Samarth Institute of Pharmacy, Belhe, Maharashtra, India.
The main objective of this study was to eliminate harmful synthetic ingredient from herbal cough syrup. Formulation and substitute them with safe natural ingredient. Asthmatic patients are increasing day by day in India due to various environmental reasons. It is beneficial for people suffering from chest congestion. The study aim to formulate a pure herbal syrup and to evaluate and compare its physicochemical properties with the marketed synthetic and herbal syrup. There are wide range of synthetic cough syrup available in the market with different functions, but their synthetic cough syrup shows harmful effect on the body. Such as confusions, hallucinations, trouble urinating. Due to there reasons cough syrup has evolved as an alternative to synthetic cough syrup because of the safe and traditionally used ingredients. The natural herbal syrup was formulated by adding the extracts of Basil leaves, Kiwi, Orange peel Constituents. It may also act as a bronchodilator as an expectorant. Leaves extract is a traditional medicine and reported to use in the management of cough. The Basil plant may have properties such as antibacterial, anti-inflammatory. Most of herbal syrup was originally derived from plant herbal medicine refers to use extract of fruit for medicinal purpose. Along with other dosage from herbal drugs also formulated inform of syrups. Today syrup is used for treatment of many ailments and to overcome symptoms of diseases. The antioxidant syrup is used to treat the cancer because of many stress condition and other oxidative reaction in body the free radical are generated, by using these syrup the condition is overcome. The extraction of kiwi is added into orange peel it gives flavored to syrup and basil leaves extract is added as antibacterial agent to inhibit the growth of bacteria and sugar and alcohol used as preservative.
A bacterial, viral, or fungal infection can result in inflammation and fluid in the lungs, which is known as a cough.[1] It can induce fever and make breathing difficult. Your body produces a cough as a reaction to irritation of the throat or airways. An irritant causes your nerves to fire, sending a signal to your brain. Cough syrup is typically a sweetened beverage that contains cough suppressant medication. In India, the number of people suffering from asthma is rising daily for a variety of man made or environmental factors.[2] A chronic lung condition that affects people of all ages is asthma.[3,4] It is brought on by inflammation and constriction of the muscles around the airways, which makes coughing symptoms more difficult to exhale.[5] Herbal syrup is prepared by adding concentrated decoction of herbs with either honey or sugar and we also use alcohol. The herbal syrup is made by decoction process. Mixing a decoction of herbs with sugar it helps to the formulation for thicken and preserve the formulation. This was responsible to increase the shelf life of formulation. The added sweetener can also help to increase the palatability of some herbs. The finally obtained syrup to be delicious. [67] This article's goal is to present, via analysis and research, the role that Basil leaves play in managing cough aversions.
History:
In 1895, German drug manufacturer Bayer released its latest cough syrup, which they sold under the brand name “ Heroin’’ Traditional cough syrup mixtures are formulated around in syrup at 60-75 % concentration which is made from sucrose, maltodextrin, glucose , invert syrup. The cough syrup was manufactured by Fourrts Laboratories in india.
Diagnosis Of Cough : These frequently include methacholine challenge testing, sputum (mucus) testing, imaging studies including CT scans or X-rays of the chest, spirometry, and blood tests.[9]It could be a good idea to have the following information ready in advance to aid your doctor in making an accurate diagnosis.[10]Acute bronchitis and acute viral upper respiratory infections, commonly referred to as the common cold, are the most frequent causes of acute cough in adults. The aetiology of acute bronchitis is mostly viral, however in around 10% of cases, bacterial infection is the cause. August 2023.
Types Of Coughs:
Classifying coughs as wet or dry is the easiest method to understand them. Mucus-filled coughs, or wet coughs, are frequently happen when one has the flu, a cold, pneumonia, or another sickness. The process of clearing the respiratory system of mucus causes the patient to feel sticky and moist in the back of their throat. When a cough doesn't generate mucus, the throat feels dry and tickly.[25,26] They often arise from inflammation of the digestive tract brought on by asthma, croup, allergies, and other diseases. Depending on the type of cough, you can select a dry cough syrup or a suitable wet cough syrup designed to address the particular issue.
Chronic Cough Treatment:
Upon reviewing the secondary sources excluded from the Cochrane Collaboration, we found one that did not meet the minimal systematic criteria, which we opted not to include [9,10,11] Rather, the CDSR offers a "umbrella review," which is made up of up to 15 SRs and is updated on a regular basis on the internet, offers a substantial, comprehensive, and ethically sound body of evidence. However, due to the overall dearth of well-structured trials on pharmaceutical and non-pharmacological therapy for childhood persistent cough, it currently lacks broad therapeutic value. Among these fifteen SRs, one looked at the management algorithms that were previously discussed in this study.
Pharmacological Action:
Decongestants
The decongestants found in children’s OTC cold medication are either pseudoephedrine or phenylephrine. Systemic decongestants are adrenergic receptor agonists (sympathomimetics) that produce vasoconstriction within the mucosa of the respiratory tract, temporarily reducing the swelling associated with inflammation of the mucous membranes.[12,13] Sympathomimetic drugs work on the α receptors in the vascular smooth muscle causing vasoconstriction and presser effects and on the βadrenergic receptors in the heart causing increased heart rate and force of contraction.[14,15]Because of the cardiac effects, these agents should be used with caution in children with congenital heart disease, hypertension, or cardiac arrhythmias without consulting the patient’s pediatric cardiologist.. Oral decongestants also should be used with caution in patients with hyperthyroidism and diabetes mellitus. Topical decongestant products are applied topically to the nasal tissues via spray or drops. Topical decongestants stimulate the α-adrenergic receptors in the arterioles of the nasal mucosa, leading to vasoconstriction and shrinkage of nasal tissues.[23,24] There is minimal systemic absorption if used as directed. The use of isotonic saline nose drops and gentle aspiration can be effective in the temporary relief of nasal obstruction in infants. Also useful is the general humidification of room air. Moisture tends to dilute tenacious nasal mucus so that it is easier to remove.
Cough Suppressants
Dextromethorphan is the cough suppressant found in OTC cough medications, and it often is combined with the expectorant guaifenesin. Dextromethorphan, the D isomer of the codeine analogue levorphanol, acts centrally in the cough center in the medulla to suppress cough. Drowsiness, dizziness, nausea, and gastrointestinal upset also may be seen with dextromethorphan use.[27,28] Diphenhydramine, an antihistamine, also is marketed as a cough suppressant for The exact mechanism of action of firstgeneration antihistamines antitussive effects is unknown.
Expectorants
Guaifenesin is the most commonly prescribed oral mucolytic agent as an expectorant in the United States.[32] Its mechanism of action is to reduce the surface tension and viscosity of the mucus, which increases the ease of expectoration. Respiratory mucus removal is facilitated by increased flow of the thinned secretions via ciliary action.[36]Studies on the efficacy of guaifenesin have failed to demonstrate either improved pulmonary function or decreased sputum viscosity. Hence, its clinical usefulness is questionable
Antihistamines
Diphenhydramine, chlorpheniramine, and brompheniramine are the antihistamines found in children’s cold and allergy formulas.[21,22] Antihistamines, also known as H1 receptor antagonists, compete for and block the action of histamine at the H1 receptor site on cells in the respiratory tract, gastrointestinal tract, and blood vessels. In the respiratory tract, antihistamines decrease congestion related to allergies.[40] Naclerio et al 1988 studied the response of inflammatory mediators to induced viral infections. All variables except histamine grew stronger in direct relationship with the symptoms as the cold increased in severity[41]. This finding indicates that antihistamines have no role in the treatment of the common cold; they will not shorten the period of symptoms. They are helpful, however, in the treatment of the symptoms of allergic rhinitis. Lastly, in young infants, sympathomimetic-antihistamine mixtures are particularly dangerous because they may cause respiratory depression.
Antipyretics
Some multi-symptom cold formulas contain acetaminophen or ibuprofen as an antipyretic and analgesic. [18,19] Acetaminophen acts centrally to inhibit the synthesis prostaglandins in the CNS and peripherally to block pain impulse generation. Antipyretic activity is due to its action against prostaglandin E2 in the CNS, which increases in fever. [38,39]
The Active Ingredients Found in Herbal Remedies That Possess an Antitussive Ans
Anti- Inflammatory Effect
Flavonoids
Flavonol glycosides and their aglycones combine to form flavonoids. Activation can be decreased by flavonoids of xanthinoxidase and cholinesterase by preventing oxidative and reductive processes. The antitussive-expectorant activity of flavonoids, which are used to treat renal diseases, thromboembolic sequelae, and cardiovascular illnesses, is probably what makes their therapeutic benefits advantageous.
Vitamin C
kiwi fruit's high vitamin C content can be beneficial for coughs. Vitamin C is an antioxidant that can help boost the immune system and potentially reduce the duration and severity of cold symptoms, according to Zespri. Kiwi's anti-inflammatory properties may also soothe a sore throat, which can be a common symptom of a cough.
Antioxidant Properties
Kiwis are rich in antioxidants, which can help protect the body from oxidative stress, potentially contributing to overall health and a stronger immune system. The antioxidant properties in kiwi fruit can be helpful for coughs. Kiwi is a good source of antioxidants, which help combat oxidative stress, potentially boosting the immune system. Additionally, kiwis contain micronutrients that may improve respiratory health and soothe sore throats.
Volatile oil
Volatile oils in basil leaves, specifically basil essential oil (BEOs), have been traditionally used to help with coughs, along with other respiratory ailments like asthma, bronchitis, and flu. The volatile components, like linalool and eugenol, are believed to have expectorant and anti-inflammatory properties that can help soothe coughs and clear airways.
Essential Oils
These volatile compounds give oranges their characteristic aroma and flavor. Limonene is the most prominent, but other terpenes like sabinene, myrcene, and pinene are also present.
Polyphenols
These compounds, including phenolic acids, flavonoids, and their derivatives, possess strong antioxidant and anti-inflammatory properties.
Fiber
Orange peels are a good source of dietary fiber, with cellulose, hemicellulose, and pectin being the major types.
Pectin
This is a complex carbohydrate that is a key component of cell walls and plays a role in the texture and binding of orange peels.
Sugars
Orange peels contain monosaccharides (glucose, fructose) and disaccharides (sucrose).
Research Methodology
A typical research methodology for formulating and evaluating an herbal syrup using kiwi, basil, and orange peel would involve multiple stages, including: extraction of herbal ingredients, syrup formulation, evaluation of physicochemical properties, and stability testing. The goal is to create a stable and effective syrup with desirable sensory and therapeutic properties. To determine the primary studies, secondary sources, and guideline searches, the following sources were chosen: Medline (using the search engine PubMed) The Cochrane Library's Cochrane Database of Systematic Reviews, or EMBASE DARE stands for Database of Abstract of Reviews of Effects. The main Guideline Banks (LG) at Gruppo Italiano di Medicina Basata sulle Evidenze (GIMBE) have been identified. We used the following phrases to gather data from the PubMed (MeSH database) and Embase keyword registers: "Cough," "coughing," and "chronic," matched the terms "epidemiology," "prevalence," case-by-case in different search strings. "Incidence, cause, diagnosis, outcome, and treatment" We searched for specific clinical regions in PubMed using the clinical queries search engine and the pre-defined phrase "chronic cough children. The domains of aetiology, diagnosis, prognosis, and therapy, as well as any existing "clinical prediction guides," might all be independently investigated. We searched the literature for our findings without setting a deadline, and we finished on September 8, 2014. The selection was further limited to reports having human subjects between the ages of 0 and 18 that were written in either English or Italian. We restricted our search to randomised controlled trials (RCTs) while looking for literature about therapy. We did not include non-systematic reviews, editorials, letters, works of pure study, or grey literature in our investigation.
Herbs Used in Cough Syrup
Figure No.1 Kiwi Fruit
1) Kiwi Fruit
Synonym: Kiwi vine
Biological Source: Kiwi comes from actinidia deliciosa plant
Family: Actinidiaceae
Chemical constituents: Vitamin C, Antioxidants
Uses:
• Antioxidant
• Immune support
• Asthma
• Skin health
2) Tulsi
Figure No. 2 Tulsi
Synonym : Tulas ,Tulsi
Biological source: Tulsi consists of the fresh and dried leaves of Ocimum species like Ocimum sanctum L. and Ocimum basilicum L.
Family:- Labiateae
Chemical Constituents : Phytochemical studies have shown that oleanolic acid, ursolic acid rosmarinic acid, eugenol carvacrol, linalool, and β-caryophyllene are some of the main chemical constituents of Tulsi.
Uses :
• Expectorants
• In asthmatic patients
• Cough syrup
• Nasal decongestant
3) Orange
Figure No: 3
Synonym : Citrus sinesis
Biological source : Orange is a hybrid of tangerine (Citrus reticulata) and pomelo (Citrus maxima), native to Southeast Asia
Family : Rutaceae
Chemical Constituents : Vitamin C, Diatory fiber, Flavonoids, Carbohydrates, Water
Uses :
• Anti Inflammtory
• Enhance Immunity
• Antioxidants
• Good for skin
Types Of Syrup
Simple Syrup :
When Purified Water alone is used in making the solution of sucrose, the preparation is known as " simple syrup," Simple syrup contains only sucrose (sugar) & Purified water. Example:Sucrose :- 66.7ml Purified water:- 100ml
Medicated syrup :
When Syrup contains medicinal substance is know as medicated cough syrup. Example :-Ginger syrup Strong Ginger tincture5 mL Syrup q.s. 100 mL
Flavored Syrup :
Syrups containing flavoring agents but not medicinal substances are called flavored vehicles; Containing Aromatic/ Flavoured - Flavoured syrup Example: Cherry & Raspberry syrup.
MATERIALS AND METHOD :-
Collection of plant material
The Leaves of O.sanctum, were collected from adjoining area of Nagadwadi of March- 2025. Fruits of Kiwi and Orange were purchased from the local market, Nrayangaon.
Preparation of extracts
1.Two Kiwi were selected, their outer coats removed, and the resulting pieces were mixed to 100 millilitres of, which was thereafter slowly boiled to obtain extract. After filtering, the extract was allowed to cool. One millilitre of the entire extract is measured out.
2. To make extract, about 20g of peel from two oranges was chopped into small pieces and added to 100ml of water. The mixture was then boiled slowly. After filtering, the extract was allowed to cool. A 5 ml solution is measured from the entire extract.
3. To make extract, about 20 gm of basil leaves and O.Sanctum leaves were added to 100 ml of water and boiled gradually. After filtering, the extract was allowed to cool. A 5 ml solution is measured from the entire extract.
4. Precisely weigh 33.3 millilitres of sugar.
5. After combining all the extracts, 50 millilitres of syrup were produced.
6. After this syrup was prepared, it was put into an amber bottle, sealed, and kept in a cool place.
Preparation of herbal syrup
When herbal syrup is prepared by decoction method. Steps are as follows.
1. Four kiwi fruits (average weight of one fruit around 35 gm) were taken and its outer coat was removed, then cut it into small pieces, then obtained pieces were added into 100ml of water then heated slowly to get extract. The extract got was filtered and then cool. From whole extract 7 ml of solution is measured.
2. About 20gm peel obtained from two oranges was cut into small piece added to 100 ml of water then heated slowly to get extract. The extract got was filtered and then cool. From whole extract 5 ml of solution is measured.
3. About 20 gm of basil leaves added into 100 ml of water, heated slowly to get extract. The extract got was filtered and then cool. From whole extract 5 ml of solution is measured.
4. Weight accurately 33.3ml of sugar.
5. All extract are mixed with each other and 50ml of syrup was obtained. 6. This obtained syrup was transferred to amber color bottle, close it tightly and place it into cool place.
Evaluation of herbal cough syrup
Physiochemical parameter likes specific gravity, density, pH, Viscosity, were analysed as per the standard procedure mentioned in Indian pharmacopoeia. The color, odor, test, apperance were also recorded.
Table-1
Colour |
Greenish brown |
Odour |
Sweet aromatic |
Test |
Sweet |
Specific gravity |
1.25 |
Density |
1.37 |
PH |
4.8 |
Colour examination
Five ml final syrup was taken into watch glasses and placed against white back ground in white tube light. It was observed for its colour by naked eye.
Odour examination
Two ml of final syrup was smelled individually. The time interval among two smelling was kept 2 minutes to nullify the effect of previous smelling.
Taste examination A pinch of final syrup was taken and examined for its taste on taste buds of the tongue.
Determination of pH
Placed an accurately measured amount 10 ml of the final syrup in a 100 ml volumetric flask and made up the volume up to 100 ml with distilled water. The solution was sonicated for about 10 minutes. pH was measured with the help of digital pH meter.
CONCLUSION
Basil leaves extract as traditionally used to manage cough. In the presence study leaves, Flower achieved therapeutic effect to relive cough and reduced airway of inflammation. The pharmacological result also demonstrate that orange peel Citrus reticulata. They effective in reliving cough due to presence of polyphenolic compounds especially flavonoids. cough is common in the population, yet the true prevalence of these condition remains difficult to define. Those based on good evidence are more likely to improve the clinical outcomes. The clinical and basic research studies are still needed for better diagnosis, treatment, prevention of cough in children or adults.
In Future Scope
In the upcoming years, it is anticipated that the cough syrup sector would continue to rise. The future of the industry will be shaped by important variables such product innovation, growing customer desire for healthier and natural options, and expanding uses in the food and beverage sector. The market for polyherbal cough syrup is expected to grow in the future due to the growing popularity of herbal and natural treatments for respiratory ailments. The fact that polyherbal cough syrup is a natural product without artificial ingredients that might have unfavourable side effects is one of its key benefits.
REFERENCES
Payal Badhe*, Gugale Vaishnavi, Formulation and Evaluation of Herbal Syrup Using Kiwi Basil Orange Peel, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 5, 3788-3798. https://doi.org/10.5281/zenodo.15489646