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Majee et al., IJPSR, 2019; Vol. 10(1): 1-11.

E-ISSN: 0975-8232; P-ISSN: 2320-5148

IJPSR (2019), Volume 10, Issue 1 (Review Article)

Received on 11 April 2018; received in revised form, 05 July 2018; accepted, 13 July 2018; published 01 January 2019

MEDICINAL PLANTS WITH ANTI-ULCER AND HEPATOPROTECTIVE ACTIVITY: A


REVIEW
Chandana Majee * 1, Rupa Mazumder 1 and Alka N. Choudhary 2
Institute of Pharmacy 1, NIET, Greater Noida - 201306, Uttar Pradesh, India.
SGRR Institute of Technology & Science 2, Dehradun - 248121, Uttarakhand, India.
Keywords: ABSTRACT: Nature gives numbers of drugs and possibly has all solutions
Hepatoprotective for human diseases. Till date, nature provides a large number of clinically
activity, Antiulcer activity, useful drugs. Ulcer and liver diseases are major increasing health problems.
The natural remedy, Flavonoids Now a day number of drugs are used for the treatment of peptic ulcer and
Correspondence to Author: hepatic diseases, but these drugs have various types of side effect such as
Chandana Majee incidences of relapse, and drug interactions. Drugs of plant origin gaining
Associate Professor,
popularity to treat peptic ulcer and hepatotoxicity. It is difficult to search
Institute of Pharmacy, pure phytochemicals as hepatoprotective and antiulcer drugs. It is time-
NIET, Greater Noida - 201306, consuming and also very expensive. From authentic literature sources, it
Uttar Pradesh, India. founded that there are no medicinal plants, which utilized for the treatment of
ulcer and liver diseases. Andrographis paniculata, Eclipta alba, Picrorrhiza
E-mail: cmchandana1@gmail.com kurroa, Silibum marianum, Phyllanthus and Trichopus zeylanicus, etc. plants
are renounced for their satisfactory activity against certain hepatotoxins. The
wide range of compounds showing anti-ulcer and hepatoprotective effect,
among them flavonoids is most important. Flavonoids play an important role
in reducing free radicals. Various isolated compounds like apigenin,
sylimarin, genistein, quercetin, kaempherol, catechins and so on show the
significant result as hepatoprotective and anti-ulcer drugs. From this review
article, we can conclude that no. of medicinal plants and their active
chemical constituent are responsible for anti-ulcer and hepatoprotective
effect. Among the all chemical constituents flavonoids also playing an
important role.
INTRODUCTION: Peptic ulcer and liver diseases In general, hepatotoxic chemicals engender some
are serious health problems nowadays. In our body reactive species, which form a covalent bond with
liver play the key role in metabolism, secretion and the lipid which is responsible for damage liver cells
storage 1. Due to the liver disorder, about 20000 4
. An ulcer is mostly a swollen break in the skin or
deaths are found every year due to liver disorders the mucous membrane present in the lining of the
and as a consequence of peptic ulcer about 15000 alimentary tract.
deaths occur each year. Hepatocellular carcinoma The main cause of peptic ulcer is the increase acids
is most common 2, 3. secretion and disturbance of the normal equilibrium
QUICK RESPONSE CODE either caused by enhanced diminish or aggression
DOI:
10.13040/IJPSR.0975-8232.10(1).1-11 in mucosal resistance. Other causes of peptic ulcer
are a bacterial infection (H. pylori), long-term uses
of painkiller such as ibuprofen, naproxen sodium,
The article can be accessed online on
www.ijpsr.com etc., stress and spicy food habit 5. Hydrochloric
corrosive and pepsin harm the mucous film of the
DOI link: http://dx.doi.org/10.13040/IJPSR.0975-8232.10(1).1-11 gastrointestinal tract as the outcome both gastric

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and duodenal ulcers happen. Ulcers, for the most models are available 18-22. The various screening
part, extend between 3 mm and a few centimeters models are given in Table 1.
in measurement 6. Duodenal ulcers are more
TABLE 1: SCREENING MODELS FOR ANTI ULCER
common in adult males. Gastric ulcers happen
AND HEPATOPROTECTIVE ACTIVITY
commonly at old age person and in the middle class Antiulcer activity Hepatoprotective activity
of people. Peptic ulceration occurs in those areas  Hydrochloric acid  Paracetamol
where acid secretion is generally more 7. induced ulcers (acetaminophen) induced
 Ulcers caused by hepatotoxicity
In the human body, the liver is the largest organ. histamine-induced  CCl4 induced
The basic rote of liver is control of different  Ulcers caused by hepatotoxicity
physiological procedures like metabolisms of Acetic acid-induced  Alcohol and carbon
carbohydrate, various type of fat, protein. It also  Ethanol-induced tetrachloride induced
ulcers hepatotoxicity
plays an important role in detoxification, bile acid  Aspirin-induced  Carbon tetrachloride and
secretion which is important for digestion and ulcers paraffin induced
storage of vitamin. Along these lines, to keep up a  Ulcer cause by hepatotoxicity
healthy liver is most vital for a healthy human. As a giving water  Hepatotoxicity caused by
result of these functions, hepatic illnesses are the immersion stress giving d-galactosamine/
 Pylorus ligation lipopolysaccharide
chief threat to general wellbeing, and nowadays  Thioacetamide induced
induced ulcers
hepatitis is widespread diseases 10. There are  Ulcer cause by hepatotoxicity
various reasons for liver diseases. They may be as reserpine-induced  Hepatotoxicity caused by
follows 11, 12, 13.  Indomethacin- giving Antitubercular
induced ulcers drugs
1. Too much interpretation of harmful chemicals.  Serotonin-induced
2. An excessive amount of free radical suppress ulcer
the natural defensive system in our body and
also damage the hepatic cell, reason of Liver Diseases, Ulcer, and Medicinal Plants:
cirrhosis, jaundice and fatty liver. Synthetic hepatotoxic chemicals generally damage
3. Intense harming with carbon tetrachloride liver by inducing lipid peroxidation and other
causes fast lipid deposition before necrosis oxidative free radical 23.
becomes evident. Andrographis paniculata: Andrographis paniculata
4. There is no hazardous chemical which reduces (AP) is an important medicinal herb generally
the antioxidant activity of enzyme-like called the “King of Bitters.” One of the most active
glutathione peroxidase, catalase, superoxide isolated compounds forms AP andrographolide, a
dismutase and so on. bicyclic diterpenoid lactone. Andrographolide used
The most of the liver diseases are classified as in autoimmune disorders such as ulcerative colitis.
follows: 14 AP also plays a major role as hepatoprotective
a. Fatty liver diseases drugs. By sowing the experiment result it cleared
b. Hepatosis (caused by the viral infection) that intraperitoneal (i.p.) administration of the AP
c. Cirrhosis extract 62.5, 125, 250, and 500 mg/kg body weight
d. Liver cancer in the ethanol-induced hepatic model the drug was
very effective. Farther from the biochemical
By trials and errors, the ancient people used herbs investigation it gives the clear indication that AP
for relieving their health problems in very primitive extract can reduce in the of AST, ALT, ALP, ACP
ways 15. The treatment alternatives for normal liver and LP levels in the liver and kidneys. From the
infections and ulcers are limited due to the lack of above result, it concluded that A. paniculata
hepatoprotective and antiulcer drugs in allopathic protects the liver against ethanol-induced liver
medicines 16, 17. toxicity by reducing the rate of lipid peroxidation
and increasing the antioxidant defense mechanism
For the development of new drugs for the treatment in rats 24, 25.
of hepatic and ulcer disease, various screening

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Eclipta alba: It is a perennial shrub mostly found such as glutamate pyruvate transaminase carbon
in moist tropical countries. Eclipta alba (L.) tetrachorired, glutamate oxaloacetate transaminase,
generally contains alkaloids, flavonoids, glycosides, etc. in carbon tetrachloride-induced ulcer model 32.
polyacetylenes, triterpenoids. Aerial part contains
no of flavonoids such as Apigenin, Luteolin-7-0- Trichopus zeylanicus: Trichopus zeylanicus belong
glucoside various type of triterpene like β-amyrin to the family Dioscoraceae, is a small, rare
and, cinnaroside, sulphur compounds, eclalba- herbaceous plant generally found from tropical
saponins I-VI. The Eclipta alba (EA) extract has a forests of Malaysia, Sri Lanka and southern India.
good effect on the hepatotoxic cause by In Ayurvedic system of medicine Trichopus,
paracetamol induced. zeylanicus is generally used as immune boost up
medicine. In ancient time people used Trichopus
From the various experiments, it found that E. alba zeylanicus for relieving from ulcer, liver disorder
(ethanolic extract) show the effect on the and for improving sexual performance. From the
paracetamol-induced hepatotoxic model in mice at phytochemical study, it was found that methanolic
various dosage forms like 100 mg and 250 mg/kg extract of Trichopus zeylanicus gives the positive
body weight weigh. This herbal extract has a result for the presence of, alkaloids, flavonoids,
significant role in normalizing the elevated serum steroids, triterpenoid saponins, etc. From the
transaminase levels which caused due to liver experiment, it was found that this plant leaves
injury, lack of blood flow, etc. From the extract (100 mg per kg body weight) and leaves
microscopic examination of tissue, it proved that suspension (1000 mg per kg body weight) both are
the drug reduces in fatty deterioration and very affecting to reduce the elevated body serum
centrizonal necrosis 26, 27. level in rat ulcer caused by paracetamol
administration. Histopathological study of rat group
Picrorhiza kurroa: It is a very common herb in the treated by T. zeylanicus gives positive result 33, 34.
Indian traditional Ayurveda medicine. From the
various literature survey, it found that Picrorhiza Schouwia thebica: From the various study it was
kurro has used as a vital medicine for liver disorder cleared that Schouwia thebica extracts play the
and it used as very significant ingredient for many important role as a hepatoprotective drug. Various
Ayurvedic formulations for the treatment of liver solvent extracts of S. thebica webb introduced to
toxicity. From the deferent study, it was found P. rats, as a hepatoprotective drug. As a result, it was
kurroa posses very good antioxidant properties 28. found that these extracts effectively normalize the
From the experiment, it cleared that drug reduces elevated body serum level 35.
the glutathione level and activates the enzyme
which is helpful for antioxidant activity such as Syzygium aromaticum L: The herbal drug
glutathione peroxidase. Picrorhiza kurroa extract Syzygium aromaticum L. (Family Myrtaceae)
treated rat group (antitubercular drug-induced generally called as clove used as flavoring agents.
model) for 50 mg/kg body weight for 50 days, give Reported chemical constituents present in this plant
the significant result to normalize the elevated body are tannins, sterols, triterpenes, flavonoids. From
serum level. the different literature survey, it was found an n-
butanol extract of dried flower buds of clove is
Phyllanthus niruri: Phyllanthus niruri L. belongs very effective for the treatment of ulcer and gastric
to the family Euphorbiaceae utilized as a part of disorder in rats 36. From the father study, it was
conventional medicine to treat an ulcer. clear that the ulcer activity of this plant is due to
Phyllanthus niruri leaves extract (ethanol) give the the one of the main ingredient eugenol. The
significant result on ulcer causes by ethanol- pharmacological study suggests, eugenol stimulate
induced model. This plant extract at the dosage 200 the synthesis of mucus; as a result, the mucus layer
mg and 400 mg/kg body wt gives the best result. became thick. Thus the eugenol act as
The methanolic and aqueous extracts of P. gastroprotective drug 37.
niruri fruits are also very effective in inhabit the
lipid peroxidation level. Fruit extract is very Zingiber officinale: Zingiber officinale Roscoe
effective in normalizing the elevated enzyme level (Ginger) is a very potent Indian medicinal herb

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medicine very renounce treatment of extract (350 and 700 mg/kg) were effective to the
gastrointestinal tract disorder. This herb is also ulcer.
famous for treatment for diarrhea nausea vomiting
and dyspepsia. In ayurvedic system of medicine, There are some of the medicinal plants which are
Ginger is commonly used as antispasmodic, commonly used as the liver disorder. In this review,
aromatic, and for prevention of gas formation in 38. we have systematically arranged all the medicinal
It found that if we compare the effect ginger extract plants which are very effective to reduce the
(hydroalcoholic) with dose (100, 350, 700 mg/kg) hepatic disorder in a various animal model. Here
with standard drug ranitidine (50 mg/kg), it gives we also mention which part of the plants is more
the positive result. As a result, larger doses of effective Table 2.

TABLE 2: MEDICINAL PLANTS HAVING HEPATOPROTECTIVE ACTIVITY


S. Name of the Part Extraction Chemical Animal Hepatotoxic
no. plant used solvent constituent model agent
1 Aerva lana Leaf and Aqueous Sitosteryl palmitate, Rat Paracetamol
(Amaranthaceae) 40, 41 root alcoholic extract hentriacontane,
beta–sitosterol,
D-glocoside
2 Artemisia capillaris Whole Aqueous ethanol Eupatolin, arcapallin, Rat Carbon
(Asteraceae) 42 plants extract capillartemisina, tetrachloride
capillartemisin B
5, 2, 4-trihydroxy 6, 7, 5
Trimethoxyflavone
3 Aphanamixis Leaves Ethanolic squalene, polyprenol, β- Rat Carbon
polystachya extract sitosterol, lutein, and β- tetrachloride
(Meliaceae) 43 carotene
4 Allium hirtifolium Leaves Hydro- Saponins, sapogenins, Rats Alloxan
(Alliaceae) 44, 45 alcoholic extract flavonoids including
shallomin, quercetin
and kaempferol,
glycosidic flavonols
5 Amorphophallus Tuber Methanol and Carbohydrates, proteins, Rat Paracetamol
Paeoniifolius Linn. aqueous extract steroids and flavonoids
(Araceae) 46
6 Allium sativum Bulbs Ethanolic Sapogenins, saponins, Rat Cadmium
(Alliaceae) 47, 48 extract sulphuric compounds,
and flavonoids,
allicin
7 Berberi vulgaris Fruit Methanolic Alkaloids such as Rat Carbon
(Berberidaceae) 49, 50 extract berbamine berberine, tetrachloride
oxyacanthine,
protoberbitone alkaloids
palmatine, flavonoids
8 Calendula officinalis Flower Methanolic Monoterpenoids such as Albino Carbon
(Asteraceae) 51 extract α-thujene and T-muurolol, Rat tetrachloride
triterpenoid sesquiterpene,
triterpene alcohols, and
flavonol glycosides,
flavonoids, saponins.
9 Cercissili quastrum Whole Hydro- Myricitoside, atractylon, Rat Carbon
(Leguminoseae) 52 plants alcoholic extract diterpenoids, triterpenoids tetrachloride
10 Citrullus lanatus Fruits Methanolic Alkaloids, triterpenes, Rat Carbon
( Cucurbitaceae ) 53, extract anthraquinones, sterols, tetrachloride
54
flavonoids, saponins,
tannins, flavones
aglycone, and simple
phenols

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12 Daucus carota Seeds 95% Methanolic D. carota Wister Lindane


(Apiaceae) 55, 56 extract steroids, triterpenes, rat
flavonoids
13 Decalepis hamiltonii Roots Aqueous 2-Hydroxy-4- Rat Ethanol
(Asclepiadaceae) extract methoxybenzaldehyde, p-
57, 58
Anisaldehyde, vanillin,
borneol
14 Eclipta alba Leaves Alcoholic Steroids, triterpenes Rat Carbon-
(Asteraceae) 59 extract and flavonoids & mice tetrachloride
15 Epaltes divaricata Whole Aqueous Flavonoids, ascorbic acid, Mice Carbon-
(Compositae) 60, 61 plants extract carotenoids, tannis and tetrachloride
lignins
16 Emblica officinalis Fruit 50% Flavanone glycoside such Rats Rifampicin,
(Euphorbiaceae) 62 Hydroalcoholic as kaempferol-3- isoniazide &
extract rhamnogluscoside pyrazinamide
quercetin- 3-
rhamnoglucoside.
A new flavanone name as
stepposide, steppogenin-
7-β-Dglucopyranoside,
robidnol-3-gallate
17 Hypericum Dried 50% Alcoholic Various type of Male Carbon
perforatum aerial extract flavanoids like quercetin, albino tetrachloride
(Clusiaceae) 63 parts kaempferol, Mice
narringenin and
isohelichrysin flamin
18 Lactuca indica Aerial 95% Methanolic Terpenoids, sterols and Rat Carbon
(Asteraceae) 64 parts extract flavonoids tetrachloride
19 Menthapie perata Leaves Aqueous Mixed flavonoids Albino Carbon-
(Labiatae) 65 extract terpines, myrcene, wistar tetrachloride
pipiritone, euginol, Rats
menthone
20 Silybum marianum Whole Ethanolic extract Flavonoids, isoflavonoid Rats Carbon tetra-
(Asteraceae) 66, 67 plants and silymarin chloride-induced
liver toxicity
21 Taraxacum officinale Roots Aqueous extract Carbohydrates, Rats carbon
(Asteraceae) 68, 69 triterpenes, sesquiterpene tetrachloride
lactones, flavonoids, fatty induced liver
acids (myristic), toxicity
carotenoids (lutein)

TABLE 3: MEDICINAL PLANTS HAVING ANTI-ULCER ACTIVITY


S. Name of the Part Extraction Chemical Animal Ulcer creating
no. plant used solvent constituent Model agent
1 Alstonia scholrs Bark Ethanolic extract Alkaloids, coumarins, Male Pylorus ligation
(Apocyanacea) 70 flavonoids, phlobatannin, Albino rats model
reducing sugars, simple
phenolic, steroids,
saponins and tannins
2 Anacardium Leaves Hydroethanolic Catechins Rat Pylorus ligation
accidentate extract HCl ethanol
(Anacardiaceae) 71, 72
3 Asparagus racemosus Roots Methanolic Shatavarin, Male Indomethacin
(Asparagaceae) 73 extract flavonoid Albino rats
4 Azadirachta indica Leaves Aqueous extract Flavonoids, tannins, Rat Indomethacin
(Meliaceae) 74, 75 carbohydrates, and treated, ethanol
proteins and histamine
5 Bauhinia variegate Leaves Aqueous extract, Flavonoids Rat Aspirin
(Fabaceae) 76 ethanolic extract

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6 Boswellia serrata Bark Petroleum ether squalene, polyprenol, β- Male Aspirin


(Burseraceae) 77 sitosterol, lutein, and β- Albino rat
carotene
7 Butea foandosa Leaves Chloroform and Butrin, flavonoids Rat Hydrochloric
(Fabaceae) 78 ethanolic extract acid
8 Cucarbita pepo Seed Methanolic Clycoside terpenoids Rat Stress induced
(cucurbitaceae) 79 extract cucurbitacian
9 Cynodon dactylon Aerial Alcoholic extract Flavonoids Albino Rats Pylorus ligation
(Poaceae) 80 parts
10 Eucalypus maculate Leaves Methanolic Quercetin Rat Cold resistance
(Myrtaceae) 81 extract and pylorus
ligation
11 Genista rumelica Whole Methanolic Genistin, luteolin-7- Rat Pylorus ligation
(Fabaceae) 82, 83 plant extract glycoside
12 Glicyrriza glabra dried 70% v/v ethanol Flavonoids, Swiss mice Water
(Fabaceae) 84 roots and extract glabra immersion and
rhizomes acetic acid-
induced ulcer
13 Hibiscus rosa Leaves Methanolic Flavonoids, anthocyanins Rat Pylorus ligation
( Malvaceae) 85 extract
14 Moringa oleifera Leaves Alcoholic extract Alkaloids, flavonoids, Rat Aspirin and
(Moringaceae) 86 saponin, tannins, zeatin, ethanol-induced
quercetin, kaempferol,
and terpenoid
15 Murrya koenigii Root Methanolic Monoterpenes, Albino Rat Hydrochloric
(Rutaceae) 87 stem extract monoterpene acid,
and hydrocarbons Indomethacin
leaves sesquiterpenes
16 Ocimum sanctum Leaves Alcoholic extract Alkaloids, tannins, Rat Aspirin and
(Lamiaceae) 88 saponins, flavonoids ethanol
(Apigenin)
17 Pycnanthus Bark Ethanolic extract flavanones-genkwainin, 8 Male Ethanol
angolensis hydroxykanzakiflavone-2 Albino
(Myristicaceae) 89 ,liguiritigentin Wistar rat
(–)-epicatechin and
(+)-catechin
18 Rhammus procubens Whole Aqueous and Kaempherol Rat Pylorus ligation
(Rhamnaceae) 90 plants ethanolic extracts
19 Sophora subprostrata Whole Alcoholic extract Sophoradin Rat Pylorus ligated
(Fabaceae) 91 plants
20 Sylibin marium Whole Methanolic Sylimarin Rat Ethanol, cold
(Asteraceae) 92 plants extract resistance,
pylorus ligation

Some Important Flavonoids having Very Good suffering from free oxygen radical, a complex
Hepatoprotective and Anti Ulcer Activity: defense system is activated. Here, luteolin has
Luteolin: Luteolin (3´, 4´, 5, 7-tetrahydroxy- strong superoxide radical scavenging properties 9
flavone) is a natural flavonoid class of compound. Fig. 1.
It was isolated from the various plant, Reseda
luteola is one of them. The general appearance of OH
luteolin is a just like yellow microcrystalline shape.
Luteolin is now becoming very important herbal HO O
drug uses for various type of disease including the OH
life-threatening disease cancer.
From the various study, it has clarified that there is
OH
O
a relation between the oxidative stress and
antioxidant in the liver. When human beings are FIG. 1: CHEMICAL STRUCTURE OF LUTEOLIN

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Acacetin: Acacetin is an O-methylated flavone Kaempferol: Kaempferol is a natural flavonol


found in Robiniapseudo acacia. From the previous found from various plants. The appearance of
experiment it was cleared that acacetin is effective kaempferol is like a yellow crystalline solid. The
in the hepatic disorder of rat which was caused by melting point of kaemferol is 276 - 278 °C (529 -
carbon tetrachloride-induced 94 Fig. 2. 532 °F). It is slightly soluble in water and highly
soluble in hot ethanol, ethers, and DMSO.
O CH3
Kaempferol has a great antioxidant activity, reduce
the free radical in our body 97 Fig. 5.
HO O
OH

HO O

OH O
FIG. 2: CHEMICAL STRUCTURE OF ACACETIN OH

Apigenin: Apigenin (4′, 5, 7-trihydroxyflavone), HO O


obtained from many plants. It belongs to the FIG. 5: CHEMICAL STRUCTURE OF KAEMPFEROL
flavones class. It is the aglycone part of the
glycoside. Apigenin is the yellow crystalline solid. Salvigenin: Salvigenin was isolation from Dorema
From the previous study, it was found that apigenin glabrum. Salvigenin was found to possess potent
has very good antiulcer activity 95 Fig. 3. free radical scavenging activity. It was also found
that this moiety shows the hepatoprotective activity
OH in acetaminophen (250 mg/kg, i.p) induced liver
damage in Swiss albino mice. Salvage in has
HO O shown its important on augmentation of antitumor
immunity and also the regress the tumor tissues in a
mouse model of breast cancer 98, 99 Fig. 6.

O O O CH3
OH
FIG. 3: CHEMICAL STRUCTURE OF APIGENIN O
H3C
Silymarin: Silymarin is the unique flavanoids H3C
complex - containing silybin, silydianin and
silicristin-that is the derivative from the milk thistle
O OH O
plant 96. Now a day role of oxidative free radicals
FIG. 6: CHEMICAL STRUCTURE OF SALVIGENIN
has been implicated in mediating cold-restraint
stress. Antioxidant bioflavonoid silymarin has a Quercetin: Quercetin is a flavonoid, found in
significant role in the acute cold- restraint stress many fruits, vegetables, leaves, and grains. It has
model of gastric ulceration. Oral treatment with broad biopharmacological effects, such as
silymarin was found to be effective in the hepatoprotective effects, antioxidant and free
prevention of gastric ulceration induced by cold- radical scavenging activity 100. Quercetin inhibits
restraint stress, in rats 97 Fig. 4. the cytotoxicity effect of oxidized LDL 101 Fig. 7.
HO HO
O OH

O OH O
O HO
H3C O

OH
HO HO
O OH HO O
FIG. 4: CHEMICAL STRUCTURE OF SILYMARIN FIG. 7: CHEMICAL STRUCTURE OF QUERCETIN

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Majee C, Mazumder R and Choudhary AN: Medicinal plants with anti ulcer and hepatoprotective activity: a review. Int J Pharm Sci &
Res 2019; 10(1): 1-11. doi: 10.13040/IJPSR.0975-8232.10(1).1-11.
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