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Herbal treatment of allergic rhinitis: the use of Nigella sativa.

Nikakhlagh S, Rahim F, Aryani FH, Syahpoush A, Brougerdnya MG, Saki N. Source Department of ENT, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran. Abstract BACKGROUND AND AIMS: Allergic rhinitis is the most common chronic and allergic disease, especially in children. This study aimed to investigate the anti-inflammatory effects of Nigella sativa and its effects on inflammatory [...]

Mengenal Gejala Sinusitis pada kanak-kanak

Sinusitis juga boleh berlaku pada kanak-kanak, tetapi biasanya ia jarang dikesan kerana gejalanya menyerupai selesema biasa. Bagaimanapun, kanak-kanak mungkin mengalami sinusitis jika dia menunjukkan beberapa gejala seperti: Selesema panjang antara 10 hingga 14 hari. Demam atau tidak. Jika demam, tidak terlalu panas. Berhingus (meleleh ke belakang tekak) yang menyebabkan sakit tekak, batuk, nafas berbau dan kadangkala muntah. Sakit [...]

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Apakah selsema dan resdung?

Selsema (rhinorrhea) adalah penyakit akut yang melibatkan lapisan membran rongga hidung (nostril) dan rongga sinus. Ia terhasil dari dedahan kepada habuk, agen alahan dan jangkitan kulat, virus atau bakteria. Selsema menyebabkan rembesan mukus yang berlebihan menyebabkan cecair yang sentiasa meleleh dari hidung yang tidak selesa. Selsema boleh diiringi oleh simptom lain seperti demam, batuk dan [...]

Herbal treatment of allergic rhinitis: the use of Nigella sativa.

Nikakhlagh SRahim FAryani FHSyahpoush ABrougerdnya MGSaki N.

Source

Department of ENT, Imam Khomeini Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract

BACKGROUND AND AIMS:

Allergic rhinitis is the most common chronic and allergic disease, especially in children. This study aimed to investigate the anti-inflammatory effects of Nigella sativa and its effects on inflammatory factors in patients with allergic rhinitis symptoms and the process their clinical study charges.

SETTING:

The present study is a clinical trial that conducted as prospective and double blind with descriptive analytic.

MATERIALS AND METHODS:

The sample included 66 patients (case and placebo) with allergic rhinitis exposed to N. sativa oil. Individual characteristics, including age and sex, and characteristics of the disease, including nasal congestion, runny nose, itchy nose, and sneezing attacks, were evaluated. From the start of the study, that is, day 0, up to the end of the study, that is, day 30, an observer completed the symptoms severity questionnaire.

STATISTICAL ANALYSIS:

Data were presented as means ± SEM. Comparisons between groups were performed by using paired Student t test. Differences were considered significant if P values are less than .05 and .01.

RESULTS:

In the present study, 66 patients with allergic rhinitis, including 22 males (33.3%) and 44 females (66.7%) with a mean age of 47.19 years, were included. Immunoglobulin E total of more than 100 was reported in 38 patients before treatment. Immunoglobulin E in nasal wash from 7 patients was observed and was not measurable in 59 cases. Only 6.1% of the study population had nasal mucosal eosinophil.

CONCLUSION:

The results show that N. sativa could reduce the presence of the nasal mucosal congestion, nasal itching, runny nose, sneezing attacks, turbinate hypertrophy, and mucosal pallor during the first 2 weeks (day 15). The present findings are consistent with evidence that the antiallergic effects of N. sativa components could be attributed to allergic rhinitis. Moreover, N. sativa should be considered for treating allergic rhinitis when the effects of other antiallergic drugs need to be avoided.
Copyright © 2011 Elsevier Inc. All rights reserved.

Mengenal Gejala Sinusitis pada kanak-kanak

Sinusitis juga boleh berlaku pada kanak-kanak, tetapi biasanya ia jarang dikesan kerana gejalanya menyerupai selesema biasa. Bagaimanapun, kanak-kanak mungkin mengalami sinusitis jika dia menunjukkan beberapa gejala seperti:

  • Selesema panjang antara 10 hingga 14 hari.
  • Demam atau tidak. Jika demam, tidak terlalu panas.
  • Berhingus (meleleh ke belakang tekak) yang menyebabkan sakit tekak, batuk, nafas berbau dan kadangkala muntah.
  • Sakit kepala (biasa pada kanak-kanak lebih besar berumur enam tahun ke atas).
  • Lesu.
  • Keliling mata kelihatan bengkak.

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Apakah selsema dan resdung?

Selsema (rhinorrhea) adalah penyakit akut yang melibatkan lapisan membran rongga hidung (nostril) dan rongga sinus. Ia terhasil dari dedahan kepada habuk, agen alahan dan jangkitan kulat, virus atau bakteria.

Selsema menyebabkan rembesan mukus yang berlebihan menyebabkan cecair yang sentiasa meleleh dari hidung yang tidak selesa. Selsema boleh diiringi oleh simptom lain seperti demam, batuk dan sakit kepala.

Resdung merujuk kepada keadaan yang sama tetapi sedikit berbeza. Ia bersifat kronik (lama dan berterusan) dan kemungkinan diselangi dengan selsema, demam, dan sakit kepala yang teruk. Ia boleh melibatkan hidung sahaja (disebut sebagai allergic rhinitis) atau rongga-rongga sinus (sinusitis).

Ianya boleh berpunca dari alahan kepada persekitaran, jangkitan kuman, bakteria dan virus.

Dapatkan Krim Drsneez Sekarang.

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Foeniculum vulgare (Jintan)

Fennel Herb Information / Side Effects

Latin Name: Foeniculum vulgare

Common Names: Large fennel, sweet fennel, wild fennel, finocchio, carosella, Florence fennel, Fennel

 

Properties: Warming, carminative (an aromatic which tends to expel wind from the alimentary canal, or to relieve colic, griping, or flatulence), Antispasmodic, Antidepressant, Promotes milk-flow in nursing mothers, Stomachic, pectoral, diuretic, diaphoretic, aromatic, Anti-microbial, Pain reducing, fever reducing.

Uses: Colic, Wind, Irritable bowel, Increase urine flow, Breast enlargement, Promotes menstruation, Improves digestive system, Improves milk flow, anxiety, depression, arthritis, water retention, appetite suppressant, amenhorrea, angina, asthma, heartburn, lower blood pressure, boost libido, respiratory congestion, coughs

FAQ DrSneeze

Q. Boleh ceritakan serba sedikit mengenai DrSneez

A:  DrSneez adalah krim keluaran Drazma Wellness Marketing laman web kami di www.drazma.com. Kebanyakan rawatan moden atau alternatif  untuk selsema dan resdung hanya menggunakan ubat atau ramuan yang dimakan secara mulut(oral), semburan(spray) atau titisan(drop) ke hidung. Sebarang persediaan yang perlu dimakan perlu diproses oleh hati (Liver) sebelum ianya berguna untuk melegakan gejala-gejala yang berkaitan.

 

Ini  amat membebankan hati(liver) itu sendiri. Isu kesuaian umur juga perlu dipertimbangkan. Kita tahu semakin muda manusia itu, seperti kanak-kanak ,semakin kurang keupayaan hati(liver) untuk tujuan pemprosesan. Penggunaan secara semburan atau titisan yang berterusan juga boleh menyebabkan membran  di dalam lapisan hidung menjadi kering dan pedih,  ini mengurangkan kerelaan seseorang pengguna untuk terus menerima rawatan.

 

Menggunakan kulit sebagai perantara atau “delivery system” dapat mengurangkan masalah ini. Dari situ timbullah kajian mengenai krim thrudermal DrSneez ini. Kami memilih untuk menggunakan bahan yang senang digunakan dan selalu digunakan  oleh masyarakat.

 

Q:  Apakah kegunaan Dr Sneez ini?

A:  DrSneez  diformulasikan untuk mengurangkan  gejala-gejala tidak selesa akibat selsema dan resdung. Resdung dalam bahasa perubatan disebut sebagai allergic rhinitis dan sinusitis. Ianya dibangunkan dinegara kita sendiri dan bukan bahan siap yang diimport dan di bungkus  semula.

 

Q.  Apakah contoh-contoh gejala selsema dan resdung yang dapat dibantu?

DrSneez  dapat mengurangkan gejal-gejala seperti

  • Hidung yang berair
  • Selalu bersin terutamanya di awal pagi atau semasa persekitaran sejuk
  • Gatal yang melampau di sekitar kawasn T di wajah.
  • Melegakan pernafasan hidung yang tersumbat
  • Mengurang batuk akibat selsema.
  • Melegakan sakit kepala akibat tekanan dalam sinus.

Q: Bagaimanakah ia digunakan?

A: Cara penggunaannya amat mudah. Apa yang anda perlukan hanya sapukan sedikit lapisan nipis krim ini pada permukaan hidung dan sinus atau lebih dikenali sebagai kawasan T pada wajah. Anda dapat merasakan keberkesanan dalam waktu yang agak cepat.

 

Q: Apakah kandungan DrSneez ini?

A: Krim DrSneez ini diformulasikan dari bahan-bahan yang ada didapur rumah kita. Bahan aktif yang  terkandung termasuk Curcumin domestica longa atau senang dipanggil kunyit, Nigella Sativa atau mudahnya habatus sauda dan Foeniculum Vulgarae atau jintan manis.  Ketiga-tiga bahan yang boleh dipanggil rempah ini boleh selsema atau resdung dengan cepat dan selamat.

 

Q: Apa perbezaan applikasi DrSneez ini berbanding dengan applikasi cara lama dengan menyapukan terus kunyit hidup ke kawasan hidung?

Q: DrSneez mengabungkan bahan-bahan tersebut dengan teknologi THRUDERMAL yang mampu membantu resapan yang tinggi ,bahan aktif dapat meresap  ke dalam kulit di kawasan yang dikehendaki. Applikasi tradisional memerlukan jumlah yang lebih besar dan resapan bahan aktif tersebut tidak dapat dipastikan.

 

Q: Cuba terangkan sedikit apakah teknologi THRUDERMAL ini?

A: Teknologi Thrudermal menggunakan pembawa tertentu yang dapat membawa bahan  aktif melepasi halangan kulit atau lebih dikenali sebagai epidermis. Bahan aktif ini akan dibawa jauh kedalam lapisan ini dan hasilnya ia hanya memerlukan sedikit sahaja. Sebagai contoh kunyit yang diperlukan dan kesannya amat pantas bergantung kepada ketebalan kulit atau epidermis ini.

 

Q: Mengapa menggunakan Curcuma Longa, Nigela Sativa dan Foeniculum Vulgarae ini?

A: Kajian menunjukkan ketiga-tiga bahan yang mudah didapati ini mempunyai sifat anti histamine ( anti inflammatory )  dan anti oksida yang tinggi dan dapat mengurangkan keradangan dengan cepat. Curcuma Longa mengandungi Curcumin yang juga bersifat anti-virus, anti-bacteria dan anti-fungus yang semulajadi. Kombinasi sifat-sifat ini mampu menangani gejala-gejala resdung dan selsema dengan efektif.

 

Q: Adakah DrSneez ini selamat?

A: Oleh kerana kesemua bahan ini adalah dari bahan alami ianya adalah selamat kecuali pengguna sudah dikenal pasti alah kepada bahan-bahan tersebut. Secara umumnya applikasi krim setempat tidak akan mendatangkan masalah . Sekiranya berlaku alahan maka pengguna dinasihatkan untuk menghubungi pihak kami atau menghubungi terus pegawai perubatan kami TEL: 03-5110 2956 Hotline: Dr Azman +6019-663 2067Dr Sazali +6019-576 3031Dr Hisyam +6010-369 2656 Dr Zulkifli +6010-242 0332.

 

Q: Adakah DrSneez berdaftar dengan Kementerian Kesihatan Malaysia

A: Krim drsneez berdaftar dengan KKM di bawah Nombor Notifikasi , NOT-110403473-K http://quest3.bpfk.gov.my/QUEST3_SEARCH/detail_product.jsp?type=K&&regNo=NOT110403473K

 

Q: Adakah DrSneez ini boleh digunakan pada kanak-kanak bawah 2 tahun?

A: DrSneez diformulasikan untuk semua peringkat umur. Sapuan lebih mudah terutama pada kanak-kanak dan bayi yang tidak sesuai minum ubat.Sapuan juga lebih mudah kerana kanak-kanak atau bayi boleh diberikan sapuan semasa waktu tidur.

 

Q: Adakah DrSneez ini boleh menyebabkan kesan mengantuk seperti ubat selsema lain?

A: Tidak.

 

Q: Dimanakah krim ini boleh didapati?

A: Krim ini boleh dibeli terus dari pihak kami di DRAZMA WELNESS MARKETING atau melalui agen kami di seluruh Negara.

 

Q: Jika saya Berminat untuk Menjadi Pengedar apa yang perlu dilakukan?

A: Sila hubungi pihak kami di DRAZMA WELNESS MARKETING atau melalui agen kami di seluruh Negara.

Sinusitis

What Is Sinusitis?

“Sinusitis” simply means your sinuses are inflamed―red and swollen―because of an infection or another problem. There are several types of sinusitis. Health experts usually identify them as follows:

  • Acute, which lasts up to 4 weeks
  • Subacute, which lasts 4 to 12 weeks
  • Chronic, which lasts more than 12 weeks and can continue for months or even years
  • Recurrent, with several attacks within a year

In 2009, the Centers for Disease Control and Prevention reported that nearly 31 million adults were diagnosed with sinusitis. Women were almost twice as likely as men to receive the diagnosis, and there were more cases in the southern United States than elsewhere in the country.

Sinuses from a side view. Labeled: frontal sinus, ethmoid sinuses, maxillary sinus, sphenoid sinus

When people say, “My sinuses are killing me,” they usually are referring to symptoms of congestion and achiness in one or more of the four pairs of cavities (air-filled spaces) known as paranasal sinuses. These small hollow spaces, which are located within the skull or bones of the head surrounding the nose, are named for the bones that contain them, as follows:

  • Frontal sinuses over the eyes in the brow area
  • Maxillary sinuses inside each cheekbone
  • Ethmoid sinuses just behind the bridge of the nose, between the eyes
  • Sphenoid sinuses behind the ethmoids in the upper region of the nose and behind the eyes

The paranasal sinuses open into the nasal cavity and are lined with cells that make mucus to keep the nose from drying out during breathing and to trap unwanted materials so that they do not reach the lungs.

Is It A Cold or A Sinus Infection?

What Are the Symptoms of Sinusitis?
One of the most common symptoms of any type of sinusitis is pain, and the location depends on which sinus is affected.

  1. Pain in your forehead, the problem lies in your frontal sinuses.
  2. Pain in your upper jaw and teeth, with tender cheeks, may mean your      maxillary sinuses are   involved.
  3. Pain between your eyes, sometimes with swelling of the eyelids and tissues around your   eyes, and tenderness when you touch the sides of your nose may mean sinusitis has   developed in your ethmoid sinuses.
  4. Pain in your neck, with earaches, and deep achiness at the top of your head could be a  sign that your sphenoid sinuses are involved (though these sinuses are affected less  often).

Most people with sinusitis have pain or tenderness in several places, and their symptoms usually do not clearly indicate which sinuses are inflamed. Pain is not as common in chronic sinusitis as it is in acute sinusitis.

In addition to the pain, people who have sinusitis (acute or chronic) often have thick nasal secretions that can be white, yellowish, greenish, or blood-tinged. Sometimes these secretions drain in the back of the throat and are difficult to clear. This is referred to as “post-nasal drip.”  Also, cases of acute and chronic sinusitis are usually accompanied by a stuffy nose, as well as by a general feeling of fullness over the entire face.

Less common symptoms of sinusitis (acute or chronic) can include the following:

  • Tiredness
  • Decreased sense of smell
  • Cough that may be worse at night
  • Sore throat
  • Bad breath
  • Fever

On very rare occasions, acute sinusitis can result in brain infection and other serious complications.

Because your nose can get stuffy or congested when you have a condition like the common cold, you may confuse simple nasal congestion with sinusitis. A cold usually lasts about 7 to 14 days and goes away without treatment.  Acute sinusitis often lasts longer and typically causes more symptoms than a cold.

What Causes the Symptoms of Sinusitis?

The paranasal sinuses, like the inside of your nose, are lined with a thin layer of tissue called the mucous membrane, which produces mucus. This mucus flows out through openings of the paranasal sinuses and into the nose. When these openings become blocked, your sinuses are affected.

Anything that causes swelling in the nose can block the openings between your paranasal sinuses and your nose, including a cold, an allergic reaction such as hay fever, or a reaction to some chemical to which you’ve been exposed. The blockage causes air and mucus to become trapped within the sinuses. This may cause pain and thickened mucus.

  • The pain of a sinus attack arises because the trapped air and mucus put pressure on the mucous membrane of the sinuses and the bony wall behind it. Also, when a swollen membrane at the opening of a paranasal sinus prevents air from entering into the sinuses, it can create a vacuum that causes pain.
  • Mucus thickens because it loses its water content as it stays trapped inside the sinuses for a long time. In addition, inflammation leads to extra materials being secreted into the mucus, causing thickening.

source: http://www.niaid.nih.gov/topics/sinusitis/Pages/Index.aspx

 

 

 

 

 

 

 

Fennel (Foeniculum vulgare)

Fennel (Foeniculum vulgare) is a plant species in the genus Foeniculum (treated as the sole species in the genus by most botanists). It is a member of the family Apiaceae (formerly the Umbelliferae). It is a hardy, perennial, umbelliferous herb, with yellow flowers and feathery leaves. It is indigenous to the shores of the Mediterranean, but has become widely naturalised in many parts of the world, especially on dry soils near the sea-coast and on riverbanks.

It is a highly aromatic and flavorful herb with culinary and medicinal uses, and, along with the similar-tasting anise, is one of the primary ingredients of absinthe. Florence fennel or finocchio is a selection with a swollen, bulb-like stem base that is used as a vegetable.

Fennel is used as a food plant by the larvae of some Lepidoptera species including the mouse moth and the anise swallowtail.

Phytoconstituents

An analysis of fennel shows it to consist of

  1. Moisture6.3%,
  2. Protein 9.5%,
  3. Fat 10%,
  4. Minerals 13.4%,
  5. Ffiber 18.5%
  6. Carbohydrates 42.3%.

Its mineral and vitamin contents are

  1. Calcium,
  2. Phosphorous,
  3. Iron,
  4. Sodium,
  5. Potassium,
  6. Thiamine,
  7. Rriboflavin,
  8. Niacin
  9. Vitamin C.

Its calorific value is 370 (Bakhru, 1992).

The oil yield (2.5 – 5%)varies according to variety and origin and the highest concentration of fennel oil ranging from 2 – 7% is found in seeds.

According to (Bernath et al., 1996; Raghavan, 2006; Cosge etal., 2008); Fennel volatile oil is a mixture of at least a dozenof different chemicals and the main ingredients are:

  1. Anethole (40 – 70%),
  2. Fenchone (1 – 20%)
  3. Estragole (2- 9%)
  4. Pinene, Chavicole, Dipentene, Limenene etc. are present in concentrationusually less than 1%.

Therapeutic uses and biological activities

Fennel is chiefly known as culinary herb but it is acommonly used household remedy for various medicinal purposes (Sandhu and Heinrich, 2005). Fruits are used as spice and condiment, as carminative and stimulant,also employed as flavouring agent in culinary preparations,confectionary etc. Water extracts are given as adigestive tonic to infants and children. Fennel is often added to purgatives in order to allay their tendency tocause gripe.

In a study carried out on rats, Foeniculumvulgare has shown a protective effect against ethanol induced gastric mucosal lesions (Birdane et al., 2007).Fennel has shown anticancer (Celik and Isik, 2008; Singhand Kale, 2008); antidementia (Joshi and Parle, 2006);antihirsutism (Javidnia et al., 2003); anti-inflammatory(Choi and Hwang, 2004); antioxidant (Ruberto et al.,2000; Satyanarayana et al., 2004; Faudale et al., 2008;Topal et al., 2008; Barros et al., 2009; Nickavar andAbolhasani, 2009); antiplatelet and antithrombotic(Tognolini et al., 2006, 2007); antispasmodic activities(Ostad et al., 2001) and as curative in infantile colic(Alexandrovich et al., 2003; Savino et al., 2005).

It has also been reported to possess bronchodilatory(Boskabady et al., 2004); diuretic (Wright et al., 2007);hepatoprotective (Ozbek et al., 2003); hypotensive (ElBardai et al., 2001); immunomodulatory (Kaileh et al.,2007); insecticidal (Kim and Ahn, 2001; Traboulsi et al.,2005); mosquito repellant activities (Kim et al., 2002,2004); nematicidal (Oka et al., 2000); and oculohypotensive properties (Agarwal et al., 2008); and pain reliever inprimary dysmenorrhoea (Ostad et al., 2001; Modaressand Asadipour, 2006).

Anethole has a chemical structure similar to a chemical, called, dopamine, naturally presentin the body. Dopamine is known to have a relaxing effecton the intestine and perhaps, explains why fennel has a beneficial effect on infantile colic.

Antimicrobial properties

Essential oil of fennel has been reported to possess antifungal activity (Mimica-Dukic et al., 2003; Soylu et al.,2006).

Essential oil and seed extracts of fennel have also shown antimycobacterial and anticandidal activity (Abed,2007; Camacho-Corona et al., 2008).

Fennel essential oils could also be used as possible bio fungicides,alternative to synthetic fungicides against phyto pathogenic fungi as it has been reported to reduce the mycelialgrowth and germination of Sclerotinia sclerotiorum (Soyluet al., 2007).

Fennel essential oils showed antibacterial effect against foodborne pathogens such as Escherichia coliand Bacillus megaterium (Lo-Cantore et al., 2004); E. coliand S. aureus (Mohsenzadeh, 2007); E. coli O157:H7, L.monocytogenes, Salmonella typhimurium and S. aureus(Dadalioglu and Evrendilek, 2004).

The essential oils extracted from the seeds of F. vulgare have also beenshown to possess antibacterial activity against human pathogenic bacteria (Ruberto et al., 2000; Singh et al.,2002; Aridogan et al., 2002).

Aqueous and organic extracts of fennel have demonstrated moderate antibacterial activity (Kaur and Arora, 2008; 2009).

Hydroethanol extract of F. vulgare has shown inhibition of Campylobacter jejuni and H. pylori (Mahady et al., 2005;Cwikla et al., 2009).

In another study using forty eight isolates of Acinetobacter baumannii carried out by Jazaniet al. (2009), fennel essential oil has shown the potential for the control of multi-drug resistant A. baumannii infections.

Fennel essential oils may be used as natural bactericides for the control of phytopathogenic and mycopathogenic bacteria responsible for cultivated mushroom diseases (Lo-Cantore et al., 2004).

Dillapional, a phenylpropanoid derivative, was found to be an antimicrobial principle of the stems of F. vulgare. A coumarin derivative,scopoletin has also been isolated as marginally

 

source: http://en.wikipedia.org/wiki/Fennel

source: Bioactive potential of Anethum graveolens, Foeniculum vulgare and Trachyspermum ammi belonging to the family Umbelliferae – Current status by Gurinder Jeet Kaur and Daljit Singh Arora*-Journal of Medicinal Plants Research Vol. 4(2), pp. 087-094, 18 January, 2010 Available online at http://www.academicjournals.org/JMPR

ISSN 1996-0875© 2010 Academic Journals

Coffea arabica: A wonder gift to medical science

Coffee (Coffea arabica) is the second-largest worldwide commodity, overshadowed only by crude oil. Without question, coffee is the most frequently consumed functional food around the globe. In the United States alone, there are 108 million coffee consumers, [1] and these numbers represent only a fraction of the global population, large numbers of whom incorporate coffee as a staple in their cultural practices. The National Coffee Association reported that in 2000, 54% of the U.S. adult population drank coffee. [2] The average consumption per capita in the United States is approximately 4.4 kg annually, at a cost of $164.71 per individual. Among the U.S. coffee drinkers, the average consumption is 3.1 cups of coffee per day. [2] These statistics provide compelling motivation to investigate the consequences of such large-scale consumption of this beverage. What follows is a review of some of the most recent research into the active constituents and potential clinical applications of the functional food that is humbly known as the coffee bean Coffee also has a rich medical history. The therapeutic benefits of coffee are now supported by a rapidly growing and significant level of scientific validation. The epidemiologic significance of the research in the field of coffee cannot be overstated, considering the prevalence of coffee ingestion among the people of the world.

Coffee is a medium-sized tree of the Rubiacea family. The plants can live up to 25 years and grow to a height of 6-15 m. In the first century, it was cultivated in Arabic countries, and then later in Iran and India. The main producers of this plant currently are Brazil and Columbia. [3]

full article: http://www.jnatpharm.org/article.asp?issn=2229-5119;year=2010;volume=1;issue=1;spage=58;epage=65;aulast=Bisht