British Journal of Pharmacology and Toxicology 3(2): 70-75, 2012 ISSN: 2044-2467 © Maxwell Scientific Organization, 2012 Submitted: February 21, 2012 Accepted: March 16, 2012 Published: April 15, 2012 Anti-inflammatory Effects of the Aqueous Extracts of Plantain Roots (Musa Species) A.O. Ibegbu, U.J. Okonji, W.O. Hamman, U.E. Umana, D.T. Ikyembe and S.A. Musa Department of Human Anatomy, Faculty of Medicine Ahmadu Bello University Zaria, Kaduna State, Nigeria Abstract: The ant-inflammatory effects of the aqueous extracts of plantain (Musa Species) roots was investigated using egg albumin-induced inflammation on the hind-paw in 45 adult Wistar rats. The animals were grouped into nine groups of five rats each. The first group was administered with normal saline while the second group was given a standard anti-inflammatory drug. Piroxicam 20 mins before induction of inflammation. The third, fourth and fifth groups were administered with the different concentrations of the Plantain root extracts 20 min before induction of inflammation while the sixth group was induced with inflammation 20 min before the administration of the standard drug (Piroxicam). The seventh, eighth and ninth groups were administered with different concentrations of the Plantain root extracts 20 min after the egg albumin induced inflammation to investigate the effects of the different concentrations of the Plantain root extracts on the size of the hind-paw induced inflammation on the rats. Measurements of the sizes of the inflammation were done every 20 min for 3 h. The results showed significant reduction in the sizes of the inflammation in both the administration of the extracts before and after the induction of inflammation which was found to be dose and time dependent. These results compared favorably with the conventional antiinflammatory drugs and show that the aqueous extracts of Plantain roots can be effective as a protective and treatment agent against inflammatory conditions and diseases. Key words: Egg albumin, hind paw, inflammation, piroxicam, plantain root, wistar rats have used healing properties from herbs to produce drugs. Approximately 25% of prescription drugs come from plants and are similar in purpose and use to that of ancient times (Samuelson, 1980; Tapsell et al., 2006). Of the approximate 500,000 plants, including subspecies in the world today, a mere 5,000 have been studied for their medicinal benefits (Samuelson, 1980; Tapsell et al., 2006; Elvin-Lewis, 2001). As traditional medicinal practices are adopted by new populations there are a lot of challenges some of which are its adoption in different cultures and regions without the parallel advance of international standards and methods for evaluation (Talalay and Talalay, 2001; ElvinLewis, 2001). The lack of national policies for traditional medicine which regulates traditional medicinal products, practices and practitioners making it difficult, due to variations in definitions and categorizations of traditional medicine therapies (Talalay and Talalay, 2001). A single herbal product could be defined either as a food, a dietary supplement or herbal medicine, depending on the country. Requirements and methods for research and evaluation are difficult (Elvin-Lewis, 2001). It can be difficult to assess the quality of finished herbal products and as such, the safety, effectiveness and quality of finished INTRODUCTION Herbal medicine is the use of plants in a wide variety of forms for their therapeutic value. Herbal plants produce and contain a variety of chemical compounds that are used to prevent and treat diseases or promote health and well-being (Fabricant and Farnsworth, 2001; Lai and Roy, 2004). Traditional medicine is the sum total of knowledge, skill and practices based on theories, beliefs and experiences indigenous to different cultures that are used to maintain health as well as prevent, diagnose, improve and treat physical and mental illnesses and often termed alternative or complementary medicine (Acharya and Shrivastava, 2008). Herbal medicines include herbs, herbal materials, herbal preparations and finished herbal products that contain parts of plants as active ingredients (Acharya and Shrivastava, 2008; Lai and Roy, 2004). The most ancient form of health care known to man is herbal medicine. For generations, herbs have been used to provide medicinal benefits. (Sa’ad and Small, 2005; Lai and Roy, 2004). Herbal remedies are still relatively popular today, mainly due to that they are regarded as harmless because they are natural. For years, pharmaceutical companies Corresponding Author: A.O. Ibegbu, Department of Human Anatomy, Faculty of Medicine, Ahmadu Bello University Zaria, Kaduna State Nigeria, Tel.: +2348032188042 70 Br. J. Pharmacol. Toxicol., 3(2): 70-75, 2012 herbal medicine products depend on the quality of their source materials which can include hundreds of natural constituents and how elements are handled through the production processes (Howland and Mycek, 2006; ElvinLewis, 2001). Efforts to preserve both plant populations and knowledge on how to use them for medicinal purposes is needed to sustain traditional medicine (Chevallier, 2001). The last and most threatening challenge is safety in the usage of herbal medicinal products. Many people believe that because medicines are herbal, natural or traditional, they are safe or carry no risk of harm. However, traditional medicines and practices can cause harmful, adverse reactions, if the product or therapy is of poor quality, or it is taken inappropriately or in conjunction with other medicines (Attah, 2000; Talalay and Talalay, 2001; Lichterman, 2004). Due to growing interest in natural healing, increased availability, few side effects, along with being one of the least expensive ways to improve our health, the popularity of herbal medicine will continue to grow in the 21st century (Benjamin and Sarah, 1985; Barnes and Ernst, 1998). Plantain is the common name for herbaceous plants of the genus Musa and the fruits they produce are generally used for cooking, in contrast to the soft, sweet banana. There is no formal botanical distinction between bananas and plantains and the use of either term is based purely on how the fruits are consumed. All members of the genus Musa are indigenous to the tropical regions of Southeast Asia and Oceania (Nelson et al., 2006; Oke et al., 1998). Plantains are now known to belong to the same species as bananas (Nelson et al., 2006; UNCST, 2007) and are mostly hybrids between the species Musa acuminata (A genome) and Musa balbisiana (B genome). Most modern plantains belong to the AAB Group, the Plantain Group and the ABB Group, the banana cultivar group. Other economically important plantain groups include the East African Highland bananas of the AAA Group and the Pacific plantains of the AAB Group (Ploetz et al., 2007). Plantain contains little beta-carotene and the vitamin C content of plantain is very similar to those of sweet potato, cassava and potato, but the concentration may vary with the crop, maturity at harvest, soil and farming conditions (Oke et al., 1998). The rootstock is full of fiber and starch. It is used for food in many parts of the world. The rootstock which bears the leaves is soft and full of starch just before the flowering period and it is used as food in Ethiopia; the young shoots of several species are cooked and eaten. Different parts of Plantain are used as herbs for different purposes in different parts of the world (Lichterman, 2004). The aim of the present study is to investigate the anti-inflammatory effects of the aqueous extract of plantain roots using egg albumen induced inflammation on the hind-paw of adult Wistar rats. MATERIALS AND METHODS The root of the Plantain plant was collected from a plantain plantation in Olorunda Local Government Area of Badagry, Lagos State Nigeria. It was characterized and identified at the Ahmadu Bello University Zaria Herbarium as the AAB group hybrid of the Musa Species of Plantain. The roots were then dried under shade, grounded and were extracted in boiling water. The extract was concentrated and evaporated to dryness to obtain a dark brown mass weighing 14.02 g. Preliminary study was conducted to determine the LD50 for the Plantain root extract with a limit dose of 5000 mg/kg body weight, of which no deaths were observed. Thus the preliminary study shows that the extracts of the roots of Plantain of the Musa Species are not toxic. Experimental design: A total of 45 adult Wistar rats of both sexes were used and were grouped into 9 groups with 5 rats in each group. They were kept in well ventilated conditions in standard cages where they had access to food and water Ad libitum. Group 1 received normal saline, Group 2 received 0.5 mg/kg body weight of standard drug Piroxicam before induction of inflammation, Group 3 received 250 mg/kg body weight of the extract 20 min before inflammation induction, Group 4 received 500 mg/kg body weight of the extract 20 min before inflammation induction, Group 5 received 1000 mg/kg body weight of extract before inflammation induction, Group 6 received 0.5 mg/kg body weight of standard drug Piroxicam 20 min after inflammation induction. Group 7 received 250 mg/kg body weight of extract 20 min after inflammation induction, Group 8 received 500 mg/kg body weight of extract after inflammation induction and Group 9 received 1000 mg/kg body weight of extract 20 min after inflammation induction. Egg-albumin induced inflammation: Egg albumin induced inflammation was done by sub-planter injection of fresh egg albumin for each of the treated groups. Acute inflammation was measured with digital venire caliper to determine the sizes of the inflammation every 20 min consecutively for 3 h. The rats were deprived of water during the experiment (Winter et al., 1963). The dose of extracts and the standard anti-inflammatory drug was calculated per body weight of each rat and was administered intra-peritoneally in all the groups. This research study was carried out between August and November 2011 in the Ahmadu Bello University Departments of Human Anatomy and Pharmacology under the supervision of the first Author. Statistical analysis: All data was expressed as the mean±standard Error of Mean (SEM). Data was subjected to Students’ T-test and one way Analysis of Variance (ANOVA). Differences in mean were considered to be significant when p is less than 0.05 (p<0.05). 71 Br. J. Pharmacol. Toxicol., 3(2): 70-75, 2012 Table 1: The weight of the rats before administration of the extract and standard drug in different groups Injected before induced inflammation Induced inflammation before treatment ----------------------------------------------------------------------------------------------------------------------------------------------------------Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9 No of normal piroxicam extract extract extract piroxicam extract extract extract rat group saline 0.5 250 500 1000 0.5 250 500 1000 1 237 237 145 163 165 190 110 180 145 2 250 223 150 185 170 207 100 198 226 3 155 175 197 210 145 153 145 152 150 4 160 198 202 190 210 106 210 110 260 5 172 185 223 197 202 170 220 115 180 Each value represents the weight in grams of rats in each group; All values are statistically non significant when compared to control group Table 2: Weight of the rats after administration of the extract and standard drug in different groups Injected before induced inflammation Induced inflammation before treatment ---------------------------------------------------------------------------------------------------------------------------------------------------------Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9 No of normal piroxicam extract extract extract piroxicam extract extract extract rat group saline 0.5 250 500 1000 0.5 250 500 1000 1 239 237.05 146 163.5 165.25 190.05 111 180.5 145.25 2 252 223.05 151 185.5 170.25 207.05 101 198.5 226.25 3 155 175.05 198 210.5 145.25 153.05 146 152.5 150.25 4 162 198.05 203 190.5 210.25 106.05 211 110.5 260.25 5 171 185.05 224 197.5 202.25 170.05 221 115.5 180.25 Each value represents the weight in grams of rats in each group; All values are statistically non significant when compared to control group Table 3: Showing correlation between dose, time and weight Injected before induced inflammation Induced inflammation before treatment -----------------------------------------------------------------------------------------------------------------------------------------------------Group 1 Group 2 Group 3 Group 4 Group 5 Group 6 Group 7 Group 8 Group 9 Groups normal piroxicam extract extract extract piroxicam extract extract extract parameters saline 0.5 250 500 1000 0.5 250 500 1000 Dose 0.251 1.956 1.472 1.719 0.990 2.272 2.702 2.262 2.248 Weight 0.018 0.021 0.026 0.057 0.068 0.083 0.051 0.074 0.031 Time ---------- 2.792* 1.604* 2.230* 2.274* 3.722* 3.776* 4.006* 4.430* Each value represents the Differences in the mean paw diameter of 5 rats in each group; *: Statistical significance Anti-inflammatory studies: The results of the antiinflammatory effects of the aqueous extracts of the Plantain roots of the Musa Species, show significant reduction on egg albumin induced inflammation. The prevention of inflammatory activity was observed to be time and dose dependent in that the extracts of Plantain roots of the Musa Species at doses of 250, 500 and 1000 mg/kg were able to significantly prevent inflammation (p<0.001) in rats administered with the extract of Plantain roots of the Musa Species before inflammation induction as compared to the control group. High anti-inflammatory activity was observed at 20 to 80 min while a nonstatistically significant change in the prevention of inflammatory activities was observed from 80 to 120 min as shown in Fig. 1 and Table 4. While Piroxicam, a known conventional anti-inflammatory drug on the other hand shows a resultant decreases in inflammation but at a much lower rate when compared to the Plantain root extract. The results from Fig. 2 and Table 5, show significant anti-inflammatory effects of the aqueous root extract of Plantain when administered after the induction of inflammation in rats. The results show that the treatment of the egg albumin induced inflammation by the extract and Piroxicam was observed to be lower throughout RESULTS Physical observations on the animals: The animals looked normal and no physical changes were observed during the course of the experiment. Table 1 and 2, show the weight changes of the animals before and after the procedure. The result shows that there was no significant change in the weight of the rats as the extract has no significant effect on the weight of the rats. Table 3 shows the correlation matrix of the experiment. The results show the effect of the administration of the extract on different parameters compared on the factors of time, dose and weight. Correlation between the doses of the extract for the prevention of inflammation and the time of inflammation shows that there was a positive correlation between the time of the inflammation and dose of the extract administered. The correlation between the doses of the extract for the treatment of inflammation and the time of the inflammation, shows that there was a positive correlation between the doses of the extract used in the treatment of inflammation and the time of the inflammation, while the correlation between the 20-180th minutes are statistically significant for both procedures and for all the groups (p#0.05). 72 Br. J. Pharmacol. Toxicol., 3(2): 70-75, 2012 Table 4: Show the preventive effect of the aqueous extract of the plantain root of Musa species on egg albumin induced inflammation egg albumin induced hind paw inflammation Egg albumin induced hind paw inflammation in centimeter (cm) -------------------------------------------------------------------------------------------------------------------------------------------------------------Time/Min. 20 40 60 80 100 120 140 160 180 CONTROL 3.49±0.15 3.53 ±0.12 3.50±0.14 3.57±0.09 3.47 ±0.13 3.54±0.07 3.53±0.10 3.53±0.10 3.08±0.18 (10 mL/kg) PIROXICAM 5.75*±0.26 5.69*±0.41 4.46*±0.10 4.32*±0.18 3.83 ±0.14 3.18 ±0.13 2.45 ±0.1 7 3.20 ±0.1 7 2.96 ±0.14 (0.5 mL/kg) 250 mL/kg 5.12*±0.24 4.98*±0.19 3.62*±0.18 4.30*±0.32 3.69 ±0.25 3.05 ±0.28 2.98 ±0.19 2.95 ±0.21 2.84 ±0.08 (extract) 500 mL/kg 5.38*±0.18 4.70*±0.29 3.25*±0.03 3.56*±0.16 2.79 ±0.24 2.49 ±0.22 2.33 ±0.18 2.74 ±0.21 3.15 ±0.13 (extract) 1000 mL/kg 4.31*±0.05 3.81*±0.27 3.58*±0.56 3.32*±0.19 2.86 ±0.12 2.66 ±0.12 2.71 ±0.06 2.78 ±0.12 2.71 ± 0.12 (extract) Each value represents the mean±S.E.M of the paw diameter of 5 rats in each group; All values are significant at p<0.05 compare to control group; *: Statistical significance Table 5: Show the curative effect of the aqueous extract of the root of plantain of the Musa species on egg albumin induced hind paw inflammation Egg albumin induced hind paw inflammation in centimeter (cm) ---------------------------------------------------------------------------------------------------------------------------------------------------------------Time/Min 20 40 60 80 100 120 140 160 180 Control 3.49±0.15 3.53±0.12 3.50±0.14 3.57±0.09 3.47±0.13 3.54±0.07 3.53±0.10 3.36±0.31 3.08±0.18 (10 mL/kg) Piroxicam 6.52±*0.16 4.92±*0.13 3.61±*0.19 3.25 ±0.28 2.45±0.15 2.09±0.16 3.14±0.18 3.32±0.11 2.79±0.11 (0.5 mL/kg) 250 mL/kg 7.26±*0.40 5.35±*0.19 3.55±*0.02 2.83 ±0.08 2.00±0.08 3.26±0.13 3.09±0.19 2.82±0.23 2.82±0.05 (extract) 500 mL/kg 6.92±*0.19 4.99±*0.16 3.77±*0.04 3.19±0.19 2.92±0.10 3.31±0.18 3.12±0.21 2.83±0.16 2.92±0.20 (extract) 1000 mL/kg 6.72±*0.18 4.62±*0.21 3.66±*0.09 3.21±0.24 3.13±0.15 2.61±0.08 2.44±0.15 2.80±0.16 2.94±0.17 (extract) Each value represents the mean±S.E.M of the paw diameter of 5 rats in each group; All values are significant at p<0.05 compare to control group; *: Statistical significance 7 M ean paw diameter 6 5 4 3 5 4 3 2 180 min 160 min 140 min 120 min 100 min 80 min 180 min 160 min 140 min 120 min 100 min 80 min 60 min 40 min 20 min 1 60 min 0 40 min 1 2 0 6 20 min Mean paw diameter 7 Control (10 mL/kg) PIROXICCAM (0.5 mL/kg) 250 1/kg (extract) 500 1/kg (extract) 1000 1/kg (extract) 8 Control (10 mL/kg) PIROXICCAM (0.5 mL/kg) 250 1/kg (extract) 500 1/kg (extract) 1000 1/kg (extract) Fig. 2 : Sow he curative effect of aqueous extract of the root of lantain of the usa species Fig. 1: Showing the preventive effect of the aqueos extract of the root of lantain on inflammation The Fig. 2 shows a significant decrease in inflammation at all doses when compared to the control at 60th min. the experiment in that at 20th min, the signs of inflammation were still very high. Significant decrease in the inflammatory processes began from the 60th min when compared to the control group. The result in Fig. 1 shows a significant decrease in inflammation at all doses in comparison to the control. Major decrease in the inflammation in all the doses was observed from 20-80th min. No significant decrease was observed from 80-120th min. DISCUSSION The results from the present study indicate that the intraperitoneal administration of the aqueous extract of the root of Plantain of the Musa Species significantly reduced fresh egg-albumin induced inflammation in rats. 73 Br. J. Pharmacol. Toxicol., 3(2): 70-75, 2012 Egg albumin, a potent edematous agent produced inflammation through the release of several inflammatory mediators (Tjolsen et al., 1992; Vickers and Zollman, 1999). These chemical mediators of inflammation produce increase in vascular permeability thus prompting fluid accumulation in tissues which results in edema (Williams and Morley, 1973; White, 1999). Aqueous extract of the root of Plantain at concentrations of 250, 500 and 1000 mg/kg body weight reduced egg albumin induced inflammation significantly at the beginning of the 20 and 80th min when compared to the control group. The plantain root components that play a role in the reduction or controlling of inflammation include aucubin which is a glycoside in plantain, acts as a sedative, anesthetic, antiseptic, anti-viral, anti-toxic, anti-histamine, anti-inflammatory, anti-rheumatic, anti-tumor, anticancer, anti-carcinogenic, a diuretic and expectorant, a hypotensive and an organoleptic agent (Ahlborn et al., 2005). This glycoside has been studied for its numerous effects in inflammation. Also plantain roots contain apigenin which is one of the anti-inflammatory flavonoids. The anti-inflammatory changes observed from the egg albumin induced inflammation could be due to the presence of these substances in plantain. Also antioxidant vitamins A, C, E, the B-complex vitamins and trace minerals such as magnesium, calcium, zinc and selenium have been shown to reduce inflammatory changes according to Christopher (2003). The results of the present study can be compared with the work of Davis et al. (1994), which showed that the anti-inflammatory effects of the aqueous extract of cloves (Syzygium aromaticum) was statistically significant in the reduction of formalin induced inflammation in rats but at a slower rate when compared to plantain roots. Plantain contains high levels of beta carotene (vitamin A), ascorbic acid (vitamin C) and vitamin K. Other components of plantain roots that are antiinflammatory are baicalein, citric, fumaric, salicylic and benzoic acids which could be responsible in reducing inflammatory changes in egg albumin induced inflammation in rats. In conclusion, the results from the present study show that the aqueous extract of the root of Plantain of the Musa Species significantly reduced inflammation in rats that was induced with inflammation using egg albumin. This reduction in inflammation has been shown to be dose and time dependent. The result of this study has shown that plantain root extract can be effective both as a protective and treatment agent against inflammatory changes and disorders. While the result shows that the extract was more effective as a protective measure against inflammation rather than treatment and also at a faster rate. ACKNOWLEDGMENT The authors gratefully acknowledged the assistance from the technical staffs of both Departments of Human Anatomy and Pharmacology Ahmadu Bello University who see to the up keep of the animals in the animal house. 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