Dracaena cinnabri is a popular medicinal plant in the peninsula of Arabia and other countries, used as an herbal cure for a variety of ailments such as astringent, analgesic, antibacterial, and antiulcer. The present research investigation sought to identify the phytochemical components and assess the hemostatic impact of Dracaena cinnabri extracts in aqueous, ethanol, and chloroform forms. Soxhlet extraction has been employed to isolate and identify secondary metabolites in plants. Several widely used and accessible standard assays were performed for phytochemical screening. Prothrombin Time (PT) and Activated Partial Thromboplastin Time (APTT) are two examples of biochemical assays that are frequently used to examine hemostatic potential. Tukey's HSD and one-way ANOVA were used to evaluate the information. The presence of active substances, including phenolic compounds, flavonoids, tannins, and saponins, in high concentrations was revealed by phytochemical screening. The aqueous extract caused a big drop in both PT and APTT levels, which means it had a high pro-coagulant effect and potentially had a haemostatic effect. The ethanol extract, on the other hand, did not have any haemostatic activity, and the chloroform extract had a mild effect. The remarkable action of the aqueous extract may be ascribed to its elevated concentration of saponins, tannins, and phenolic substances. These results indicate that aqueous extract of Dracaena cinnabari resin exhibits significant in vitro haemostatic properties; still, additional research is required to clarify the precise mechanism of action and validate its clinical significance.
Introduction
Normal blood vessels, blood coagulation, and platelet activities are all components of a normal hemostatic system (Raghunathan et al., 2022). An essential component of hemostasis, blood coagulation is the complicated process through which blood forms clots, covering an injured blood vessel wall with a clot that contains platelets and fibrin to block bleeding and initiate vessel repair (Liu, 2024). Damage to the vessel wall exposes the subendothelial components, such as microfibrils, collagen, and the basement membrane (Lin & Davis, 2023). Platelet aggregates known as platelet plugs are formed when platelets cling to the exposed injured endothelium, making the outer membrane more sticky (Scridon, 2022). A higher risk of clotting (thrombosis) or bleeding (hemorrhage) can result from coagulation disorders (Rautou et al., 2023). Traditional medicine has been used for centuries to heal illnesses in societies all throughout the world (Ozioma & Chinwe, 2019). Many medicinal plants are used in these indigenous medical systems to create a range of herbal preparations that are used as therapies; these products are generally believed to be safe and free of negative effects (Okaiyeto & Oguntibeju, 2021). The ongoing use of herbal remedies, particularly in underdeveloped nations, has been fueled by the high cost or restricted availability of contemporary pharmaceuticals (Al-Worafi, 2020). According to the World Health Organization (WHO), around 40% of Chinese, 75% of French, 70% of Canadians, 42% of Americans, and 80% of Africans rely on traditional medicine to meet their daily primary health needs (Izah et al., 2024). Certain plant extracts have been shown to exhibit biological activity since the World Health Organization created a global categorization of traditional medicine in 1978. Over 170,000 strong phytomolecules have been identified from plants to date (Mensah et al., 2019). Natural substances and their biological actions have been a major mystery for many years, and many researchers are working to solve it. Because of the increased interest in using natural products to improve human health worldwide, there are more and more studies on these topics in the literature (Khalil & Mustafa, 2020; Abdulgadir et al., 2023; Malik et al., 2023; Nguyen et al., 2023; Chen et al., 2024; Safa & Farkas, 2024; Solmell & Sterner, 2024; Bona et al., 2025; Nazzal & Hadi, 2025). In India, research on plant-based extracts' antimicrobial, anti-inflammatory, hepatoprotective, antidiabetic, and other properties has been particularly prevalent (Shakya, 2020). Some pharmacological properties, like the hemostatic properties of plant-based extracts, have not been studied enough (Al-Zahrani et al., 2023; Gautam et al., 2023; Ghosh et al., 2023; Santini et al., 2023; Zhang et al., 2023; Khan et al., 2024; Rojas et al., 2024; Ahmed et al., 2025; Ali et al., 2025; Sousa et al., 2025; Ruiz et al., 2025). The perennial tree Dracaena cinnabari is regional to Socotra Island, which is situated on Yemen's southern coast (Rezende et al., 2022). This tree yields a vivid red resin, which has been colorfully referred to as the "blood of the dragon" or "blood of the two brothers." (Wang et al., 2022). A taxonomic classification of the plant is shown in Table 1.
Table 1. Taxonomic Classification of Dracaena cinnabari
|
Kingdom |
Plantae |
|
Subkingdom |
Embryophyta |
|
Superdivision |
Spermatophytina |
|
Division |
Magnoliophyta |
|
Class |
Liliopsida |
|
Subclass |
Liliidae |
|
Order |
Liliales |
|
Family |
Asparagaceae |
|
Genus |
Dracaena |
|
Species |
D. cinnabari |
The dry powdered resin is commonly used in the Arabian Peninsula and other countries as an herbal medicine for a range of diseases, including analgesia, astringency, antibacterial, haemostatic, and ulcers; if administered during the first trimester of pregnancy, it can also serve as an abortifacient (Al-Awthan & Bahattab, 2021; Johnson, n.d.). Numerous flavonoids, cinnabarrine, sterols, triterpenoids, and deraconaceae, an old luxury product, have previously been isolated through phytochemical research (Nchiozem-Ngnitedem, 2021). In Arabia, the red liquid extract of damaged bark is known as "cinnabar." The locals of Socotra (Yemen) continue to use it to heal stomach ulcers and diarrhea (Almaghrebi et al., 2024). It has been used for folk magic and as a coloring agent (Basile, 2023). Soqotri Dracaena cinnabari's dragon's blood possesses antibacterial (Zakir et al., 2022), antioxidant (Al-Ghorafi & Alburyhi, 2024), antiviral (Mothana et al., 2022), and cytotoxic properties (Al-Ghorafi & Alburyhi, 2024). Despite these well-documented pharmacological features, there has been little experimental study into the direct effects of Dracaena cinnabari resin extracts on hemostatic measurements. The purpose of this study was to determine the phytochemical components of Dracaena cinnabari resin extracts prepared with various solvents and to test their capacity to halt bleeding in vitro using standard coagulation assays.
Materials and Methods
Plant Materials
Dracaena cinnabari resin was obtained from a local market in Mosul, Iraq. The material was authenticated by the taxonomist of the Botany Department at the Agriculture College/University of Mosul (Voucher Specimen Number 346 on 22 Jan 2026); the dried sample was ground into moderate powder. The dried sample was ground into moderate powder.
Chemicals and Reagents
High purity grade of all chemicals and reagents; ethanol (Merck, Germany), chloroform (Merck, Germany), prothrombin reagent, and activated partial thromboplastin reagent (Dade Behring Marburg GmbH, Germany) were used.
Preparation of Plant Extracts
In a Soxhlet apparatus, approximately 100 g of dry powdered Dracaena cinnabari resin was exposed to a series of solvent extractions (distilled water, ethanol, and chloroform); Whitman No. 1 filter paper was used to filter the extracts, and a rotary vacuum evaporator was used to concentrate the resulting solutions. The extracts were then placed in amber, tightly closed containers that seemed to be labeled and refrigerated at 4°C for additional tests (Saraf, 2023).
Phytochemical Testing
The presence of alkaloids, flavonoids, triterpenoids, saponins, and tannins was evaluated in the resulting extracts based on the previously established extraction techniques and modes. This assessment was executed in accordance with the established methodologies defined by Harborne (Keneni et al., 2021).
Alkaloid
For around five minutes, the sample was exposed to ammonia and chloroform. The addition of H2SO4 2M came next. It was then shaken to create two layers of acid. After placing the acid layer in three test tubes, the Mayer, Dragendrof and Wagner reagents were added. The developments of an orange precipitate on the Dragendrof reagent, a brown product on the Wagner reagent, and a white product on the Mayer reagent all suggested successful outcomes.
Flavonoid
In the flavonoid test, two tiny pieces of magnesium and concentrated HCl were added to the samples after they had been heated for five minutes. If the reddish color turns orange, the reaction is considered favorable. A 10% NaOH was added after a few isolates had been dissolved in ethanol; a particular color shift indicates a successful reaction.
Triterpenoid
Chloroform, concentrated sulfuric acid, and anhydrous acetic acid were applied to the samples. Triterpenoids produced orange/purple coloration.
Saponin Test
After being heated for five minutes, the samples got cold and agitated. The existence of saponins is indicated by a good result for the creation of stable foam or foam that lasts for two to three minutes.
Tannins Testing
A solution of 1% FeCl3 and 2 M HCl has been added to the samples. A green-black color shift will occur with a 1% FeCl3 solution, while a red color shift will be shown with a 2M HCl solution.
In vitro Haemostatic Activity
Using the usual FisherbrandTM Reagent kits, in vitro assessments, haematological markers PT, and APTT evaluations were conducted in the study groups. For the PT test, 0.01 mL of 5% of every extract solution or NS solution (which was a negative control) was combined with 0.1 mL of plasma, which was followed by incubating for a two-minute period at 37°C. After adding 0.2 mL of heated PT reagent, the coagulator device measured the endpoint, which was the time it took for a clot to form (Mohammed & Mustafa, 2020). For the APTT test, 0.01 mL of 5% of every extract and saline (which was a negative control) was combined with 0.1 mL of plasma. The aforementioned mixes were followed by incubating for three minutes each around 37°C after 0.1 mL of hot APTT reagent was added. Every sample was then given 0.1 mL of hot CaCl2, and the coagulator device was used to measure the clotting time (Ebrahimi et al., 2020).
Statistical Analysis
The data was analyzed using Microsoft Excel 8.1 software, subjected to descriptive statistics, and reported as mean ± SEM. One-way analysis of variance (ANOVA) and Tukey's HSD test to find out if the results were statistically significant...*p<0.05 denoted statistically significant values.
Results and Discussion
Result Phytochemical Analysis of Extracts
The qualitative analyses carried out on each of the three pure chemical components of Dracaena cinnabari. According to the laboratory analysis, the aqueous extract of Dracaena cinnabari contains terpenoids, saponins, phenol, flavonoids, alkaloids, and tannins; the ethanol extract contains terpenoids, phenol, and tannins; and the chloroform extract contains phenol, flavonoids, tannins, and alkaloids, as indicated in Table 2.
Table 2. Results of Phytochemical Analysis
|
Code Sample |
Triterpenoids |
Saponins |
Phenol |
Flavonoids |
Tannins |
Alkaloids |
|
Aqueous extract |
Positive (+) |
Positive (+) |
Positive (+) |
Positive (+) |
Positive (+) |
Positive (+) |
|
Ethanol extract |
Positive (+) |
Negative (-) |
Positive (+) |
Negative (-) |
Positive (+) |
Negative (-) |
|
Chloroform extract |
Negative (-) |
Negative (-) |
Positive (+) |
Positive (+) |
Positive (+) |
Positive (+) |
Effect of Extracts on PT and APTT
PT and APTT assays were used to assess the impact of 5% Dracaena cinnabari extracted solutions on the coagulation system. The findings indicated that aqueous extract had the most significant impact on coagulation measures, especially APTT, as seen in Table 3; there was a substantial shift in the levels of PT and APTT. The control group's PT and APTT results from NS-added plasma were 12.40±0.43 and 30.00±2.24 seconds, respectively. In comparison to the control group, the aqueous extract reduces PT to 10.90±0.46 seconds and APTT to 13.6±4.96 seconds. The ethanol extract, on the other hand, did not show a significant pro-coagulant action, with PT values of 12.30 ± 0.30 seconds and APTT values of 30.40 ± 2.77 seconds. Chloroform extract reduces PT to 11.6±0.19 and APTT to 25.8±1.36 when compared to the control group. Consequently, only the aqueous extract exhibited a statistically and experimentally significant reduction in APTT, while the ethanol extract showed no coagulation-enhancing action under the current experimental conditions.
Table 3. Human plasma PT and APTT values with 5%Dracaena cinnabari extracts solutions and normal saline solution (n=5) (p<0.05)
|
Sample |
PT (second) |
APTT (second) |
|
N.S (Control) |
12.40±0.43 |
30.00±2.24 |
|
Aqueous extract |
10.90±0.46 |
13.60±4.96 |
|
Ethanol extract |
12.30±0.30 |
30.40±2.77 |
|
Chloroform |
11.60±0.19 |
25.80±1.36 |
|
Mean ± SEM is used to express the data. A plasma/saline solution ratio of 10:1 serves as the control group. APTT: activated partial thromboplastin time, PT: prothrombin time. |
||
Overall, the PT and APTT of handled plasma revealed significant values in Dracaena cinnabri aqueous, ethanol, and chloroform extracts. The aqueous extract had the strongest and most consistent pro-coagulant effect, as evidenced by a large reduction in APTT and a small decrease in PT. This research suggests that there may be an impact on both the intrinsic and extrinsic routes of blood coagulation. Tannins, phenols, and flavonoids are among the phytochemicals linked to a reduction in PT and APTT in processed plasma (Rehman et al., 2019). The aqueous extract's high tannin concentration, however, may result in non-specific protein precipitation, which could cause fibrinogen or other plasma proteins to clump together or change shape, giving the appearance of a quicker clotting time in vitro. Therefore, it is impossible to rule out the potential that non-specific tannin–protein interactions are causing the observed drop in APTT, even though it is considerable.
Furthermore, saponins are linked to APTT-induced reductions in plasma coagulation time (Muindi, 2021). These chemicals have a direct link to a drop in Prothrombin Time (PT) in normal plasma (Shen et al., 2017). Additionally, extracts containing both phenols and saponins are linked to lower PT levels (Wen et al., 2019). Vanillic acid and gallic acid, which are phenolic chemicals, are linked to a drop in plasma PT (Olas et al., 2020). Phenoletin, another phenol, has been demonstrated to lower both PT and APTT in treated plasma (Al Abadie et al., 2023; Efremov, 2023; Lee & Wu, 2023; Meneses-La-Riva et al., 2023; Jin et al., 2024; Wang et al., 2024; Adams & Hayes, 2025; Clark & Foster, 2025; Kunie et al., 2025; Lee et al., 2025; Rojas et al., 2025). Phenols and flavonoids are generally associated with a reduced coagulation time through the extrinsic pathway (Cui et al., 2018). Flavonoids have important blood-clotting properties that speed up the process of plasma coagulation (Ofosu et al., 2023). Specifically, the flavonoid astragalin has been shown to significantly shorten PT compared to model groups (Wang et al., 2023). In the same way, the flavonoids kaempferol and phloridzin can also shorten normal plasma PT (Yin et al., 2018). Tannins have been demonstrated to reduce APTT, which enhances the intrinsic route of the coagulation process (Muindi et al., 2021). Ethanol extract of Dracaena cinnabari, however, did not demonstrate a significant pro-coagulant impact in this investigation. This finding could be explained through variations in phytochemical composition, since the ethanol extract lacks flavonoids and saponins, which are extracted more abundantly by polar solvents like water. The chloroform extract had a moderate effect, probably caused by the presence of phenolic chemicals and alkaloids; however, it was less active than the aqueous extract. Strong complexes that are created when proteins and tannins are combined are linked to the phytochemical's capacity to reduce coagulation time (Baunthiyal et al., 2021). It has been suggested that tannins in the aqueous extract might enhance fibrinogen-thrombin interactions or increase protein aggregation, impacting the formation of clots in vitro (Gheraibia, 2021; Li et al., 2023). By promoting the transition of factor X to Xa through a common process, phenols (found in extracts) are thought to reduce PT and APTT and shorten plasma coagulation time (Lamponi, 2021). Findings show that the pro-coagulant effect identified in this study is mostly related to the aqueous extract of Dracaena cinnabari, whereas the ethanol extract appears to be mainly ineffectual under the experimental circumstances used.
Conclusion
The results of this study show that the aqueous extract of Dracaena cinnabari resin significantly decreases prothrombin time when compared to the control group (normal saline) and has a strong in vitro haemostatic impact. This effect was particularly visible in the significant reduction in APTT, indicating an impact on the intrinsic as well as common coagulation pathways. Conversely, ethanol extract had no significant haemostatic impact, whereas the chloroform extract exhibited a slight decrease in coagulation times. These findings show that the aqueous extract has the highest concentration of polar phytochemicals such as flavonoids, tannins, phenolic compounds, and saponins, which are most likely responsible for the haemostatic activity found in this study. Further research using chemical fingerprinting, fractionation, and other coagulation assays is needed to identify the active compounds and understand the fundamental mechanisms of action. To summarize, the current work shows preliminary in vitro evidence suggesting the haemostatic potential of the aqueous extract of Dracaena cinnabari resin; nevertheless, more in vivo and mechanistic studies are required before considering any clinical or therapeutic application.
Acknowledgments: The authors are grateful to the University of Mosul/College of Pharmacy to the help and support.
Conflict of interest: None
Financial support: None
Ethics statement: The used Dracaena cinnabari plant was approval by the College of Agriculture and Forestry (Approval Letter Number 3/7/682 on 27.01.2026).
Abdulgadir, A. E. I., Elhag, O. E. Y., Abukanna, A. M. A., Elmisbah, H. O., & Idris, H. O. I. (2023). Risk factors and clinical presentation of acute pulmonary embolism in Sudanese patients at Alshaab Teaching Hospital. Journal of Medical Sciences and Interdisciplinary Research, 3(2), 15–20. doi:10.51847/C6oaZYEM5g
Adams, G., & Hayes, W. (2025). Clinical significance of sustained nintedanib treatment in idiopathic pulmonary fibrosis: A 12-month real-world evaluation. Pharmaceutical Sciences and Drug Design, 5, 217–224. doi:10.51847/iE5dkK27c3
Ahmed, T., Uddin, R., Hossain, I., & Hasan, M. (2025). Impact of pharmacogenetic variability on praziquantel pharmacokinetics and treatment efficacy in Tanzanian school-aged children with schistosomiasis. Specialty Journal of Pharmacognosy, Phytochemistry, and Biotechnology, 5, 178–190. doi:10.51847/6GDmbj3nCp
Al Abadie, M., Sharara, Z., Ball, P. A., & Morrissey, H. (2023). Pharmacological insights into Janus kinase inhibition for the treatment of autoimmune skin diseases: A literature review. Annals of Pharmacy Practice and Pharmacotherapy, 3, 1–8. doi:10.51847/lhABjfuIwh
Al-Awthan, Y. S., & Bahattab, O. S. (2021). Phytochemistry and pharmacological activities of Dracaena cinnabari resin. BioMed Research International, 2021, 8561696.
Al-Ghorafi, M. A., & Alburyhi, M. M. (2024). Formulation and evaluation of novel antiaging cream containing dragon's blood extract. European Journal of Pharmaceutical and Medical Research, 11(1), 239–244.
Ali, H., Ahmed, B., & Akhtar, N. (2025). Ethnopharmacological evaluation of Cucurbita pepo leaf extract reveals antimalarial potential in Nigerian traditional medicine. Interdisciplinary Research in Medical Sciences Specialty, 5(1), 57–67. doi:10.51847/Cm01jhHRJa
Almaghrebi, E., Akat, F., & Vatansev, H. (2024). Traditional use of Dracaena cinnabari, importance of its resin, bioactivity study of isolated chemical structures. Studies in Natural Products Chemistry, 83, 431–463.
Al-Worafi, Y. M. (2020). Herbal medicines safety issues. In Drug safety in developing countries (pp. 163–178). Academic Press.
Al-Zahrani, A. M., Alotaibi, F. A., & Aldossary, N. K. (2023). Anti-doping knowledge and educational needs among pharmacists in Taiwan. Annals of Pharmacy Education, Safety, and Public Health Advocacy, 3, 143–154. doi:10.51847/qnyPsczrO8
Basile, G. J. (2023). Dragon's blood or the red delusion: Textual tradition, craftsmanship, and discovery in the early modern period. Renaissance Quarterly, 76(4), 1223–1271.
Baunthiyal, M., Semwal, P., & Dwivedi, S. (2021). Haemostatic potential of medicinal plants and their phytochemicals. Journal of Mountain Research, 16(1), 93–102.
Bona, C., Camacho-Alonso, F., Vaca, A., & Llorente-Alonso, M. (2025). Oral biofilm control in patients using orthodontic aligners: Evidence from a systematic review. Asian Journal of Periodontics and Orthodontics, 5, 33–42. doi:10.51847/siIhUaqfip
Chen, W., Zhao, M., Wang, L. N., Zhang, H., Li, J., & Yu, X. (2024). Patient-reported outcomes in orthodontic–periodontal interdisciplinary care. Asian Journal of Periodontics and Orthodontics, 4, 175–184. doi:10.51847/24kc17FkhQ
Clark, A., & Foster, H. (2025). Network pharmacology integration and experimental verification to elucidate the molecular mechanisms of triptolide in treating membranous nephropathy. Pharmaceutical Sciences and Drug Design, 5, 33–47. doi:10.51847/X9UVmVSJ4E
Cui, L., Xing, M., Xu, L., Wang, J., Zhang, X., Ma, C., & Kang, W. (2018). Antithrombotic components of Malus halliana Koehne flowers. Food and Chemical Toxicology, 119, 326–333.
Ebrahimi, F., Mahmoudi, J., Torbati, M., Karimi, P., & Valizadeh, H. (2020). Hemostatic activity of aqueous extract of Myrtus communis L. leaf in topical formulation: In vivo and in vitro evaluations. Journal of Ethnopharmacology, 249, 112398.
Efremov, A. (2023). Relieving psychosomatic pain and negative emotions through dehypnosis. Asian Journal of Individual and Organizational Behavior, 3, 18–24. doi:10.51847/BPFsWgpeFd
Gautam, P., Dahal, P., Paul, D., & Alam, K. (2023). Exploring health knowledge, attitudes, practices, and quality of life in diabetic hypertensive patients in eastern Nepal. International Journal of Social and Psychological Aspects of Healthcare, 3, 62–71. doi:10.51847/85T5oPfcpg
Gheraibia, S. (2021). Isolation and characterization of bioactive extracts of Costus speciosus and evaluation of their biological effects in vitro and in vivo [Dissertation].
Ghosh, S., Sarkhel, S., Ghosh, K., Dhar, S., Karar, S., & Roychowdhury, V. (2023). Plant-derived hemostats. Revista Brasileira de Farmacognosia, 33(2), 259–271.
Izah, S. C., Ogidi, O. I., Ogwu, M. C., Salimon, S. S., Yusuf, Z. M., Akram, M., Raimi, M. O., & Iyingiala, A. A. (2024). Historical perspectives and overview of the value of herbal medicine. In Herbal medicine phytochemistry: Applications and trends (pp. 3–35). Cham: Springer International Publishing.
Jin, L. W., Tahir, N. A. M., Islahudin, F., & Chuen, L. S. (2024). Exploring treatment adherence and quality of life among patients with transfusion-dependent thalassemia. Annals of Pharmacy Practice and Pharmacotherapy, 4, 8–16. doi:10.51847/B8R85qakUv
Johnson, S. (n.d.). Biodiversity of St. Teresa's College Campus, Ernakulam, Kerala: A floristic approach [Doctoral dissertation, St Teresa's College (Autonomous), Ernakulam].
Keneni, Y. G., Bahiru, L. A., & Marchetti, J. M. (2021). Effects of different extraction solvents on oil extracted from jatropha seeds and the potential of seed residues as a heat provider. BioEnergy Research, 14(4), 1207–1222.
Khalil, R. R., & Mustafa, Y. F. (2020). Phytochemical, antioxidant and antitumor studies of coumarins extracted from Granny Smith apple seeds by different methods. Systematic Reviews in Pharmacy, 11(2), 57–63.
Khan, A. R., Ahmed, F., & Bashir, I. (2024). Traditional Chinese medicine in skin depigmentation: Pharmacological insights and clinical potential. Interdisciplinary Research in Medical Sciences Specialty, 4(2), 137–148. doi:10.51847/7wVCrMVDlo
Kunie, K., Kawakami, N., Shimazu, A., Yonekura, Y., & Miyamoto, Y. (2025). Examining the impact of managerial communication on the link between nurses' job performance and psychological empowerment. Annals of Organizational Culture, Communications and Conflict, 6, 1–7. doi:10.51847/SF5ZX3J4OT
Lamponi, S. (2021). Bioactive natural compounds with antiplatelet and anticoagulant activity and their potential role in the treatment of thrombotic disorders. Life, 11(10), 1095.
Lee, H., & Wu, K. (2023). Determinants of individual readiness for knowledge management adoption in higher education institutions. Asian Journal of Individual and Organizational Behavior, 3, 164–172. doi:10.51847/QU6F8LUBUY
Lee, Y. T., Tan, Y. J., & Oon, C. E. (2025). An overview of targeted therapy applications in cancer treatment. Asian Journal of Current Research in Clinical Cancer, 5(1), 30–35. doi:10.51847/P55dZHZAF2
Li, Q., Ren, J., Yang, L., Sun, H., Zhang, X., Yan, G., Han, Y., & Wang, X. (2023). Parsing the Q-markers of Baoyin Jian to treat abnormal uterine bleeding by high-throughput chinmedomics strategy. Pharmaceuticals, 16(5), 719.
Lin, P. K., & Davis, G. E. (2023). Extracellular matrix remodeling in vascular disease: Defining its regulators and pathological influence. Arteriosclerosis, Thrombosis, and Vascular Biology, 43(9), 1599–1616.
Liu, S. (2024). Fracture mechanics of blood clots [Dissertation, McGill University]. https://escholarship.mcgill.ca/concern/theses/6d5703314
Malik, M., Nadeem, N., Rafique, Q., Hussain, A., & Hashmi, A. (2023). Assessment of quality of life among lung cancer patients in Pakistan utilizing the EORTC QLQ-C13 tool. Archive of International Journal of Cancer and Allied Science, 3(1), 29–34. doi:10.51847/3soY7U984A
Meneses-La-Riva, M. E., Fernández-Bedoya, V. H., Suyo-Vega, J. A., Ocupa-Cabrera, H. G., Grijalva-Salazar, R. V., & Ocupa-Meneses, G. D. D. (2023). Enhancing care quality through effective leadership in multidisciplinary healthcare teams. Annals of Organizational Culture, Communications and Conflict, 4, 54–61. doi:10.51847/9QgErkNByw
Mensah, M. L., Komlaga, G., Forkuo, A. D., Firempong, C., Anning, A. K., & Dickson, R. A. (2019). Toxicity and safety implications of herbal medicines. Herbal Medicine, 63.
Mohammed, E. T., & Mustafa, Y. F. (2020). Coumarins from Red Delicious apple seeds: Extraction, phytochemical analysis, and evaluation as antimicrobial agents. Systematic Reviews in Pharmacy, 11(2), 64–70.
Mothana, R. A., Arbab, A. H., ElGamal, A. A., Parvez, M. K., & Al-Dosari, M. S. (2022). Isolation and characterization of two chalcone derivatives with anti-hepatitis B virus activity from the endemic Socotraen Dracaena cinnabari (Dragon’s Blood Tree). Molecules, 27(3), 952.
Muindi, H. M. (2021). Relative astringent and hemostatic activities of methanolic leaf extracts of Croton megalocarpus Hutch and Lantana camara Linn [Dissertation, Kenyatta University].
Muindi, H., Kibiti, C., & Ngugi, M. (2021). Hemostatic activities of methanol leaf extracts of Croton megalocarpus Hutch and Lantana camara Linn. Journal of Advanced Biotechnology and Experimental Therapeutics, 4(2), 215–222.
Nazzal, A. S., & Hadi, S. M. (2025). Assessing awareness and implementation of patients’ rights among hospitalized individuals in Northern Palestine: A local perspective. Asian Journal of Ethics in Health and Medicine, 5, 67–78. doi:10.51847/S0fKnIkb7u
Nchiozem-Ngnitedem, V. A. (2021). Phytochemical study of selected Dracaena species for anti-inflammatory and anticancer principles [Dissertation, University of Nairobi].
Nguyen, N. D., Pham, H. Y., Phi, T. N. A., Nguyen, T. L. H., & Vu, M. P. (2023). Reevaluating prognostic tools in follicular lymphoma: Should the PRIMA prognostic index supersede FLIPI2? Archive of International Journal of Cancer and Allied Science, 3(2), 25–32. doi:10.51847/L5RumLGxTd
Ofosu, D. N., Asamoah, A., Tuekpe, R. M., Addo, E. O., Takyi, E. K., & Addai, A. (2023). Assessing the effect and use of an aqueous form of a common Ghanaian leaves extract, Chromolaena odorata (Acheampong Leaf) on coagulation test parameters in vitro. Open Access Library Journal, 10(1), 1–2.
Okaiyeto, K., & Oguntibeju, O. O. (2021). African herbal medicines: Adverse effects and cytotoxic potentials with different therapeutic applications. International Journal of Environmental Research and Public Health, 18(11), 5988.
Olas, B., Urbańska, K., & Bryś, M. (2020). Saponins as modulators of the blood coagulation system and perspectives regarding their use in the prevention of venous thromboembolic incidents. Molecules, 25(21), 5171.
Ozioma, E. O., & Chinwe, O. A. (2019). Herbal medicines in African traditional medicine. In Herbal medicine. IntechOpen.
Raghunathan, S., Rayes, J., & Gupta, A. S. (2022). Platelet‐inspired nanomedicine in hemostasis thrombosis and thromboinflammation. Journal of Thrombosis and Haemostasis, 20(7), 1535–1549.
Rautou, P. E., Caldwell, S. H., & Villa, E. (2023). Bleeding and thrombotic complications in patients with cirrhosis: A state-of-the-art appraisal. Clinical Gastroenterology and Hepatology, 21(8), 2110–2123.
Rehman, A. A., Riaz, A., Asghar, M. A., Raza, M. L., Ahmed, S., & Khan, K. (2019). In vivo assessment of anticoagulant and antiplatelet effects of Syzygium cumini leaves extract in rabbits. BMC Complementary and Alternative Medicine, 19(1), 236.
Rezende, M., Maděra, P., Vahalík, P., Van Damme, K., Habrová, H., Riccardi, T., Attorre, F., De Sanctis, M., Sallemi, G., & Malatesta, L. (2022). Identifying suitable restoration and conservation areas for Dracaena cinnabari Balf. f. in Socotra, Yemen. Forests, 13(8), 1276.
Rojas, A. P., Desta, H. T., & Bianchi, M. R. (2024). Modulation of pro-inflammatory cytokine release by anti-rheumatic drugs in oral cells during microbial interactions. Journal of Current Research in Oral Surgery, 4, 149–160. doi:10.51847/yn2Dt0sS3M
Rojas, M., Acosta, L., & Brito, E. (2025). Early increase in peripheral lymphocyte count predicts objective response and progression-free survival in advanced hepatocellular carcinoma treated with durvalumab plus tremelimumab. Asian Journal of Current Research in Clinical Cancer, 5(2), 138–149. doi:10.51847/Kxa9rVrxpC
Ruiz, A. F., Desta, H. T., & Ismail, N. S. (2025). Oral microbiome dynamics and surfactant protein A expression in patients with spontaneous intraoral lesions. Journal of Current Research in Oral Surgery, 5, 176–188. doi:10.51847/81n21UzLVq
Safa, A. S., & Farkas, E. R. (2024). Physicians’ implicit attitudes toward obese and mentally ill patients: Effects of specialty and experience. Asian Journal of Ethics in Health and Medicine, 4, 58–67. doi:10.51847/7T31yxI8jU
Santini, P., Marchi, R. D., & Riva, F. L. (2023). Educational interventions and medication reconciliation performance of hospital pharmacists. Annals of Pharmacy Education, Safety, and Public Health Advocacy, 3, 162–179. doi:10.51847/jJTZWHnk2C
Saraf, S. (2023). Dragon’s Blood Tree (Dracaena cinnabari): A Cenozoic relict. Present status, 83.
Scridon, A. (2022). Platelets and their role in hemostasis and thrombosis—From physiology to pathophysiology and therapeutic implications. International Journal of Molecular Sciences, 23(21), 12772.
Shakya, A. K. (2020). Drug-induced hepatotoxicity and hepatoprotective medicinal plants: A review. Indian Journal of Pharmaceutical Education and Research, 54(2), 234–250.
Shen, Q., Li, J., Zhang, C., Wang, P., Mohammed, A., Ni, S., & Tang, Z. (2017). Panax notoginseng saponins reduce high-risk factors for thrombosis through peroxisome proliferator-activated receptor-γ pathway. Biomedicine & Pharmacotherapy, 96, 1163–1169.
Solmell, O., Sterner, P. D., & Berg, S. (2024). MRI of chronic low back pain: Correlation between pain, disability, and disc herniation. Journal of Medical Sciences and Interdisciplinary Research, 4(1), 22–27. doi:10.51847/hTOnlU7PdK
Sousa, D., Teixeira, B., Ribeiro, A., & Rocha, M. (2025). Assessing awareness and adoption of pharmacogenomics among healthcare professionals and researchers in China. Specialty Journal of Pharmacognosy, Phytochemistry, and Biotechnology, 5, 150–160. doi:10.51847/yQQx6dEyqC
Wang, B. L., Ge, Z. K., Qiu, J. R., Luan, S. Q., Hao, X. C., & Zhao, Y. H. (2024). Sedum aizoon L.: A review of its history, traditional uses, nutritional value, botany, phytochemistry, pharmacology, toxicology, and quality control. Frontiers in Pharmacology, 15, 1349032.
Wang, P., Hu, M., Wang, L., Qu, J., Liu, Y., Li, C., Liu, Z., Ma, C., & Kang, W. (2023). Chemical constituents and coagulation effects of the flowers of Rosa chinensis Jacq. Journal of Future Foods, 3(2), 155–162.
Wang, Y., Li, S., Yang, C., Wang, Y., Peng, J., Li, G., Yan, Z., Mou, Y., Li, E., Wei, J., et al. (2022). Concentration and gene expression analyses of dragon’s blood flavonoids in different tissues of Dracaena cochinchinensi. Cerne, 28, e102945.
Wen, F., Chen, T., Yin, H., Lin, J., & Zhang, H. (2019). In vitro effects on thrombin of Paris saponins and in vivo hemostatic activity evaluation of Paris fargesii var. brevipetala. Molecules, 24(7), 1420.
Yin, Z., Zhang, Y., Zhang, J., Wang, J., & Kang, W. (2018). Coagulatory active constituents of Malus pumila Mill. flowers. Chemistry Central Journal, 12(1), 126.
Zakir, M., Ashraf, N., Ahmed, T., & Ahmed, S. H. (2022). Ethnopharmacology of dammul akhwain (Dracaena cinnabari), a commonly used drug in the Unani system of medicine: A review. Annals of Forest Research, 65(1), 4517–4526.
Zhang, Y., Pan, A., Wang, J., Pan, X., Chen, J., Li, H., Cao, A., & Liu, G. (2023). Assessing the role of play therapy in easing anxiety and despair in children with cancer. International Journal of Social and Psychological Aspects of Healthcare, 3, 40–48. doi:10.51847/S7vZ2lgmuc