Main Article Content
Abstract
Ginger rhizome (Zingiber officinale) and Tinospora crispa L. (Tinospora crispa L.) extracts contain various active compounds that have the potential to be anti-inflammatory agents. This study aims to evaluate the anti-inflammatory activity of ginger rhizome and Tinospora crispa L. leaf extracts, both singly and in combination, using the BSA test method. Extraction was carried out using the maceration method with 70% ethanol solvent. Anti-inflammatory activity tests were carried out in vitro at 75, 100, and 150 μg/mL concentrations by measuring the extract's ability to prevent heat-induced BSA denaturation. The yield of Tinospora crispa L. extract reached 41.39% and that of ginger extract 25.63%. The combination of 150 μg/mL extracts showed the highest anti- inflammatory activity (96.82%) of all the extract test samples. In comparison, the lowest anti-inflammatory activity was found in 75 μg/mL ginger extract, at 89.21%. Statistical tests showed a significant difference between the 75 μg/mL ginger extract and the 150 μg/mL combination (p=0.047). The combination of ginger and Tinospora crispa extract has the potential to be developed as a natural anti-inflammatory agent.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- [ Q. Cheng et al., "Determinants of healthcare utilization under the Indonesian national health insurance system - a cross-sectional study," BMC Health Serv. Res., vol. 25, no. 1, 2025, doi: 10.1186/s12913-024-11951-8.
- https://doi.org/10.1186/s12913-024-11951-8
- A. Alkhawaldeh et al., "Application and Use of Andersen's Behavioral Model as Theoretical Framework: A Systematic Literature Review from 2012-2021," Iran. J. Public Health, vol. 52, no. 7, pp. 1346-1354, 2023, doi: 10.18502/ijph.v52i7.13236.
- https://doi.org/10.18502/ijph.v52i7.13236
- A. D. Laksono, R. D. Wulandari, and O. Soedirham, "Urban and rural disparities in hospital utilization among Indonesian adults," Iran. J. Public Health, vol. 48, no. 2, pp. 247-255, 2019, doi: 10.18502/ijph.v48i2.819.
- https://doi.org/10.18502/ijph.v48i2.819
- A. N. Fauziyyah, A. Shibanuma, K. I. C. Ong, and M. Jimba, "What are the factors affecting primary care choice when the access under health insurance scheme is limited?: a cross-sectional study in Bandung, Indonesia," BMC Prim. Care, vol. 25, no. 1, pp. 1-13, 2024, doi: 10.1186/s12875-024-02296-6.
- https://doi.org/10.1186/s12875-024-02296-6
- A. D. Laksono, R. D. Wulandari, Z. Zuardin, H. Ashar, M. Ipa, and A. P. Kesuma, "Factors Related to Hospital Inpatients among the Poor in Indonesia," Iran. J. Public Health, vol. 53, no. 6, pp. 1372-1380, 2024, doi: 10.18502/ijph.v53i6.15911.
- https://doi.org/10.18502/ijph.v53i6.15911
- Dinas Kesehatan Kota Surabaya, Profil Dinas Kesehatan Kota Surabaya 2023. 2023.
- Dinkes Surabaya, Profil Dinas Kesehatan Kota Surabaya 2022. 2022.
- Dinkes Surabaya, Profil Dinas Kesehatan Kota Surabaya 2021, no. November 2022. 2021.
- R. D. Wulandari, A. D. Laksono, N. Rohmah, and H. Ashar, "Regional differences in primary healthcare utilization in Java Region-Indonesia," PLoS One, vol. 18, no. 3 March, pp. 1-12, 2023, doi: 10.1371/journal.pone.0283709.
- https://doi.org/10.1371/journal.pone.0283709
- A. D. Laksono, R. D. Wulandari, Z. Zuardin, and N. Rohmah, "Education's Role In Primary Healthcare Utilization Among Older People In Indonesia | Peran Pendidikan dalam Pemanfaatan Puskesmas pada Lansia di Indonesia," Indones. J. Heal. Adm., vol. 12, no. 1, pp. 11-24, 2024, doi: 10.13140/RG.2.2.32847.05287.
- https://doi.org/10.20473/jaki.v12i1.2024.11-24
- M. Khairunnisa, A. D. Laksono, S. Purwoko, S. Sulasmi, and A. Nursafingi, "Factors Associated With the Utilization of Public Health Center in Central Java," Indones. J. Heal. Adm., vol. 11, no. 2, pp. 221-230, 2023, doi: 10.20473/jaki.v11i2.2023.221-230.
- https://doi.org/10.20473/jaki.v11i2.2023.221-230
- D. Astuti, S. Kongsin, S. Jiamton, P. Prakongsai, and S. R. Hearnden, "Utilization of Primary Health Care Under National Health Insurance in Samarinda Municipality, East Kalimantan Province, Indonesia," J. Multidiscip. Healthc., vol. 17, no. February 2024, pp. 1025-1039, 2024, doi: 10.2147/JMDH.S447332.
- https://doi.org/10.2147/JMDH.S447332
- M. Haemmerli, T. Powell-Jackson, C. Goodman, H. Thabrany, and V. Wiseman, "Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities," Int. J. Equity Health, vol. 20, no. 1, pp. 1-12, 2021, doi: 10.1186/s12939-021-01577-1.
- https://doi.org/10.1186/s12939-021-01577-1
- D. A. Solikha, D. C. Butler, E. Setiawan, R. J. Korda, and M. Kelly, "Primary health care performance measurement at the service delivery level in Indonesia: a scoping review," BMC Health Serv. Res., vol. 25, no. 1, 2025, doi: 10.1186/s12913-025-12955-8.
- https://doi.org/10.1186/s12913-025-12955-8
- D. S. Arsyad et al., "The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia," BMC Health Serv. Res., vol. 22, no. 1, pp. 1-12, 2022, doi: 10.1186/s12913-022-08499-w.
- https://doi.org/10.1186/s12913-022-08499-w
- R. V. Ramadani, M. Svensson, S. Hassler, B. Hidayat, and N. Ng, "Effects of the COVID-19 pandemic on healthcare utilization among older adults with cardiovascular diseases and multimorbidity in Indonesia: an interrupted time-series analysis," BMC Public Health, vol. 24, no. 1, pp. 1-10, 2024, doi: 10.1186/s12889-023-17568-6.
- https://doi.org/10.1186/s12889-023-17568-6
- E. Zairina, I. Dhamanti, I. Nurhaida, D. S. Mutia, and A. Natesan, "Analysing of drug patterns in primary healthcare centers in Indonesia based on WHO's prescribing indicators," Clin. Epidemiol. Glob. Heal., vol. 30, no. October, p. 101815, 2024, doi: 10.1016/j.cegh.2024.101815.
- https://doi.org/10.1016/j.cegh.2024.101815
- R. D. Wulandari, A. D. Laksono, Z. Zuardin, N. Rohmah, and M. Dahlui, "Socioeconomic disparities in primary healthcare utilization in Eastern Indonesia," Clin. Epidemiol. Glob. Heal., vol. 35, no. March, p. 102154, 2025, doi: 10.1016/j.cegh.2025.102154.
- https://doi.org/10.1016/j.cegh.2025.102154
- A. B. Pratiwi, R. S. Padmawati, J. Mulyanto, and D. L. Willems, "Patients values regarding primary health care: a systematic review of qualitative and quantitative evidence," BMC Health Serv. Res., vol. 23, no. 1, pp. 1-15, 2023, doi: 10.1186/s12913-023-09394-8.
- https://doi.org/10.1186/s12913-023-09394-8
- T. Rahmawati and H. M. Hsieh, "Appraisal of universal health insurance and maternal health services utilization: pre- and post-context of the Jaminan Kesehatan Nasional implementation in Indonesia," Front. Public Heal., vol. 12, no. March, pp. 1-9, 2024, doi: 10.3389/fpubh.2024.1301421.
- https://doi.org/10.3389/fpubh.2024.1301421
References
[ Q. Cheng et al., "Determinants of healthcare utilization under the Indonesian national health insurance system - a cross-sectional study," BMC Health Serv. Res., vol. 25, no. 1, 2025, doi: 10.1186/s12913-024-11951-8.
https://doi.org/10.1186/s12913-024-11951-8
A. Alkhawaldeh et al., "Application and Use of Andersen's Behavioral Model as Theoretical Framework: A Systematic Literature Review from 2012-2021," Iran. J. Public Health, vol. 52, no. 7, pp. 1346-1354, 2023, doi: 10.18502/ijph.v52i7.13236.
https://doi.org/10.18502/ijph.v52i7.13236
A. D. Laksono, R. D. Wulandari, and O. Soedirham, "Urban and rural disparities in hospital utilization among Indonesian adults," Iran. J. Public Health, vol. 48, no. 2, pp. 247-255, 2019, doi: 10.18502/ijph.v48i2.819.
https://doi.org/10.18502/ijph.v48i2.819
A. N. Fauziyyah, A. Shibanuma, K. I. C. Ong, and M. Jimba, "What are the factors affecting primary care choice when the access under health insurance scheme is limited?: a cross-sectional study in Bandung, Indonesia," BMC Prim. Care, vol. 25, no. 1, pp. 1-13, 2024, doi: 10.1186/s12875-024-02296-6.
https://doi.org/10.1186/s12875-024-02296-6
A. D. Laksono, R. D. Wulandari, Z. Zuardin, H. Ashar, M. Ipa, and A. P. Kesuma, "Factors Related to Hospital Inpatients among the Poor in Indonesia," Iran. J. Public Health, vol. 53, no. 6, pp. 1372-1380, 2024, doi: 10.18502/ijph.v53i6.15911.
https://doi.org/10.18502/ijph.v53i6.15911
Dinas Kesehatan Kota Surabaya, Profil Dinas Kesehatan Kota Surabaya 2023. 2023.
Dinkes Surabaya, Profil Dinas Kesehatan Kota Surabaya 2022. 2022.
Dinkes Surabaya, Profil Dinas Kesehatan Kota Surabaya 2021, no. November 2022. 2021.
R. D. Wulandari, A. D. Laksono, N. Rohmah, and H. Ashar, "Regional differences in primary healthcare utilization in Java Region-Indonesia," PLoS One, vol. 18, no. 3 March, pp. 1-12, 2023, doi: 10.1371/journal.pone.0283709.
https://doi.org/10.1371/journal.pone.0283709
A. D. Laksono, R. D. Wulandari, Z. Zuardin, and N. Rohmah, "Education's Role In Primary Healthcare Utilization Among Older People In Indonesia | Peran Pendidikan dalam Pemanfaatan Puskesmas pada Lansia di Indonesia," Indones. J. Heal. Adm., vol. 12, no. 1, pp. 11-24, 2024, doi: 10.13140/RG.2.2.32847.05287.
https://doi.org/10.20473/jaki.v12i1.2024.11-24
M. Khairunnisa, A. D. Laksono, S. Purwoko, S. Sulasmi, and A. Nursafingi, "Factors Associated With the Utilization of Public Health Center in Central Java," Indones. J. Heal. Adm., vol. 11, no. 2, pp. 221-230, 2023, doi: 10.20473/jaki.v11i2.2023.221-230.
https://doi.org/10.20473/jaki.v11i2.2023.221-230
D. Astuti, S. Kongsin, S. Jiamton, P. Prakongsai, and S. R. Hearnden, "Utilization of Primary Health Care Under National Health Insurance in Samarinda Municipality, East Kalimantan Province, Indonesia," J. Multidiscip. Healthc., vol. 17, no. February 2024, pp. 1025-1039, 2024, doi: 10.2147/JMDH.S447332.
https://doi.org/10.2147/JMDH.S447332
M. Haemmerli, T. Powell-Jackson, C. Goodman, H. Thabrany, and V. Wiseman, "Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities," Int. J. Equity Health, vol. 20, no. 1, pp. 1-12, 2021, doi: 10.1186/s12939-021-01577-1.
https://doi.org/10.1186/s12939-021-01577-1
D. A. Solikha, D. C. Butler, E. Setiawan, R. J. Korda, and M. Kelly, "Primary health care performance measurement at the service delivery level in Indonesia: a scoping review," BMC Health Serv. Res., vol. 25, no. 1, 2025, doi: 10.1186/s12913-025-12955-8.
https://doi.org/10.1186/s12913-025-12955-8
D. S. Arsyad et al., "The readiness of public primary health care (PUSKESMAS) for cardiovascular services in Makasar city, Indonesia," BMC Health Serv. Res., vol. 22, no. 1, pp. 1-12, 2022, doi: 10.1186/s12913-022-08499-w.
https://doi.org/10.1186/s12913-022-08499-w
R. V. Ramadani, M. Svensson, S. Hassler, B. Hidayat, and N. Ng, "Effects of the COVID-19 pandemic on healthcare utilization among older adults with cardiovascular diseases and multimorbidity in Indonesia: an interrupted time-series analysis," BMC Public Health, vol. 24, no. 1, pp. 1-10, 2024, doi: 10.1186/s12889-023-17568-6.
https://doi.org/10.1186/s12889-023-17568-6
E. Zairina, I. Dhamanti, I. Nurhaida, D. S. Mutia, and A. Natesan, "Analysing of drug patterns in primary healthcare centers in Indonesia based on WHO's prescribing indicators," Clin. Epidemiol. Glob. Heal., vol. 30, no. October, p. 101815, 2024, doi: 10.1016/j.cegh.2024.101815.
https://doi.org/10.1016/j.cegh.2024.101815
R. D. Wulandari, A. D. Laksono, Z. Zuardin, N. Rohmah, and M. Dahlui, "Socioeconomic disparities in primary healthcare utilization in Eastern Indonesia," Clin. Epidemiol. Glob. Heal., vol. 35, no. March, p. 102154, 2025, doi: 10.1016/j.cegh.2025.102154.
https://doi.org/10.1016/j.cegh.2025.102154
A. B. Pratiwi, R. S. Padmawati, J. Mulyanto, and D. L. Willems, "Patients values regarding primary health care: a systematic review of qualitative and quantitative evidence," BMC Health Serv. Res., vol. 23, no. 1, pp. 1-15, 2023, doi: 10.1186/s12913-023-09394-8.
https://doi.org/10.1186/s12913-023-09394-8
T. Rahmawati and H. M. Hsieh, "Appraisal of universal health insurance and maternal health services utilization: pre- and post-context of the Jaminan Kesehatan Nasional implementation in Indonesia," Front. Public Heal., vol. 12, no. March, pp. 1-9, 2024, doi: 10.3389/fpubh.2024.1301421.
