The Potential Effect of Daun Sirih (Piperaceae Leaf) on the Burn Wound Healing: A Literature Review

Main Article Content

Elvita Rahmawati
Ahmad Fawzy

Abstract

Introduction: Burn injuries, particularly among children and the elderly, result from heat, chemicals, or electricity, leading to skin and tissue damage. The wound healing process involves several stages, and infections from bacteria such as Pseudomonas aeruginosa and Staphylococcus aureus can complicate healing. While burns are typically treated with antiseptics, traditional remedies like Piper betle (Piperaceae) are commonly used in Indonesia. Compounds in Piper betle—including flavonoids, saponins, and tannins—possess antioxidant, antibacterial, and anti-inflammatory properties that may enhance burn wound healing.


Methods: This literature review synthesized data from various open-access online databases to evaluate the effects of Piper betle on burn wound healing.


Results and Discussion: Piper betle, a medicinal plant from the Piperaceae family, accelerates wound healing through several mechanisms. Flavonoids form complexes with proteins, damaging bacterial cells; saponins enhance collagen production, and tannins disrupt bacterial cell walls. Studies confirm that Piper betle reduces inflammation and fosters tissue regeneration via antioxidant activity. Animal trials demonstrate significant improvements in burn wound healing, including faster wound contraction and recovery.


Conclusion: Piper betle shows promise in accelerating burn wound healing due to its bioactive compounds. While existing studies support its effectiveness, further research is needed to assess the long-term safety and potential toxicity of Piperaceae-based treatments.

Article Details

How to Cite
Rahmawati, E., & Fawzy, A. (2024). The Potential Effect of Daun Sirih (Piperaceae Leaf) on the Burn Wound Healing: A Literature Review. International Journal of Medical Science and Clinical Research Studies, 4(11), 2048–2052. https://doi.org/10.47191/ijmscrs/v4-i11-30
Section
Articles

References

I. Balqis U, Masyitha D, Febrina F. Healing process of burns using ambarella leaf (Spondias dulcis f.) and vaselin in rats (rattus norvegicus). Medika Veterinaria Journal. 2014;8(1):9-14.

II. Jin L, Zhang Y, Yan L, Guo Y, Niu L. Phenolic compounds and antioxidant activity of bulb extracts of six Lilium species native to China. Molecules. 2012 Aug 3;17(8):9361-78.

III. Thaib CM, Supartiningsih S, Sofwan AG. Review of medicinal plants that have burn wound healing effects. Journal of Farmanesia. 2021;8(1):52-67.

IV. Noor F, Arifin S, Santi E. Red betel leaf (Piper crocatum) ligation on the duration of second degree burn wound healing on rabbit (Cavia cobaya) skin. Journal of Nursing and Health. 2013;1(1):24-31.

V. Hermiati R, Manalu NY, Sinaga MS. Green and red betel leaf extracts as antioxidants in coconut oil. Journal of Chemical Engineering. 2013;2(1):37-43.

VI. Ulviani F,Yusriadi Y, Khaerati K. 2016. Effect of red betel leaf extract gel (Piper crocatum Ruiz & Pav) on burn wound healing in rabbits (Oryctolagus cuniculus). Galenika Journal of Pharmacy. 2016;2(2):103-10.

VII. Rinaldi R, Fauziah F, Musfira, Y. Formulation study and effectiveness of betel leaf ethanol extract gel (Piper betle L.) on burn wound healing in rabbits (Oryctolagus cuniculus). Journal of Pharmacy World. 2019;4(1):23-33.

VIII. Imansyah MZ, Hamdayani S. Activity test of ethanol extract of Chinese betel leaf (Peperomia pellucida L.) against Propionibacterium acnes bacteria. Journal of Health Yamasi Makassar. 2022;6(1):40-7.

IX. Putrajaya F, Hasanah N, Kurlya A. Inhibition of ethanol extract of suruhan leaf (Peperomia pellucida L.) on the growth of acne-causing bacteria (Propionibacterium acnes) by agar well method. Edu Masda Journal. 2019;3(2):123-140.

X. DeSanti L. Pathophysiology and current management of burn injury. Advances in Skin and Wound Care. 2005;18(6):323-32.

XI. Strodtbeck F. Physiology of wound healing. Newborn Infant Nursing Reviews. 2001;1(1):43–52.

XII. Krzyszczyk P, Schloss R, Palmer A, Berthiaume F. The role of macrophages in acute and chronic wound healing and interventions to promote pro-wound healing phenotypes. Frontiers in Physiology. 2018;9(1):419.

XIII. Johnson KE, Wilgus TA.Vascular endothelial growth factor and angiogenesis in the regulation of cutaneous wound repair. Advances in Wound Care. 2014;3(10):647-661.

XIV. Mun’im A, Azizahwati FA. Effect of infusion of red betel leaf (Piper cf fragile Benth) topically on wound healing in diabetic white rats. Initial grant DRPM University of Indonesia. 2010:2512.

XV. Menon DN, Leite IDAB, Ramsdorf MTDA, Chagas LDS, Arroyo SA, Santos ACD, et al. Effect of ethanolic extracts from Piperaceae leaves on the reduction of skin necrosis and wound healing in an animal model of degloving injuries. Acta Cirúrgica Brasileira. 2023;38(1):1-12.

XVI. Carsono N, Tumilaar SG, Kurnia D, Latipudin D, Satari MH. A review of bioactive compounds and antioxidant activity properties of piper species. Molecules. 2022;27(19):6774.