Kava From Ethnology to Pharmacology Medicinal and Aromatic Plants — Industrial Profiles Individual volumes in this series provide both industry and academia with in-depth coverage of one major genus of industrial importance. Edited by Dr Roland Hardman Volume 1 Volume 21 Valerian, edited by Peter J. Houghton Narcissus and Daffodil, edited by Volume 2 Gordon R. Hanks Perilla, edited by He-ci Yu, Kenichi Kosuna Volume 22 and Megumi Haga Eucalyptus, edited by John J.W. Coppen Volume 3 Volume 23 Poppy, edited by Jenö Bernáth Pueraria, edited by Wing Ming Keung Volume 4 Volume 24 Cannabis, edited by David T. Brown Thyme, edited by E. Stahl-Biskup and F. Sáez Volume 5 Volume 25 Neem, edited by H.S. Puri Oregano, edited by Spiridon E. Kintzios Volume 6 Volume 26 Ergot, edited by Vladimír Kˇren and Citrus, edited by Giovanni Dugo and Ladislav Cvak Angelo Di Giacomo Volume 7 Volume 27 Caraway, edited by Éva Németh Geranium and Pelargonium, edited by Volume 8 Maria Lis-Balchin Saffron, edited by Moshe Negbi Volume 28 Volume 9 Magnolia, edited by Satyajit D. Sarker and Tea Tree, edited by Ian Southwell and Robert Lowe Yuji Maruyama Volume 10 Volume 29 Basil, edited by Raimo Hiltunen and Yvonne Holm Lavender, edited by Maria Lis-Balchin Volume 11 Volume 30 Fenugreek, edited by Georgios Petropoulos Cardamom, edited by P.N. Ravindran and Volume 12 K.J. Madhusoodanan Gingko biloba, edited by Teris A. Van Beek Volume 31 Volume 13 Hypericum, edited by Edzard Ernst Black Pepper, edited by P.N. Ravindran Volume 32 Volume 14 Taxus, edited by H. Itokawa and K.H. Lee Sage, edited by Spiridon E. Kintzios Volume 33 Volume 15 Capsicum, edited by Amit Krish De Ginseng, edited by W.E. Court Volume 34 Volume 16 Flax, edited by Alister Muir and Niel Westcott Mistletoe, edited by Arndt Büssing Volume 35 Volume 17 Urtica, edited by Gulsel Kavalali Tea, edited by Yong-su Zhen Volume 36 Volume 18 Cinnamon and Cassia, edited by Artemisia, edited by Colin W. Wright P.N. Ravindran, K. Nirmal Babu and M. Shylaja Volume 19 Volume 37 Stevia, edited by A. Douglas Kinghorn Kava, edited by Yadhu N. Singh Volume 20 Volume 38 Vetiveria, edited by Massimo Maffei Aloes, edited by Tom Reynolds Kava From Ethnology to Pharmacology Edited by Yadhu N. Singh Medicinal and Aromatic Plants — Industrial Profiles CRC PR ESS Boca Raton London New York Washington, D.C. Contents Listofcontributors vi Preface vii 1 AnIntroductiontoKavaPipermethysticum 1 YADHU N. SINGH 2 History,Folklore,TraditionalandCurrentUsesofKava 10 LAMONT LINDSTROM 3 Kava:Production,MarketingandQualityAssurance 29 YADHU N. SINGH 4 BotanyandEthnobotanyofKava 50 YADHU N. SINGH 5 ChemistryofKavaandKavalactones 76 IQBAL RAMZAN AND VAN HOAN TRAN 6 PharmacologyandToxicologyofKavaandKavalactones 104 YADHU N. SINGH 7 Kava:ClinicalStudiesandTherapeuticImplications 140 NIRBHAY N. SINGH, SUBHASHNI D. SINGH AND YADHU N. SINGH Index 165 Contributors LamontLindstrom SubhashniD.Singh DepartmentofAnthropology ONEResearchInstitute UniversityofTulsa 7401SparkleberryLane Tulsa,OK74104 Chesterfield,VA23832 USA USA YadhuN.Singh IqbalRamzan DepartmentofPharmaceuticalSciences DepartmentofPharmaceutics CollegeofPharmacy FacultyofPharmacy SouthDakotaStateUniversity TheUniversityofSydney Box2202C Sydney,NSW2006 Brookings,SD57007 Australia USA VanHoanTran NirbhayN.Singh DepartmentofPharmaceutics ONEResearchInstitute FacultyofPharmacy 7401SparkleberryLane TheUniversityofSydney Chesterfield,VA23832 Sydney,NSW2006 USA Australia TF1730 disclaimer.fm Page 1 Wednesday, December 3, 2003 1:02 PM Original cover illustration by V. Lebot, reproduced with permission from the National Botanical Garden, Hawaii, USA. Library of Congress Cataloging-in-Publication Data Kava : from ethnology to pharmacology / edited by Yandhu N. Singh. p. cm. — (Medicinal and Aromatic plants—industrial profiles; v. 38) Includes bibliographical references and index. ISBN 0-415-32327-4 (hardback: alk. paper) 1. Kava plant. 2. Kava plant—Therapeutic use. 3. Kava (Beverage) [DNLM: 1. Kava. 2. Plants, Medicinal. 3. Anti-Anxiety Agents—therapeutic use. 4. Plant Extracts—therapeutic use. QV 766 K21 2003] I. Singh, Y.N. (Yadhu Nand) II. Series. RM666.K38K38 2003 615'.32325—dc21 2003008341 This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission, and sources are indicated. A wide variety of references are listed. Reasonable efforts have been made to publish reliable data and information, but the author and the publisher cannot assume responsibility for the validity of all materials or for the consequences of their use. Neither this book nor any part may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, microfilming, and recording, or by any information storage or retrieval system, without prior permission in writing from the publisher. All rights reserved. Authorization to photocopy items for internal or personal use, or the personal or internal use of specific clients, may be granted by CRC Press LLC, provided that $1.50 per page photocopied is paid directly to Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923 USA. The fee code for users of the Transactional Reporting Service is ISBN 0-415-32327-4/02/$0.00+$1.50. The fee is subject to change without notice. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. The consent of CRC Press LLC does not extend to copying for general distribution, for promotion, for creating new works, or for resale. Specific permission must be obtained in writing from CRC Press LLC for such copying. Direct all inquiries to CRC Press LLC, 2000 N.W. Corporate Blvd., Boca Raton, Florida 33431. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation, without intent to infringe. Visit the CRC Press Web site at www.crcpress.com © 2004 by CRC Press LLC No claim to original U.S. Government works International Standard Book Number 0-415-32327-4 Library of Congress Card Number 2003008341 Printed in the United States of America 1 2 3 4 5 6 7 8 9 0 Printed on acid-free paper Preface In thepast few decades, kavahasbecome known throughoutthe world for its calming and relaxing properties. But before that, it was extensively used in the Pacific in most islandsofPolynesiaandMelanesiaandsignificantpartsofMicronesia,atleastuntilthe full impact of contact with Europeans in the form of colonization and missionization wasfeltbytheinhabitants.Justasthepotentialtherapeuticbenefitsofthisherbinthe treatment of stress, anxiety, insomnia, and restlessness began to be recognized, reports ofitsallegedinvolvementincasesoflivertoxicitystartedappearingintheWest.Con- sequently,thedemandforcommercialpreparationsofkavahasbeenseverelycurtailed. However, its consumption in the traditional beverage form has continued unabated, bothintheSouthPacificandotherpartsoftheworld,asitsusehasneverbeenassociated with any organ dysfunction except for a scaly skin condition, called kava dermopathy, whichappearsinhabitualconsumersofexcessivequantitiesofthedrink. In addition to organizations and individuals elsewhere, the governments and other institutions in the kava-producing countries are promoting initiatives in the form of scientific, medical, social, and economic research to elucidate the pharmacological and toxicological properties of this herb and to evaluate its full therapeutic and market potential.Hopefullythestudieswillalsoidentifytheoriginsofthekava-inducedliver toxicity.Theseendeavorsareofvitalimportancebecauseoftheseriousimpactthecase reports have had not only on the economic viability of these small island nations but alsotosafeguardthehealthstatusoftheircitizensandotherswhocontinuetoconsume kava. Furthermore, kava represents an attractive alternative to some antistress and antianxiety agents which are known to have severe adverse effects. Thus, it is my sin- cerehopethatthisbookwillprovetobeavaluableresourcefortheseandotherrelated activities by the interested parties as they proceed with their investigations to resolve thiscontroversy. Inthepreparationofthisvolume,Ihavebeenfortunatetoreceivetheassistanceand counsel of a number of people to whom I extend my heartfelt gratitude. In particular, I wish to thank the chapter authors, Drs Lamont Lindstrom, Iqbal Ramzan, Nirbhay Singh, Van Hoan Tran, and Ms Subhashni Singh. I also thank Mr Prakash Singh, MrYatesh Singh, Dr John Brown, Dr Pierre Cabalion, Dr Richard Davis, Mr Frank King, Ms Judy Siers, Dr Patricia Siméoni, and Dr Sadaquat Ali who all kindly providedmaterialsforsomeoftheillustrations. Finally,Iwouldliketodedicatethisvolumetothethreepeoplewhomattermostin mylife,mywifeKamal,forallherlove,encouragement,andsupport,andourchildren YateshandKashmir. YadhuN.Singh 1 An Introduction to Kava Piper methysticum Yadhu N. Singh I can remember the evening gatherings when I was young at my home in the Fiji Islandswhenkavastockwaspoundedintopowderinwoodenmortarswithmetalrods, andthenusedinthepreparationofthecharacteristicinfusion.AsIgrewolderitfellto me more and more often to purchase the kava from the neighborhood store, do the pounding and preparing of the beverage, and serve it to the assembled people, who invariably were men. It was only later when I was much older that I could appreciate thevariousfacetsoftheprocessandthehistoricalandculturalrationaleandsignificance forthem. Thekavabuyerwastoldtoalwayspurchasethelateralrootsandrootlets(calledwaka inFiji)asthebestdrinkwaspreparedfromthem.Nextinpreferencewerethethickened underground parts of the stem and stump comprising the rhizome (lewena). The kasa (thefirstfewnodesandinternodesofthestemorstalk)oftheplantwasacceptableonly if the waka or lewena was unavailable. On no account was already powdered kava to be used,asitmighthavebeenderivedfromthestalks,oramixtureofstalksandroot,and therewasthepossibilityofadulterationwithsawdust,flour,soil,orothercontaminants. Furthermore, the drinkers often examined and smelled the rootstock for freshness as deteriorationoccurswithstorage(DuveandPrasad,1983).Inadditiontopotency,the older material also loses its characteristic odor and flavor, both of which are highly relishedbythedrinkers. Kava is an attractive shrub (Figure 1.1) that is propagated vegetatively, as are most ofthetraditionalPacificcrops.Theactiveprinciplesareagroupofpsychoactivechemicals called kavalactones or kavapyrones (Chapter 5), which are concentrated mostly in the rhizomeandroots,andinotherpartsoftheplantstoalesserextent.Thedesiredphysi- ological effects are obtained by ingesting the active compounds present in cold-water infusionsofground,macerated,pounded,orsometimeschewedkavastumpsandroots. Ithasnowbeenshownthatthosecultivarswithhighproportionsofthekavalactone kavain (or kawain) give the more palatable drink and produce pleasant and desirable physiological effects. Cultivars that have high levels of dihydrokavain and dihydro- methysticin are unpopular and, if possible, avoided by drinkers (Lebot and Brunton, 1985). Thus, although many cultivars have been available, the process of selection by kavausershasreducedtoasmallnumberthecultivarsthataremostcommonlypropagated andutilizedforrecreationalpurposes. The preparation of the beverage must be done in the proper manner to ensure that the strength of the drink is to the liking of the imbibers. A weak infusion is not well regarded, and could be the cause of major embarrassment to the host. The habit of
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