, double-blind, placebo‑controlled clinical trial, patients with aphthous ulcers were randomly assigned to either experimental (Frankincense extract) or placebo groups to use orally disintegrating tablets (ODT) of frankincense and placebo, respectively, four times a day for 3 days. The size of aphthous ulcers and the pain severity by visual analogue scale were recorded at days 0, 2, and 4 and compared between the groups.

Twenty‑five patients in each group completed the study. Olibanum extract ODT significantly reduced the ulcer size on the second (P < 0.001) and fourth (P < 0.001) days as well as the pain score on the second (P = 0.002) and fourth (P < 0.001) days of the intervention compared to placebo. Furthermore, at the end of the intervention, the number of patients with complete ulcer healing and pain relief in the experimental group was significantly more than the placebo group (5 vs. 0, P = 0.02; and 11 vs. 0, P < 0.001, respectively).

Taking olibanum extract ODTs reduces the ulcer size and pain severity and accelerates the healing process in the oral aphthous lesions.

Medicinal plants are used for different purposes in traditional medicine. Boswellia serrata (B. serrata) from Burseracea family has been widely used for human medical purposes. This plant known as frankincense or olibanum has a resin with therapeutic properties. The main constituent of this resin is boswellic acid that plays an important role in various fields. From past to present, many studies had been shown that olibanum and its main constituent, boswellic acid, have antiinflammatory, antioxidant, antitumor, anti-arthritic, antimicrobial and anti-carcinogenic effects. In addition, many findings about effects of B. serrata and its ingredients on central nervous system (CNS) are available. Therefore, the aim of this study is to review in vivo and in vitro evidence attributed to this plant and its constituents on CNS. Databases including Web of Sciences, Scopus, PubMed and Google Scholar were explored for entries from the beginning of January 2000 until the end of November 2020. Findings reveal that B. serrata and its constituents have neuroprtotective effects and ameliorate learning and memory malfunction. These effects mainly are attributed to the antioxidant and anti-inflammatory properties of this plant.

The metabolic syndrome, a cluster of metabolic disorders, includes abdominal obesity, hypertension, dyslipidemia, and hyperglycemia leading to insulin resistance, development of diabetes mellitus, and cardiovascular diseases. For the treatment of metabolic syndrome, traditional herbal medicines such as frankincense or Boswellia species have been used due to their anti-inflammatory, anti-oxidant, anti-obesity, antidiabetic, antihypertensive, and hypolipidemic properties. Based on the literature, published evidence up to 2020 about the therapeutic effects of Boswellia species  on the metabolic disorder among Medline, Scopus, and Google Scholar were precisely evaluated by keywords such as obesity, diabetes, hyperglycemia, hypertension, blood pressure, dyslipidemia, metabolic syndrome, frankincense, and Boswellia. According to the results, Boswellia species  have beneficial effects to control metabolic syndrome and its related disorders such as hyperglycemia, dyslipidemia, hypertension, obesity, diabetes, and its complications. Boswellia species  by reducing the resistance to insulin and restoring pancreatic beta cells decrease blood glucose. Also, Boswellia species  has antithrombotic and anticoagulant properties that regulate blood pressure. The anti-oxidant properties of Boswellia species  modulate the blood lipid profile via reducing TNF-α, IL-1β levels, and increasing the adiponectin level. The therapeutic and protective effects of Boswellia species  on metabolic disorders were remarkably confirmed regarding decreasing hyperglycemia, hyperlipidemia, hypertension, and obesity.