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Available online freely at www.isisn.org Bioscience Research Print ISSN: 1811-9506 Online ISSN: 2218-3973 Journal by Innovative Scientific Information & Services Network REVIEW ARTICLE BIOSCIENCE RESEARCH, 2020 17(2): 793-814. OPEN ACCESS Medicinal proprieties and toxicology of therapeutic herbal tea: A review Leila Belfarhi1,Mustapha Mounir Bouhenna1,Yesmine Bouafir1,Ali Zineddine Boumehira1,2,3, Amira Nebbak1,Borhane Elddine Cherif Ziani1,Khalodoun Bachari1, Daniel Joe Dailin4, Ting Ho5 and Hesham Ali El Enshasy4,6 * 1Centre de Recherche Scientifique et Technique en Analyses Physico-Chimiques CRAPC. Zone Industrielle, BP384 Bou-Ismail, Tipaza, Algeria 2University of Algiers 1, Faculty of Sciences, LVBRN, Algiers, Algeria 3University of Science and Technology Houari Boumediene, FSB, LBCM, Bab Ezzouar, Algiers, Algeria 4Institute of Bioproduct Development (IBD), Universiti Teknologi Malaysia (UTM), Johor, Malaysia 5Global Agro Innovation (HK) Limited, Hong Kong 6City of Scientific Research and Technology Applications, New Burg Al Arab, Alexandria, Egypt *Correspondence: henshasy@ibd.utm.my Received 27-02-2020, Revised: 18-05-2020, Accepted: 20-05-2020 e-Published: 03- 06-2020 Herbal teas or tisanes, like all foods of plant origin, start to take an important consideration in new product development in the recent years. This based on the increased awareness of their health benefits. It’s widely known that large number of medicinal plants of are exist world-wide, research in product development of herb teas is limited. However, herbal teas can exhibit also serious negative. Therefore, consumption must be set under some sort of medical control. Other issue is the quality control of herbal teas which govern the decision of the acceptance or rejection of the raw materials and finished products. Quality control methods of herbal teas is not limited to traditional macroscopic and microscopic analysis of the plant but should include new analytical methods such as high performance liquid chromatography, gas chromatography (HPLC), nuclear magnetic resonance (NMR) and many other new analytical tools for qualitative and quantitative analysis of the plant compounds. The latter facilitated the study of herbal teas as well as benefits and risks of on the consumer health. The present review aims at shedding light on the positive and negative effects of herbal teas with particular references to those in the Algerian market. Keywords: Herbal teas, quality control, risks of herbal teas, benefits of herbal teas. INTRODUCTION Therefore, or centuries, herbs have been used for Plant cells have been used as main source of centuries either in fresh or dried form for direct human diet based on the highly diversified consumption. Herbal teas have been used since nutritional values as source of carbohydrates, antiquity by many civilizations for their healing protein, and vitamins (Sarmidi and El Enshasy, roles. They were known by ancient Greeks under 2012). In addition, plant cells are always the name "Ptisan". Herbal teas are classified into considered as the first source of enzymes, two categories: simple and composed. The simple essential metabolites, functional colors, and bio ones contain few constituents and are for therapeutic molecules (Malek et al., 2016; Aladdin everyday uses as cough herbal teas which et al., 2017; El Deeb et al., 2018; Agouillal et al., generally contain lemongrass, cumin and licorice. 2018; Gomaa et al., 2019; Mohamad, 2019). There are also simple herbal teas that contain
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea verbena, thyme flowers, peppermint and fennel include physicochemical and biological analysis. which relieve the colon from constipation. Biological control methods include in vivo and in Composed herbal teas are for therapeutic use and vitro tests. The purpose of these tests is to study contain so-called effective medicinal plants with the therapeutic effects of herbal teas as well as many beneficial effects on major functions their side effects on living organisms. There are (Sofowora et al., 2013). For example, the yerba other methods of controlling herbal teas, like mate tea of Paraguay contains phenols that are macroscopic and microscopic studies of the plant. able to regress the proliferation of cancer. The However, these methods have become old with responsible mechanism of a such effect implies the appearance of new analytical methods such the inhibition of topoisomerase enzyme (Gonzalez high performance liquid chromatography (HPLC), de Mejia et al., 2005). They also have other liquid chromatography/tandem mass spectrometry constituents such as cholorogenic acid, thrombin, (LC-MS), atomic absorption spectrophotometer quercetin, kaempferole and andrutin which have (AAS) analysis, and nuclear magnetic resonance beneficial effects on the heart, nervous system, (NMR). The latter facilitates the study of herbal kidneys, liver, stomach and pancreas (Heck and teas as well as the benefits and risks of their De Mejia, 2007). In addition, herbal tea of Carissa preparations on the health of consumers. xylopicron mixed with pieces of guinea fowl wood In traditional medicine, herbal teas are are used to decrease the fever engendered by prepared on the basis of several plants to relieve thyroid gland diseases. It can also act against complex diseases. Some of herbal teas have pylorus infections. Some herbal teas based on the similar characteristics and functions (Li et al., plant Poupartiabor bonica are used by women as 2002). For example, the anti-stress herbal tea is a contraceptive (Lavergne, 1989). Otherwise, made up by both Passiflora coerulea L. and some herbal teas consist of a single plant but they Eschscholzia californica Cham which contains act on several organs. For example, herbal teas chyrsin known to have an action against epileptic based on the plant Kella, Ammi visnage, are seizures (Singh et al., 2011). Other herbal teas useful against gastric hyperacidity ulcer and are formed by the combination of plants with kidney lethiasis (Jan, 2014). Moreover, herbal different functions and characteristics so that one teas have other building functions that the body improves the effect of the other (Li, 2002). needs in case of deficiency like cola nuts (Lim et The methods of formulating herbal teas are al., 2014). This tea was used against fatigue and numerous including infusion, maceration and weakness by the African people due to its decoction, some of which lead to changes in the richness in starch, reducing sugar, B-catechin, L- plant composition (JÄGER et al., 2011). Infusion epicatechin and theobromine. of althaea officinalis inactivates its molecules However, the use of herbal teas must be (mistletoe lectins). The hot decoction processes of controlled since their components can contain certain herbal teas based on Acacia concentrate toxic elements engendering a possible risk on vital antiviral molecules against the H1N5 virus. Other functions especially on those of liver and kidneys types of herbal teas, like the Chinese herbal tea (Kane et al., 1995). In case of example, the Kusmi "Richter", augment the blood pressure due to the tea contains pyrrolizidinic alkaloids (PA) which are presence of the plant Glycyrrhiza glabra in the carcinogenic (Schoental, 1982). Though, the mixture (Heikens et al., 1995). Another example is chaste tree Vitex agnus-castus plant has "Dr. Ming’s herbal tea" which is a slimming herbal produced undesirable effects such as the tea that contains anthraquinone of rubarbe plant termination of lactation by its binding to the known for their carcinogen risks (Blömeke et al., dopamine D2 receptor of the pituitary gland, 1992). whereas it has long been present in herbal tea In Algeria, it exists a lot of herbal tea brands components (Hamilton et al., 2009; Jones et al., which attract more and more people searching for 2008). This type of herbal teas must be controlled alternative solutions to chemical drugs. However, to prevent their risks to consumers. some types of herbal teas are commercialized Quality control of herbal teas is a lengthy without controlling of their components. They procedure that includes inspection tests that can contain plants which are not included in the list of prove the quality of herbal teas to satisfy the ingredients (Derouiche and Abdennour., 2017). In customer. These control methods also contribute this work, we recapitulated the therapeutic effects to the decision to accept or reject the herbal tea. of existing herbal teas and their constituents. We There are several methods of controlling herbal also shed light on the negative effects of herbal teas. Quality control methods for herbal teas teas with specific regard to those marketed in Bioscience Research, 2020 volume 17(2): 793-814 794
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Algeria in one hand, and describe methods of Reduce obesity control that allow the study of herbal tea Studies on rats demonstrated that herbal teas constituents and their risks on consumers, on the made of the plant Salvia contain two diterpenes other hand. named carnosic acid and carnosol that significantly inhibit the pancreatic lipase activity Health benefits of herbal tea consumption and delete the increase of serum triglycerides Plants have long been valued by human (Hamidpour et al., 2014). Other studies conducted beings throughout the world for their medicinal on animals have shown that lavender-based tea properties and tisanes were the only way to heal decreased serum cholesterol, triglyceride, low in ancient times. It is the link with nature that density lipoprotein (LDL) and very low density allowed to choose the most useful plants and the lipoprotein (VLDL) levels (Rabiei et al., 2014). way to prepare their herbal teas. Currently, many Herbal teas used for the treatment of obesity have societies use medicinal plant herbal teas for their replaced the role of syrurgical operations and therapeutic effects especially in some rural drugs. For example, a study in Saudi Arabia countries in Africa (Joubert et al., 2008). A large showed that the use of herbal teas for weight loss gamut of animals and clinical studies suggests is high. This is due to the effectiveness of herbal that chemical constituents of herbal teas play an teas prepared in this region by plants such as important role in human health (Park et al., 2014). bran; plantain; senna; capcicum; ginger, turmeric; Health benefits derived through the consumption fenugreek; flaxseeds and fennel (Eldalo et al., of herbal teas are summarized below. 2017). Other studies have shown that consumption of oolongo tea is associated with a Fight against fatigue and weakness and boost significant decrease in body weight after six immunity weeks of use (He et al., 2009). The Chinese tea Interesting example is herbal tea made of cola "xin-juxiao-gao-fang" is widely used in China to nuts which is rich with starch, reducing sugar, B- lose weight. This herbal tea has a long-term effect catechin, l- epicatechin and theobromine. The (after 24 weeks of consumption) and without side African population used this herbal tea against effects (Zhou et al., 2014). Another study has also tireness and weakness (Lim, 2014). Another shown that rhizome coptidis based herbal tea has example is herbal tea made of the licorce root a berberine molecule that reduces weight, lipids plant. The latter reduces the rate of cortisol and level, glycemia and inhibits adipogenesis (Xie et reduces fatigue and stress (Omar et al., 2012). al., 2011). Other studies do not agree with the use There are selective herbal teas that act on fatigue of herbal teas because of their complications. The through activation of immune system. They consumption of herbal tea rhizome lotus, green contain vitamin C which is essential for building up tea and Panax notoginseng causes irritation and a strong immune system. For example, "Tearaja constipation problems. tea", a mixture of plants and algua such as glycyrrhiza glabra herbs (liquorice) and spirulina Reduce the risk of cardiovascular diseases which is rich in vitamin C, in calcium and iron that Ginger is among the effective herbal teas strengthens the immune system (Gershwin et al., against cardiovascular diseases. Studies showed 2007), fights fatigue, treats anemia and restores that ginger herbal tea is utile for relieving the body. The herbal tea made of Polygonatum symptoms of platelet atherosclerosis (Vasanthi alte-lobatum Hayata is rich in flavonoids which and parameswari, 2010). In this study, ginger was activate lymphocytes, increase phagocytosis, administered to patients suffering from induce interferon production (Khodadadi, 2015), atherosclerosis. It resulted in a significant increase physical activity and fight against fatigue reduction of platelet aggregation induced by blood (Horng et al., 2014). Another example, "HEY GIRL lipids. Another example is the digital plant that Energize tea" contains Oolong tea and Green tea contains glycoside, which stimulates heart displaying high levels of caffeine which increases contraction and treats heart failure (Reddy et al., the body energy (Muramatsu et al., 1995). It also 2010). Another Clinical study tested the effects of contains Guarana (Paullinia cupana) which is an herbal tea Sarasin (Fagopyrum esculentum) on effective plant against fatigue observed in cancer patients with chronic venous insufficiency. The patients after chemotherapy (Campos et al., study showed that treatment with sarasin tea is 2011). safe and can reduce the oedema development, the diameter of femoral veins and the permeability of the capillaries (Ihme et al., 1996). A clinical Bioscience Research, 2020 volume 17(2): 793-814 795
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea study carried out on herbal teas based on are also herbal teas prepared by Dahlia plant. Withania somnifera (WS) has shown that it They contain molecules such as two chalcones, reduces the stress incurred by the nervous 4,2 ', 4'-trihydroxychalcone and 3,2', 4'-trihydroxy- system and regulates cardiovascular 4-methoxychalcone (Lam and Wrang, 1975). The parasympathetic system. According to this study, chaclone molecules reduce airway inflammation consumption of this tea increases physical to bronchial hyper-reactivity, suppress Th2 performance and decreases blood pressure, cytokine production from CD4 T cells and promotes blood circulation and increases oxygen decrease mucus production (Iwamura et al., consumption. In a study of an herbal tea formed 2010). Studies conducted on these herbs have by the plant Salvia miltiorrhiza demonstrated that unveiled several constituents that have beneficial it relaxes the coronary arteries, reduces the effects on many pathologies. For example, thickness of the intima in the carotid arteries, combretum is useful for coughing and colds duo inhibits platelet aggregation and prevents the to the presence of some molecules namely oxidation of LDL (Wang, 2010). Tanshinone, genkwanin, rhamnocitrin, quercetin-5,3'- cryptotanshinone and Salvianolic acid were dimethylether, rhamnazin, and 5-hydroxy-7,4'- isolated from S. miltiorrhiza which have protective dimethoxy-flavone which have anti-inflammatory effects against angina of the chest and myocardial activity. infarction (Yong et al., 2009). Studies have shown that these herbal teas reduce endothelial cell Prevent Diabetes apoptosis and inhibit atherogen (Ling et al., 2008). A recent research showed that the Chinese However, other studies have found that S. herbal tea "BXXD" can ameliorate diabetic miltiorrhiza may cause side effects at high doses gastroparesis by adding the motilin, gastrin nitric such as dryness of the mouth, dizziness, oxide to plasma. This herbal tea deletes lassitude, numbness and shortness of breath vasoactive intestinal peptide and ajusts gastric (Yong et al., 2009). Interaction of S. miltiorrhiza myenteric plexus (Tian et al., 2013). The results of with drugs such as coumadin (Warfarin) increases another studies reveal that the Sambucus nigra anticoagulation (Yong et al., 2009). Some types of herbal tea possesses a hypoglycemic effect. This African herbal tea molecules possess double plant is rich in polyphels that reduce the level of effect; both toxic and therapeutic at the same cholesterol in the blood. By this action, it reduces time. For example, the herbal tea Nerium diabetes complications (Ciocoiu et al., 2009). The oleander contains cardenolides (oleandroside and effects of acidified methanol elderberry extracts neriin) which display beneficial effects on the dietary supplementation on diabetic Wistar rats heart despite of their lethal action (van der Bijl and show a reduction in serum glycemia (Salvador et van der Bijl, 2012). Another example is the herbal al., 2017). Another example is ginseng tea that tea made of the plant Drimia sanguinea which has increases the sensivity of blood sugar to insuline been used in African traditional medicine for the (Gui et al., 2016). Dandilion tea has been used for treatment of cardiac oedema, but this plant is also a long time in China for the treatment of diabetes. involved in human intoxication (van der Bijl and Studies have found that this plant is rich in van der Bijl, 2012). Herbal teas are a danger to antidiabetic molecules such as β-carotene, which the heart because it is a sensitive organ to cardiac protects cells from oxidation and cellular damage. arrest. The use of herbal teas for the treatment of It also contains taraxasterol and taraxinic acid cardiac problems must be subjected to medical which have antihyperglycemic effects (Wirngo et control and chemical analysis of the constituents. al., 2016). Heal athsma and respiratory diseases Fight against arthritis As an example, the herbal tea based on The herbal tea based on Tripterygium wilfordii Syzygium cumini relieves early stages of Hook F has long been used in China to treat respiratory allergies. Studies have found that S. rheumatoid arthritis. This herbal tea has been the cumini inhibits the release of histamine involved in subject of several clinical studies. It was reported respiratory allergies (Brito et al., 2007). Another that the use of this herbal tea in combination with example is the herbal tea brand "life budding" and methotrexate has beneficial effects on the its ability to relieve respiratory allergies. This evolution of rheumatoid arthritis (Tao et al., 2002). herbal tea contains polysaccharides and malic Other clinical studies have found that the caffeic acid which possesses an anti-inflammatory decoction of Tripterygium wilfordii Hook F activity (Hajhashemi and Klooshani., 2013). There developed adverse effects (Cai and Guo., 1974; Bioscience Research, 2020 volume 17(2): 793-814 796
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Jian and Zhou, 1987). A study has shown that the KWG also significantly reduced the squamous cell herbal tea Guianensis inhibits the tumor necrosis lung tumor area to an average of 1.5%, compared factor (TNF) production involved in arthritis with 9.4% in the control group (Pan et al., 2013). (Sandoval et al., 2002). Recent studies revealed Anti-tumor B (ATB), also called Zeng-Sheng-Ping, that WS herbal tea effectively reduces arthritis is a Chinese herbal mixture composed of six syndrome without any toxic effect. Another plants that has shown an anticancer effect in example is the Cardiospermum halicacabum mouse models of bladder cancer (Fan et al., herbal tea which was long used in India for the 1993), lung cancer (Wang et al., 2003; Zhang et treatment of rheumatism (Chopra et al., 1982). al., 2004) and oral cancer (Wang et al., 2013). This herbal tea acts on the production of pro- Preclinical studies have shown that ATB could inflammatory mediators like nitric oxide and TNFα reduce the incidence of N-butyl-(4-hydroxybutyl) (KC and Krishnakumari, 2006). nitrosamide (BBN)-induced bladder cancer by It was reported that the use of the kinkeliba 90.7% (Fan et al., 1993). ATB caused a significant tea produced from Combretum micranthum has reduction in lung tumor multiplicity and tumor load been used since 1912 in Africa. This herbal tea (40% and 70%, respectively) (Wang et al., 2009). was introduced into the French Pharmacopoeia In an oral squamous cell carcinoma model, ATB because of the importance of its medicinal virtues. decreased the incidence and multiplicity by Studies have found that kinkeliba tea has an 59.19% and 64.81%, respectively (Wang et al., inhibitory action on the production of nitrite 2013). involved in the pathology of arthritis. These results suggest that Chinese herbal medicine (CHM) could be a potential Cancer Treatment chemopreventive agent for cancer. Moreover, the The increasing use of herbal teas and findings from the in vivo studies have shown that medicinal plants by cancer patients and survivors CHM can exert potent chemopreventive effects can be seen worldwide (Chen et al., 2008; Deng against many types of cancer. and Cassileth. They used herbal teas to improve their physical and emotional well-beings and to Herbal teas, medicinal proprieties, chemical reduce cancer therapy-induced toxicity (Wong et constituents and posology al., 2010; Wang et al., 2013; Zhao et al., 2014). Herbal teas are classified into two categories, The chemopreventive effects of green tea intake simple and composed herbal teas. The former have been shown in many in vivo studies. For the contains little constituents and they are for 7,12- dimethylbenz(a)anthracene (DMBA) and 12- everyday use as coughing herbs, constipation and Otetradecanoyl phorbol-13-acetate (TPA)-induced digestion. The second are for therapeutic use and skin papillomas, partial tumor regression or > 90% contain so-called effective medicinal plants. Some inhibition of tumor growth, and marked inhibition constituents appear several times in herbal teas. of tumor growth (46–89%) were observed after For example, fennel is found in sudorific, diuretic administration of green tea (Wang et al., 1992). and appetizing herbal teas (Guérin-Méneville et Aqueous extract of green tea inhibited al., 1837). The little holly is found in either simple carcinogen-induced lung tumorigenesis in mice by or composed herbal teas. However, herbal tea 63% (Wang et al., 1992). Ginseng is another well- preparations and their potential ltherapeutic studied herb that shows strong chemopreventive applications are summarized in table 1. activities. In a lung adenoma model induced by 48 weeks of DMBA, it decreased the average Pharmacokinetics and pharmacodynamics of diameter of the largest lung adenomas by 23% herbal teas in human body and the incidence of diffuse pulmonary infiltration The determination of the effect of herbal teas by 63%. In the Ginseng treatment group sacrificed in the body is still poorly understood. 56 weeks after birth (aflatoxin B1 combined with Ginseng), the incidence of lung adenoma (29%) and hepatoma (75%) was decreased (Yun et al., 1983). Oral administration of aqueous extract of red Ginseng decreased tumor multiplicity by 36% and the tumor load by 70% (Yan et al., 2006). Korea White Ginseng (KWG) significantly reduced the percentage of squamous cell carcinoma to 9.1%, compared with 26.5% in the control group. Bioscience Research, 2020 volume 17(2): 793-814 797
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Table 1: Herbal Teas, Chemical Constituents, Medicinal proprieties and Toxicological effects Preparation Herbal Tea Medicinal Effects on Human Complication and Mode of Posology plants and Animal and Side Effects Administration Regulate digestive activity, diarrhea, Aqueous extract of Remove swelling and Ginseng- No reported Uraria crinita Uraria crinita its antitussive effects. like tea side effect Druking water Anti-inflammatory, (China) Antimicrobial, Antidiabetic effect Mentha piperata , bramble Rubus fruticosus , camomile Matricaria 1 filter bag for 1 cup, recutita,balm Melissa Thüringer 9 pour over fresh, Decrease cyclosporine officinalis, coriander No reported -Kräuter Tea» bubbly boiling water 1.5g /day level after renal Coriandrum sativum, side effect (Germany) . Brewing time: transplantation sandalwood Santalum 8 minutes album, Citrus aurantium, Krameria triandra and Pimpinella anisum. Heart tonic, Reduce the oedema development; Sarasin tea Fagopyrum Very small the diameter Infusion No side effect (China) esculentum dose of femoral veins and the permeability of the capillaries Increases the energy and Abortifacient Indian winter tea 120 mg to the cardiorespiratory fitness, Ashwagandha Infusion properties (India) 2 g /day Improves the number of hemoglobin (Hb) and RBCs Reduction in serum TG, 72 mg Decrease in body weight. Dry mouth, insomnia, Ma Huang & (ephedra) Reduce hip and Guarana; éphédra infusion headache. Guarana 240 mg waist circulation. Cardiac palpitation (caffeine)/8 w and hypertension Reduction in perilipin A compound of Aralia content in adipocytes and Decrease in total ARALOX mandshurica (A) and Engelhardtia infusion 450mg/d plasma TG. Stimulate body and fat weight. chrysolepis (E) extracts activity of hormone sensitive lipase Ephedrae Herba, Glycyrrhizae Exert favorable effects Bofu-tsusho-san Loose bowel Radix, Forsythiae Fructus, Infusion 280 mg /24 w on obesity-related movements Schizonepetae Spica hypertension Acceleration of Jiang-zhi jian-fei Reduce food intake, intestinal movements ; Injected yao: the refined Decreased size of abdominal Prolongation intragastrically Rhubarb adipose cells of stomach evacuations time. Bioscience Research, 2020 volume 17(2): 793-814 798
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Little data on the pharmacokinetics and body and do not have toxic effects on healthy pharmacodynamics of herbal teas, knowledge of ones. The tisane made of the bearberry plant their variability, their action on the body, their Arctostaphylos Uva-ursi possesses disinfectant interactions as well as their mechanisms of actions of urinary tract and lacks toxic effects on elimination are essential to determine in the future other organs (de Arriba et al., 2013). Another their effectiveness as well as their toxicology. The example is the herbal tea of Caralluma fimbriata majority of pharmacokinetics studies on herbal tea which acts against fats without affecting the major are limited to certain herbal teas like ginseng tea, function of body (Arora et al., 2015). This type of curcumin tea or other ordinary and simply herbal herbal teas can be employed without having fear teas. The majority of information on the of its secondary effects since their components mecanisms of this simple herbal tea is related to are tolerated by the human body. their metabolism through enzymes such as cytochromes P450 (CYP) (He et al., 2010). Herbal teas with double effect However, studies on complex herbal teas used in There are other types of herbal teas with popular medicine for treatment of complex double effect which act against already ill organs diseases are not available. It is necessary to give and touch healthy ones as it is the case of the importance to pharmacokinetic and slimming herbal tea Ngamrahong. Ngamrahong pharmacodynamic studies to explore other ways. means « interior wellbeing ». It is made up the For exemple, analysis of the Japaneese herbal plant Senna as a main component which is a plant tea yokukansan TJ-54 revealed its action on the known for its richness with anthronoides (Lemli et glutamatergic and serotonergic nervous systems. al., 1983). They act against mitochondria by This herbal tea also interacts with 5- diminishing the production of ATP and water HT1A receptors. This herbal tea does not take the retention. According to other studies, metabolic way CYP 450 and is not metabolized Ngamrahong leads to an acute liver failure and by the organism because of the absence of renal insufficiency and encephalopathy CYP2C in human organism (Goldstein et al., (Vanderperren et al., 2005). Another example of 1994). Another example is the herbal tea K-601, herbal tea risks is the herbal tea "Richter" having widely used in traditional Chinese medicine for the licorice as a constituent. The latter increases treatment of influenza. However, a study was blood pressure and engenders complications to all conducted on volunteers to determine its effects hypertensive people (Heikens et al., 1995). The on the body demonstrated that the herbal tea K- herbal tea of badiana is used in the form of 601 interacts with the intestinal flora and has no infusion of dried seeds acting against reaction with the respiratory system. This study constipation. It exists varied types such as Illicium demonstrates that this herbal tea acts on verum of China criticized for its toxicity and the intestines and thus, generates secondary one of Japon which is extremely toxic. Cases of metabolites like: secologanoside, emodin, seizures have been signaled after the use of lotusine, palmatine, berberine and baicalin (Alolga Illicium anisatum of Japon which contain toxic et al., 2015). Studies have shown that molecules components such as actones sesquiterpenic such as secologanoside have anti-cancer effects anisatin, neoanisatin and pseudoanisatin (Jiménez-Sánchez et al., 2017). This demonstrates that pharmacokenetic studies of Quality control of herbal teas herbal teas can reveal the appearance of new molecules for medical interest. The Phytochemical analysis pharmacokinetic study of the Yokukansan herbal Despite of the numerous beneficial effects of tea unravels other molecules such as glycyrrhizic herbal teas, mainly attributed to their polyphenolic acid which goes through tractus intestinal and get constituents (Sang et al., 2011), they are subjects metabolized in the form of acid 18β-glycyrrhetinic to some risks and contaminants that occur during (Kitagawa et al., 2015). This latter induces growth, development and processing and should apoptosis of cancer cells (Lee et al., 2008) be monitored to ensure the safety and the quality of these remedies. Toxicity risk related to herbal tea consumption Contaminant risks of herbal teas Herbal teas with single effect The vulgarization of the herbal tea use with for Herbal teas are formulated from plants which only slogan: “what is natural is harmless” induced exercise actions on the ill organs in the human a poor quality of herbal products (de Andrade et Bioscience Research, 2020 volume 17(2): 793-814 799
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea al., 2018). However, and contrary to popular pathogenic contaminants (Kosalec et al., 2009). belief, not every natural product is exempt of Thus, warranting the best quality to the consumer, dangerous hazards (Ridker, 1987). For example, by proving their medical harmlessness and it has been demonstrated that products of Piper conformity to standards, is essential. Problems methysticum and Symphytum officinale induced linked to the growing conditions, preparation serious damages in liver (Mattocks, 1980; Stickel methods and processing including harvesting, et al., 2003). Since herbal teas are made of roots, drying and storage can affect the final product leaves, fruits, flowers, seeds or even other parts safety (Prchalová et al., 2017). of the plant like barks, nuts…etc., they are continuously exposed to some toxic and Figure 1: Herbal Teas exposed to several toxic contaminants Spartium junceum (Spanischer Ginster) rather Herbal teas can be exposed to several toxic than Sarothamnus scoparius (Besenginster) (de contaminants of different nature (Figure 1). In Smet et al., 1999). Also of interest, it was sum, we can categorise them into three demonstrated that the use of contaminated roots categories: (1) contaminants linked to the plant, by Aristolochia frangchi, in Chinese herbal teas, (2) contaminants that provide from environment containing an important amount of aristolochic and (3) contaminants due to humans. acid. This last one is known for its nephrotoxic properties and carcinogenic effects on rodents Contaminants linked to the plant and humans (Wang et al., 2018; Krell, and Toxic contaminants related to the plant Stebbing, 2013; Chen et al., 2012). The include toxic botanicals, microbial toxins, toxic adulteration of plants with those containing acids metabolites or even living microbes such as can cause serious problems of human health. bacteria, viruses, yeasts, parasites, insect larvae Unlike to synthetic materials, the use of and eggs and other organisms (De Smet et al., vegetables can be associated to microbial 2004). contamination and subsequent adverse effects. A The misidentification of plants or the presence recent study investigates the bacterial and fungal of undeclared species can cause serious contamination of 26 herbal teas and revealed the problems. In certain case reports, the part of the presence of bacterial isolates like Staphylococcus plant used for the herbal product contains aureus, Staphylococcus epidermidis, compounds like alkaloids of the cysteine type, Pseudomonas aeruginosa, Bacillus subtilis, which are known to be toxic. It is the case of Klebsiella pneumoniae, Serratia marcencens, Sarothamni scoparii flos that are provided from Salmonella typhimurium, Pseudomonas Bioscience Research, 2020 volume 17(2): 793-814 800
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea fluorescens and Escherichia coli. Fungal isolates problems for all life forms (de Oliveira et al., were Aspergillus niger, Aspergillus flavus, 2018). High concentrations of this toxic Penicilium expansum, Rhizopus stolonifer and substances in the human body induce deleterious Fusarium solani. This study also revealed that the ailments: skin diseases (Arsenic) (Tseng et al., highest occurrence contamination (100%) was 1968; Yeh et al., 1973; Schwartz, 1997), attributed to Bacillus subtilis for bacteria and neurological disorders and kidney damage Aspergillus niger for fungi and the lowest one to (Mercury) (Clarkson et al., 2003; Albers et al., Salmonella typhimurium (3%) and Rhizopus 1988), gastrointestinal effects and anaemia (Zinc) stolonifera (10%) (Omogbai and Ikenemomeh, (Broun et al., 1990; Plum, et al., 2010) brain 2013). neurotoxicity (Lead) (Marchetti, 2003), lung Viruses can surprisingly be the source of cancer, pulmonary oedema, respiratory distress, microbial contamination. Indeed, Japanese pneumonitis, bone disorder, liver and kidney researchers reported the case of a man infected damage (Cadmium) (Godt et al., 2006; Johri et al., by hepatitis E virus after few days passed in 2010). Each metal is defined by its limit value. China. The nucleotide sequencing suggests that This one is determined by the world health his hepatitis E was caused by infection with the organization and is of about 1 mg/kg Arsenic, 0.3 Chinese strain of the virus, via the CHM (Ishikawa mg/kg for Cadmium and 10 mg/kg for Lead (World et al., 1995). The plausibility of this hypothesis Health Organization, 1998). was verified since the victim confirms his trip in China four months prior to the onset of his Contaminants due to humans symptoms. Independently to microorganism Contamination of herbal teas can be of an contamination, the quality control of herbal teas anthropogenic origin. Human use pesticides and should take into account the eventual presence of fumigation agents to control or eradicate pests. microbial toxins like endotoxins and mycotoxins Pesticides are categorised according to their especially aflatoxin, for which several deleterious targets to insecticides, fungicides, nematocides, effects are known: mutagenic, carcinogenic, ascaricides, herbicides, molluscicides…etc. and to teratogenic, neurotoxic and nephrotoxic (Stević et their chemical structures to organochlorine al., 2012). The European Pharmacopeia has (dichlorodiphenyltrichloroethane, DDT), established a limit of 2 μg/ml as a limit value of organophosphorus, nitrogen-containing aflatoxin 1 not to exceed for some medicinal herbs pesticides…etc.) (Kosalec et al., 2009). As (Kosalec et al., 2009). pesticides, fumigation agents including ethylene oxide, methyl bromide and phosphine are harmful Contaminants that provide from environment for human health (Alavanja et al., 2004). Many contaminants occur naturally in the Overexposure to these toxic substances can ground and the atmosphere but the most trigger to the apparition of symptoms of the problematic factors that provide from the nervous system like headache, dizziness, environment are heavy metals and radioactivity. nausea…etc. (Abdollahi et al., 2004). The Despite of the existence of many radioactive European Pharmacopoeia has tabulated general sources, including radionuclides, radioactivity is limits for pesticides and fumigation residues. not of a real concern (de Smet et al., 1999). Methods for determinate the presence of these Heavy metals represent a group of inorganic compounds in herbal drugs are also set by some elements endowed of harmful risks. They are Pharmacopeias (Association, 1996). It is stable in the environment and can be found in important not to exceed these limits and respect particular high concentrations in some regions. the absence of unsafety levels of these toxic Heavy metals include lead, cadmium, arsenic, substances. chromium, copper, mercury and zinc. Some plants Also of a great interest and independently of have the ability to fix and accumulate these the above-mentioned categories, animal metals and therefore, can be used as substances represent potent contaminants of environmental contamination markers. Heavy herbal products. Indeed, surprising compounds metal pollution can have a natural origin and can be found in Chinese herbal teas. It is the case accumulate in the soil or result from the emission of thyroid hormones in herbal remedies with anti- of industrial wastes like gasoline, mine tailing, diabetic effects, suspected presence of ass hide paint…etc. (Nagajyoti et al., 2010; Wuana and glue and even, toad venom rich in toxic steroids Okieimen, 2011). and toxins (de Smet et al., 1999). Accumulation of heavy metals cause The quality assurance evaluation should Bioscience Research, 2020 volume 17(2): 793-814 801
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea warrant to the consumer a final product free from (Choudhary et al., 2011). Botanical evaluation of any inadvertent contaminant like microorganisms, herbal remedies includes both macroscopic and toxins, heavy metals, pesticide residues…etc. microscopic analysis, which requires the use of because the efficacy and the reliability of herbal qualitative and quantitative techniques. However, teas are closely related to their safety. Thus, it is due to the modern interest given to value-added important to specify constituents of herbal teas, products, macroscopic methods, based on which can be considered as markers to monitor sensory evaluation parameters (size, shape, the quality, by using analytical methods dedicated odour, colour, taste and texture) and habitually to this purpose. used to detect adulteration or misnaming species become insufficient especially when the native Parameters and methods of herbal tea quality plant structure is destroyed. The advent of control chromatographic techniques has facilitate the Quality control is based on four axes identification of herbal teas constituents and helps (Figure 2). It should investigate and have a regard to set quality standards. Also of interest is the on physical, chemical, botanical and biological study of biological and pharmacological aspects. Physico-chemical analysis covers the parameters including pharmacokinetics, determination of ash remaining after ignition of pharmacodynamics, stability, dosage, toxicity herbal products, moisture content, solubility, evaluation and chemical profiling of the herbal viscosity, foreign matter, on one hand, and the formulations (Choudhary et al., 2011). estimation of heavy metal, pesticide residue and mycotoxin, mentioned above, on the other hand Figure 2: Quality control of herbal teas Bioscience Research, 2020 volume 17(2): 793-814 802
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Analytical techniques aim to quantify the in a large range of matrices including biological, amount of active substances and thus determine environmental, clinical, geological samples and their biological effects on human health. Each herbal drugs. This widely used technique allows technique used is defined by its strengths and detection of both trace (µg/mL) and ultra-trace weaknesses, so before any analyse, analyst (subµg/mL) levels of metals (Venkatehswarlu and should choose the most appropriate method Gouthami 2015). The principle is based on among a large panel of those available. We shall measurement of the absorbed radiation, when summarize the most important of them and sample is excited by electromagnetic radiation. highlight on their characteristics. There are two variants of AAS: Flame atomic absorption spectroscopy (FAAS) and Electrophoresis methods Electrothermal atomic absorption spectroscory Electrophoresis dates from the seventies. (ETAAS) depending on the source of atomization Used to isolate and identify several products which can be flames or electrothermal atomizers, including drugs, antibiotics, coumarins, alkaloids, respectively (Smichowski and Londonio, 2018). flavonoids, Chinese herbal preparations…etc., AAS plays an important role in the analysis of this technique has rapidly proven its powerful herbal remedies, however, this method suffers separating capacity (Isaaq, 1999). The principle is from high detection limits ((Venkatehswarlu and based on the migration of particles, when an Gouthami 2015). In this field, AAS is especially electric field is applied. Many variants of used in quality control and several recent studies electrophoresis exist including gel electrophoresis, have used it for the evaluation of mineral or metal 2-D electrophoresis, isoelectric focusing, high- content in the herbal preparations including resolution electrophoresis, capillary electropho- magnesium, calcium, sodium, cadmium, zinc, resis (CE) and many others. However, CE is copper and others (Prkić et al., 2018; Afieroho et widely used in the quality control of herbal teas al., 2018; Al-Othman et al., 2012; Zhong et al., because of its rapidity, versatility and high 2016; Kalny et al., 2007; Cabrera et al., 2003). separation efficiency. It needs only few amounts of reagents when compared to the most popular Gas chromatography (GC) high performance liquid chromatography protocols Nowadays, GC continues to prove its merit and allows analysis of either small molecules of and eminence among other analytical techniques low molecular weight like drugs or in the field of quality control. This technique macromolecules like nucleic acids and proteins. It responds to the principle of the redistribution of can also be paired to chromatography and thus, compounds present in a mixture, between a allowing to confirm obtained results. However, stationary phase which is a liquid, a solid or both enhancing the resolution of capillary and a mobile phase in the form of gas, this is why electrophoresis has been detrimental to its this technique is also called gas liquid reproducibility (Shulammithi et al., 2016). CE can chromatography (Shulammithi et al., 2016). Main address the numerous issues of food authenticity advantages of this method are its high selectivity, of health concern including beverages, fruit and sensitivity, resolution, good accuracy and vegetable, meals…etc. in order to avoid precision. It can be also used for a wide dynamic adulterations and ensure safety to consumers. concentration range (Santos and Galceran, 2002). Recently, many studies have been reported However, the most serious disadvantage is its unravelling the use of such techniques in herbal lack of suitability for thermo labile and non-volatile tea remedies (Liu and Sheu, 1992; Başkan et al., compounds (Shulammithi et al., 2016). GC can be 2007). As an example of application, the coupled to other techniques like mass determination of flavonoid amounts and inorganic spectrometry and find applications, for instance, in cations can be achieved using CE (Carducci et determination of the presence of volatile al., 2000; Chi et al., 2009). pesticides residues in Chinese teas, by providing quantitative and qualitative information (Figure 3) ( Atomic absorption spectroscopy (AAS) Huang et al., 2007; Lozano et al., 2012; Schurek AAS is no longer restricted to the knowledge et al., 2008). of some scientists, chemists or even astrophysicists, this technique has gained territory and is now extended to the medical and pharmaceutical fields. AAS is particularly convenient for the determination of heavy metals Bioscience Research, 2020 volume 17(2): 793-814 803
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Figure 3: Qualitative and quantitative determination of herbal teas by using different analytical tools teas as it allows a good and reproducible Introduction of the two-dimensional GC in separation of caffeine, catechins, theobromine, recent years allows overcoming problems gallic acid and theophylline (Sharma et al., 2005). encountered with the mono-dimensional GC Some techniques have been optimized in order to related to the difficult separation of individual gain in efficacy with a higher separation power like constituents of complex mixtures in some cases of reversed-phase HPLC (RP-HPLC), which is the phytochemical study especially that of herbal teas most one widely used in the analysis of herbal (Mondello et al., 2005). Bi-dimensional GC can, in teas, micellar electro kinetic capillary turn, be coupled to a mass spectrometer, and chromatography (MECC), high speed counter when a high resolution time-of-flight (TOF) mass current chromatography (HSCCC), strong anion spectrometer is used, it gives rise to a powerful exchange HPLC (SAX-HPLC) and low pressure tool in the identification of bioactive compounds size exclusion chromatography (SEC) present in some medicinal plants (Cao et al., (Shulammithi et al., 2016). However, simple HPLC 2011). As an example of application, GC was is not able to provide qualitative information or used for the determination of a pool of flavonoids structure elucidation and must be coupled to in Krachaidum, a Thai herb, despite of the HPLC-Infra rouge, HPLC- Nuclear magnetic similarity and polarity of these compounds in this resonance and HPLC-Mass spectroscopy. herb. This study pointed out the efficiency and Advances in HPLC offer a powerful tool for the rapidity of GC compared to HPLC in determining investigation of quality control of herbal teas and detecting flavonoids in a reasonable time (Zimmermann et al., 2011). For instance, ultra (Sutthanut et al., 2007). HPLC (UHPLC), using sub-2 µm particle size column, allows analysis nine times faster than High-performance liquid chromatography traditional HPLC even it is costly. The most (HPLC) common detection method used in HPLC analysis HPLC, also known as High Pressure is single wavelength UV detector. However, due Liquid Chromatography, is one of the most its inability to detect non-chromogenic popular techniques defined by a wide spectrum of compounds, mostly present in herbal remedies, use including clinical chemistry, pharmaceutical an another method is used in a recent decade, it industry, food and environmental analyses, is about the evaporative light scattering detection synthetic chemistry…etc. (Olsen et al., 2006; (ELSD), which is an excellent detection method Zotou et al., 2012). This analytical technique has convenient for chromogenic compounds gained its popularity because of its reliability, (Shulammithi et al., 2016). versatility, good repeatability, easiness to use and non-restriction to volatile samples (Shulammithi et al., 2016). HPLC is applied to all kinds of herbal Bioscience Research, 2020 volume 17(2): 793-814 804
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Liquid chromatography-mass spectrometry in vitro studies are carried out in the research (LC-MS) centers (chemical and toxicological) on the basis Thin-layer chromatography (TLC) is a of clinical outcome. However, other researches method for the detection of fingerprint of plants. prefer the way back. It begins with in vitro studies TLC is a simple and inexpensive method. that consist of isolating bioactive molecules from However, the separation and detection of plants without taking into consideration their molecules by TLC are limited. LC-MS has become traditional medicinal knowledge. These bioactive the preferred method for the analysis of molecules isolated from plants are given to multicomponents of herbal teas (Figure 3). For patients (Chadwick et al., 2008). These studies example, the tea Psoralea corylifolia is widely consider, in this case, that the plant is made up of used in China for its anti-cancer, antioxidant and a single bioactive molecule while it consists of antibacterial properties. This herbal tea was thousands of different molecules. The plant is not analyzed by LC-MS which was able to identify the a unique molecule but it works by mechanism of identity of several molecules of this herbal tea. synergy between all molecules present in the Another example is the analysis of multirrhzia mixture. Other studies prefer to use laboratory salivia-based herbal tea by LC-MS, which animals to test plant preparations from traditional revealed the presence of non-polar diterpenoids Brazilian folk medicine (Chadwick et al., 2008). as they have beneficial effects on cardiovascular Based on the animal results they selects plants and cerebral diseases. The use of LC-MS has that have more therapeutic effects and less risk of helped to prove the quality and effectiveness of toxicity and introduces them into the health herbal teas for the treatment of brain and services. Some preparations of herbal teas cardiovascular diseases. For example, LC-MS appear to be inactive when used for in vitro tests revealed the presence of the stemona alkaloids of such as the use of some solvent of extraction that therapeutic interest in herbal teas based on can suppress the activity of the plant (Chadwick et Sanicula tuberosa. This alkaloid cannot be al., 2008). However, the use of herbal teas by detected by HPLC-UV because it is not sensitive traditional medicine as a decoction protects the to direct UV detection due to the absence of UV activity of the plant. These traditional medicine absorbing chromophores. Another example is the have experience directly on the human being and herbal tea Caulerpa racemosa largely used in have tested through seals thousands of remedy traditional medicine for the treatment of fever and (Chadwick et al., 2008). Other studies consider insomnia. The analysis of this tea by the HPLC- that in vivo testing of human is impossible to test UV is used to detect the presence of diterpenes toxic plants because the human body is not as glucosides however analysis by LC-MS is strong as the body of animals. In addition, the employed to reveal the presence of saponins in exposure time in clinical trials of human this tea. Another example is the Naodesheng tea volunteers is limited and prefers in vitro tests on which is indicated for the treatment of cerebral isolated cells, tissues or enzyme receptors arteriosclerosis and ischemic stroke. The LC-MS (Chadwick et al., 2008). However, according to analysis of this herbal tea revealed the presence these studies, it is limited to a single target of ten types of flavones and ginsenosides. These whereas the herbal teas consist of plants that can molecules are particularly discovered with the LC- have several targets when they entered the body. MS. In addition, the recent use of LC-MS has The results of in vivo clinical studies have helped allowed the quantification of molecules in complex to reveal the effects of medicinal plants on several herbal teas. diseases. On the other hand, they could not explain the mechanisms of action at the cellular Biological analysis: In vitro and in vivo tests of and molecular level (Liu, 2011). Other studies herbal teas have demonstrated differences between in vivo Biological analysis tests of plants are tests in animals and humans. For example, various. There are studies that prefer in vivo Cryptolepis sanguilolenta extracts are active testing while others support in vitro testing for against human infections while they are inactive plant analysis. For example, China has directly against infections in animal. This shows that the introduced traditional Chinese medicine human body's reaction to plants is not the same in knowledge in hospitals. Plants are selected on the animals. Same as the results of testing plants on basis of traditional medical practices and are animals are not always applicable in humans. introduced in hospitals for in vivo clinical evaluation (Chadwick et al., 2008). Therefore, the Bioscience Research, 2020 volume 17(2): 793-814 805
Belfarhi et al., Medicinal Proprieties and Toxicology of Herbal Tea Commercial aspect Vie", "Slimnat System", "Ali" and "FVR". There are other brands of herbal teas produced in Algeria Preparation of commercial herbal mixtures such as "Imane with ginger and honey lemon" for Commercial herbal teas are prepared either intestinal gas. In the same range, there is "Imane by street vendors or by individual traditional ginger honey jujube" to treat cough, bronchitis, healers. They are often packaged in recycled pneumonia, colds and hypotension. Other bottles with handwritten labels. Other types of companies in Algeria produce cholesterol herbal commercial herbal teas are manufactured in large tea for the treatment of cholesterol excess and the quantities by professionals and private contractors prevention of its high levels. There is also the in factories (Ndhlala et al., 2011). Despite the karkade derived from Hibiscus sabdariffa which is attempts to modernize and standardize used for reducing the risk of cardiovascular commercial herbal teas, it still retains the social diseases. The existence of this type of herbal teas heritage of the people. For example, Ibhubezi tea used for their action on the heart can lead to is prepared in a large volume of water and health risks for patients suffering of heart patients must take a quarter of this tea to cure problems. These herbal teas are formulated by fungal or influenza infections (Ndhlala et al., plants containing cardiotonic components that can 2011). Another example is kava tea which has lead to cardiac arrest. long been marketed for its anti-anxiety effects Another brand of herbal tea "Walada bébé", while it is one of the commercial herbal teas that manufactured locally, has for action the cause hepatitis. However, the same kava tea was stimulation of lactation. This herbal tea can be prepared by traditional methods did not cause any dangerous for the baby because it is not cases of hepatitis. The methods of preparing controlled and can contain unknown components herbal teas range from simple brewing processes that can pass to the baby through breast milk. to more complex procedures that use alcohol and There is also brands of herbal teas especially other organic solvents to dissolve the essences of devoted to lose weight like: "Soltane rahat el bal", the plant. In some cases, the addition of drugs, "Dr. Ming’s", "Sliming Herb" and "Ritcher's". This such as aspirin, has been registered for certain herbal tea has the property of acting on the types of herbal teas (Cano et al., 2004). bladder to lose weight but by this action, dramatic Preparations of herbal teas used as sedatives risks leading to death can occur due to the loss of mainly contain aromatic plant species, rich in water resulting from the stimulation of the bladder. active essential oils, which exert an Another example of herbal teas in Algeria is the antispasmodic, antibacterial and soothing effect soothing baby tea number 8. This herbal tea for the stomach (Cano et al., 2004). The number facilitates the baby's sleep. It is constituted by the of plants which enter into the preparation of herbal linden plant. Studies have shown that the linden teas can increase their therapeutic effects as they inhibits lipase which increases the temperature of may decrease like it is the case for the Echenacea infants and prevents their growth (Chantre et al., pupasea herbal tea which has more effects when 2002). Other studies have shown that lipid it is prepared alone. Other plants diminish their degradation by lipase inhibition leads to cancer effectiveness (Hudson, 2016). Some methods of development (Greenberg et al., 1992). herbal tea preparation can influence the final In Algeria, herbal teas market is growing concentration of their active substances. This is significantly and is based mainly on imports. the case of glucofrangulin molecules that are not However, imports are not subject to control of found in the herbal tea by simple infusion. To plant performance, quality and toxicity. In addition, recover these molecules in the final concentration the trade of herbal teas in Algeria is not evolved of the tea buckthorn bark, the method of around a structured legislative control. The preparation used is the decoction five minutes pharmaceutical regulation covers both medicinal followed by two hours of infusion (Jean et al., products for human and veterinary uses and 2008). includes a series of laws such as the order of June 25th, 2005 laying down the procedure and Therapeutic herbal tea market in Algeria expertise of a pharmaceutical product subject to The consumption of herbal teas in Algeria is registration. There is also the law n° 85-05 of 26 growing rapidly. Several import brands can be Joumada El Oula 1405 corresponding to the found in the market (Derouiche and Abdelnnour, February 16th, 1985 relating to the protection and 2017). There are, for example, diet herbal tea "Dr. the promotion of the health, modified and Ming’s", "Sliming Herb", "Ritcher's", "Santé et supplemented by the executive decree n° 92-284 Bioscience Research, 2020 volume 17(2): 793-814 806
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