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IMPORTANCE OF GARLIC (ALLIUM SATIVUM): AN EXHAUSTIVE REVIEW

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Abstract

Allium sativum, also known as Clove Garlic is part of the Lilliceae plant family. Garlic is a member of the onion family and is one of nature's most versatile medicinal plant. The name " Allium sativum " is derived from the Celtic word " all " , meaning burning or stinging, and the Latin " sativum " meaning planted or cultivated. The English word, garlic, is derived from the Anglo-Saxon " gar-leac " or spear plant, referring to its flowering stalk. Garlic is used as a traditional dietary supplement for diabetes in Asia, Europe, and the Middle East. In addition to its reputation as a healthy food, Garlic has shown anti-viral, anti-bacterial, antifungal, antioxidant, anti-atherosclerotic and anti-cancer properties.
REVIEW ARTICLE
Journal of Drug Discovery and Therapeutics 1 (4) 2013, 23-27
*Corresponding author: Prof. Satyanand Tyagi
Page23 Page23
Page23
Page23
ISSN: 2320 - 4230
IMPORTANCE OF GARLIC (ALLIUM SATIVUM): AN EXHAUSTIVE REVIEW
*Prof. Satyanand Tyagi1, Patel Chirag J2, Dadarwal Poonam3, Mangukia Dhruv3, Sojitra Ishita4, Zubair Khalid Labu5, Anil Kumar Gupta6, Kalpen N
Patel7
1President & Founder, Tyagi Pharmacy Association (TPA) & Scientific Writer (Pharmacy), Chattarpur, New Delhi, India-110074.
2Editor-in-Chief, Tyagi Pharmacy Association (TPA) & Scientific Writer (Pharmacy), Chattarpur, New Delhi, India-110074.
3Department of Pharmaceutics, Maharishi Arvind Institute of Pharmacy, Mansarovar, Jaipur, Rajasthan, India-302020.
4Department of Pharmaceutics, Parul Institute of Pharmacy, Vadodara, Gujarat, India-391760.
5Department of Pharmaceutics, Associate Professor, World University of Bangladesh (WUB), Dhanmondi, Dhaka, Bangladesh-1205.
6Research Scholar, Bhagwant University, Institute of Pharmacy & Research Center, Ajmer, Rajasthan, India-305004
7Department of Pharmaceutics, Shree Krishna Institute of Pharmacy, Shankhalpur, Becharaji, Mehsana, Gujarat, India-384210
ABSTRACT
Allium sativum, also known as Clove Garlic is part of the Lilliceae plant family. Garlic is a member of the onion
family and is one of nature's most versatile medicinal plant. The name “Allium sativum” is derived from the Celtic word
“all”, meaning burning or stinging, and the Latin “sativum” meaning planted or cultivated. The English word, garlic, is
derived from the Anglo-Saxon “gar-leac” or spear plant, referring to its flowering stalk. Garlic is used as a traditional
dietary supplement for diabetes in Asia, Europe, and the Middle East. In addition to its reputation as a healthy food,
Garlic has shown anti-viral, anti-bacterial, antifungal, antioxidant, anti-atherosclerotic and anti-cancer properties.
KEY WORDS: Garlic, Allium sativum, Anti-bacterial, Food
INTRODUCTION:
Garlic is a perennial bulb, thought to be indigenous to
Central Asia, Siberia and west of the Himalayas and has
been grown in England from before 1540. It is now widely
cultivated all over the world1.
Garlic is a common food for flavor, spice and it is one of the
herbs most commonly used in modern folkloric medicine.
Garlic was an important medicine to the ancient Egyptians
as listed in the medical text Codex Ebers (ca.1550 BC)
especially for the working class involved in heavy labor
because it was an effective remedy for many aliments such
as heart problems, headache, bites, worms and tumours2,
3.
Garlic (Fig. 1) is a bulbous perennial herb, closely related to
the onion. It has a tall, erect flowering stem that reaches 2-
3 feet in height. The plant has pink or purple flowers that
bloom in mid to late summer. The part used medicinally is
the bulb. European standards specify that garlic
supplements contain not less than 0.45% allicin1.
Figure 1: Garlic (Allium sativum)1
MEDICINAL SPECIES: Allium sativum
BOTANICAL FAMILY: Liliaceae/Alliaceae/Amaryllidaceae
COMMON NAMES (SYNONYMS): Garlic (Eng.), lasun
(Hindi), Rasonam & Lahsuna (Sanskrit), Knoblauch (Ger),
Knoblauchzweibel (Ger), da suan (Chin), taisan (Jap), inniku
(Jap), taesan (Kor), tafanuwa (Hausa), ayo-ishi (Igbo),
kitunguusumu (Swahili), ayu (Yoruba), lobha (Nepalese)4
GEOGRAPHICAL SOURCE: Central Asia, Southern Europe,
USA, India
CHEMICAL CONSTITUENTS: Alliin is an odorless sulfur-
containing chemical derived from the amino acid cysteine.
When garlic bulbs are crushed, Alliin is converted into
another compound called Allicin. Allicin is further broken
down to a compound called Ajoene, which may be the
substance that inhibits blockage in blood vessels from clots
and atherosclerosis.
Allicin (released when crushed) an amino acid
which gives Garlic its strong odor and is responsible for the
powerful pharmacological properties of the plant
Germanium
Magnesium
Selenium
Vitamin A
Vitamin C
Volatile oil of which about 0.5% is composed of
sulfur-containing compounds
Zinc
It also contain 65% water, 28% carbohydrate, 2.3%
organosulphur compound, 2% proteins, 1.2% Free amino
Prof. Satyanand Tyagi, et al. / Journal of Drug Discovery and Therapeutics 1 (4) 2013, 23-27
Vol.1 Issue 4. April-2013
Page24
acid (mainly arginine), 1.5% fiber, 0.15% lipids, 0.08%
phytic acid, 0.07% saponins1, 4.
VARIETIES:4
There are two types of garlic, the hard neck and soft
neck type. Genetically there are 10 major varieties or types
within these two categories. Climate can have significant
impact on both taste and scape production, and a variety
considered a soft neck in one location may produce a
flower in another. This has lead to the renaming of many
strains that may instead be genetically the same plant. In
Bhutan the variety Namlo Jagbvxcvey is grown, however
this writer was unable to find reference to this variety in
any neither of the books, nor on the internet consequently.
It is possible that the aforementioned variety is an example
of such a case. Due to the inability to identify the origin of
this variety this writer is also unable to distinguish if this is
a soft neck or hard neck variety.
1. Hard neck varieties (Allium sativum var ophioscorodon)
Hard neck varieties produce a flower stalk (scape),
and are often termed as bolting or topsetting varieties.
Flowers if they are produced usually abort and form bulbils
instead. These are small aerial cloves which are genetically
the same as the parent plant. If the aerial cloves are used
for propagation they will produce a bulb, but these well be
small and take 2-3 years before the bulb reaches
marketable size. Hard necks produce 4-12 cloves per plant,
they can’t be braided because of a hard flower stalk and do
not store well as roots and cloves dry after a few months.
Typical hard neck varieties are “Rocambole,” “Purple
Stripe” “Glazed Purple Stripe,” “Marbled Purple Stripe,”
and “Porcelain,” Other varieties are Asiatic, Crecole and
Turban. In cold climates hard neck varieties can be just as
productive, or even more productive as soft neck varieties.
2. Soft neck varieties (Allium sativum var sativum)
Soft neck varieties do not normally produce a
flower stem. These are the most common varieties used
for commercial cultivation, due to minimal flower stalk and
bulbil production which generally makes them more
productive because all the energy goes to producing a
bulb, while in hard necks it is diverted to scape production.
In some soft necks a partial flower stalk can be produced
and bulbils will form directly above the bulb. Soft neck
varieties normally have a longer shelf life than hard necks
and store for up to six to eight months. Soft necks are also
easily braided and contain 10-40 cloves per plant. Soft neck
varieties are “Artichoke” and “Silverskin”.
PHARMACOLOGICAL STUDY:4, 5
S-allyl cystein sulfoxide (SACS), the precursor of
Allicin and garlic oil, is a sulphur containing amino acid,
which is believed to account for most of its medicinal
properties i.e, controlled lipid peroxidation better than
Glibenclamide and Insulin. It also improved diabetic
conditions. SACS also stimulatedin vitro insulin secretion
from beta cells isolated from normal rats.
Anti-diabetic effects: The component Allicin increases
hepatic metabolism increases the release of insulin. It
exhibits Insulin sparing effect by competing with the insulin
activating compound as a result more insulin becomes free
to act and exert greater antidiabetic effects.
Action1:
1. Anti-bacterial [an agent that destroys bacteria;
bactericide]
2. Antibiotic [an agent that destroys or stops the growth
of micro-organisms] (a powerful natural antibiotic which
does not destroy the body's natural flora)
3. Anthelmintic [an agent that destroys or expels
intestinal worms and/or parasites; vermicide; vermifuge]
4. Antioxidant [contributing to the oxidation of free
radicals which are believed to contribute to premature
aging and dementia] (very potent one)
5. Antispasmodic [an agent which relieves or eases
muscular spasms, cramps or convulsions]
6. Blood thinner
7. Carminative [an agent for easing griping pains, colic
and expelling gas from the intestines]
8. Anti-cancerous activities
9. Anticoagulant [an agent that prevents the formation of
clots in a liquid, as in blood]
10. Antiseptic [an agent for inhibiting the growth of
microorganism on living tissue or destroying pathogenic or
putrefactive bacteria]
11. Anti-tumor (inhibits tumor cell formation)
12. Anti-viral [an agent that destroys viruses]
13. Cholagogue [an agent for increasing the flow of bile
into the intestines]
14. Diaphoretic [an agent that promotes perspiration]
15. Digestive [aids the digestive system]
16. Diuretic [an agent that increases the volume and flow
of urine which cleanses the urinary system]
17. Expectorant [an agent that promotes the discharge of
mucous and secretions from the respiratory passages]
18. Febrifuge [an agent that reduces or eliminates fevers]
19. Stomachic [an agent that strengthens, stimulates or
tones the stomach]
20. Stimulant [an agent that excites or quickens the
functional activity of the tissues giving more energy]
USAGE OF GARLIC1, 4, 5, 6
Medicinal Parts Used: Fresh bulbs, dried bulbs, and Garlic
oil
Culinary uses:
It is an important spice or condiment and is chiefly
used for flavouring and seasoning vegetable and meat
Prof. Satyanand Tyagi, et al. / Journal of Drug Discovery and Therapeutics 1 (4) 2013, 23-27
Vol.1 Issue 4. April-2013
Page25
dishes. Most often the bulb is used either eaten raw or
cooked. When cooked the whole bulb can be roasted in
olive oil in an oven and eaten whole, or the cloves are used
as flavouring. Garlic can also be dehydrated and preserved
in oil. When home preserving in home care must be taken
no get botulism, this can be avoid by refrigerating and not
keeping for more than two weeks. Garlic can also be
pressed for its oil, and pickled. The garlic flower stems
(scapes) are also edible and used in cooking. It is used
similar to chives but has a more mild taste.
Medicinal uses:
1. Bacterial and Viral Conditions
Fights bacteria like an antibiotic
Inhibits the growth of different species of
bacteria
Garlic is reported to be more effective than
penicillin against:
The organisms responsible for cholera,
dysentery and enteritis
Paratyphoid disease
Putrefactive intestinal bacteria
Streptococcus and staphylococcus
bacteria
Typhus disease
One medium clove of Garlic can equal the
antibacterial action equivalent to 1%
penicillin
Blood Conditions
Dissolves blood clots
Reduces fat levels in the blood
2. Cardiovascular Conditions
Angina pectoris
Arteriosclerosis
Balances blood pressure
Decreases triglycerides
Helps maintain healthy circulation
Helps prevents atherosclerosis (plaque
buildup in the arteries causing blockage
and possibly leading to heart attack or
stroke)
Improves circulation
Lowers blood pressure
May prevent blood clots
Mild hypertension
Prevents thrombosis (counteracts the
tendency of clot forming cells to stick
together within the blood vessels)
Protects against cardiovascular disease
Reduces blood pressure in hypertensive
conditions
Thins the blood (which reduces the risk of
heart attack and stroke)
3. Ear Conditions
Garlic oil drops can be used for
Earache
Ear infection are put in the ears for and
Otitis media, (an ear infection) a
combination herbal extract (also used as
ear drops) containing
Garlic
Calendula,
Mullein flower
St. John's Wort
4. Brain and Nervous System Conditions
Epilepsy
Hysteria
5. Gastrointestinal Conditions
Chronic stomach and intestinal catarrh
Digestive infections
Relieves belching and heaviness
Relieves colic
Relieves gas (flatulence)
Relieves nausea
Rids the body of intestinal parasites,
especially pinworms
Stimulates the activity of the digestive
organs
Ulcers
6. Immune System Conditions
Fights infection
Improves resistance to infection
Increases the activity of white blood cells
and T-helper cells (natural killer cells), the
cells that are central to the activity of the
entire immune system infections of the
body
Preventative measure for infectious
diseases
Stimulates the body's natural defenses
against foreign invaders
Protects cell membranes and DNA from
damage
7. Inflammatory Conditions
Arthritis
Infantile catarrh
8. Genitourinary Conditions
Dropsy
Urinary infections
Fluid retention
9. Respiratory Tract Conditions
Asthma
Breathing difficulties
Chronic bronchitis
Colds (reduces symptoms faster)
Prof. Satyanand Tyagi, et al. / Journal of Drug Discovery and Therapeutics 1 (4) 2013, 23-27
Vol.1 Issue 4. April-2013
Page26
Coughs and hoarseness
Inhibits the growth of the bacteria,
Mycobacterium tuberculosis, the organism
responsible for tuberculosis (high doses)
Preventative measure for colds and
influenza
Sinusitis
Upper respiratory infections (especially
infections deep in the lungs and throat and
in the nasal passages or sinuses)
10. Metabolic Conditions
Balances blood sugar
Late-onset diabetes
11. Liver Conditions
Lowers cholesterol while increasing the
level of beneficial HDL's (high-density
lipoproteins) the so-called good
Cholesterol
May help lower homocysteine levels
(similar to cholesterol which may
contribute to increasing amounts of blood
clots and plaque in blood vessels)
Regularizes liver and gallbladder activity
Stimulates the production of the liver's
own detoxifying enzymes which neutralize
carcinogens and other
Environmental toxins
12. Parasitic Conditions
Ascaris lumbricoides (roundworm)
especially fresh, raw Garlic
13. Skin Conditions
Acne
Cutaneous eruptions
Pimples
14. Other Conditions
Cancer (people who include more raw or
cooked garlic in their diet are less likely to
have certain types of cancer especially:
Colon cancer
Stomach cancer
Skin cancer
15. Dietary Garlic may also offer some protection
against the development of:
Breast cancer
Laryngeal (throat) cancer
Prostate cancer
Stimulates cell growth and activity
Tumors
Wounds
16. Externally: Garlic is used in Oil,
Ointments or Poultices for:
Abscesses
Arthritis
Dispelling hard swellings
Earaches
Insect bites
Scrofulous sores
Toothache
Wounds
DOSAGE1:
1. Whole Garlic clove - 2-4g/day fresh, minced garlic
clove (each clove is approximately 1g)
2. Dried - 600-900mg daily
3. Infusion: 4 grams in 150 mL of water/day
4. Fluid extract of 1:5 4 mL/day
5. Oil - 0.03-0.12mL 3/day
GARLIC SUPPLEMENTS/PREPARATIONS1:
1. Essentional oil (Garlic oil)
2. Dehydrated powder (Garlic Powder)
3. Pills
4. Oil macerate
5. Extract
DRUG INTERACTIONS1
Do not use Garlic supplements without first talking to your
healthcare practitioner if taking any of the medications
below:
1. Antiplatelet medications (Garlic may exaggerate
the activity of medications that inhibit the action of
platelets in the body) including:
aspirin
dipyridamole
indomethacin
2. Blood-thinning medications (large quantities of
Garlic, either fresh or commercially prepared may
increase the risk of bleeding) including:
aspirin
warfarin
3. Sulfonylureas - A class of diabetes medications
(Garlic may lower blood sugar considerably so
when using Garlic with these medications, blood
sugar levels should be monitored must be followed
closely) including:
chlorpropamide
glimepiride
glyburide.
4. Protease inhibitors - a medication used to treat
people with the human immunodeficiency virus
(HIV) (Garlic may reduce blood levels of protease
inhibitors) including:
indinavir
ritinavir
Prof. Satyanand Tyagi, et al. / Journal of Drug Discovery and Therapeutics 1 (4) 2013, 23-27
Vol.1 Issue 4. April-2013
Page27
saquinavir.
5. Statins - a class of cholesterol lowering
medications (Garlic may behave similarly to
Statins) including:
atorvastatin
lovastatin
6. ACE inhibitors - a class of blood pressure lowering
medications (Garlic may behave similarly to ACE
inhibitors so it is recommended not to take large
quantities of Garlic with any of these medications)
including:
captopril
enalapril
lisinopril
SIDE EFFECTS1, 4:
Side effects may include:
Internally:
upset stomach,
bloating,
bad breath,
body odor
headache
fatigue
loss of appetite
muscle aches
vertigo
allergic asthmatic reaction
Externally:
A stinging sensation on the skin from handling too much
fresh or dried garlic can cause blistering if applied to
delicate skin handling may also cause the appearance of
skin lesions contact dermatitis (skin rash). Due
to Garlic's blood-thinning properties it should not be used
by people:
with bleeding disorders such as:
hemophilia
platelet disorders
Too much Garlic can increase your risk for bleeding during
or after:
delivering a baby
undergoing surgery
Conclusion:
According to the US Food and Drug Administration survey
of 900 People, garlic stands as the second most utilized
supplement. In its medicinal use garlic preparation are
given in whooping cough and other lung diseases, stomach
complaints (as ulcers of the intestines) disorders resulting
from child birth and as a specific remedy for sore eyes and
earache. During the plague it in 1722 in Marseilles it was
the principle ingredient for the four thieves vinegar a
protective ointment. The ointment was given the name
from the confession of four thieves who used a mixture of
garlic and vinegar to protect themselves from the plague
while they plundered the riches from dead. In World War II
and many of the earlier wars garlic was used as an
antiseptic to treat the wounded.
REFERENCES:
1. http://www.globalherbalsupplies.com/herb_informati
on/garlic.htm
2. Tattelman E. Health effects of Garlic. Complementary
and Alternative medicine 2005; 72(1): 103-106.
3. Thomson M. Anti-diabetic and hypolipidaaemic
properties of Garlic (Allium sativum) in strepozotocin
induced diabetic rats. International Journal of Diabetes
& Metabolism 2007; 15: 108-115.
4. http://cms.cnr.edu.bt/cms/files/docs/File/vegetable%2
0production/Study%20guides/garlic%20cms.pdf
5. Kemper J, Kathi. Garlic (Allium stivum). The Longwood
Herbal Task Force - The center for Holistic Pediatric
Education and Research 2000; 8: 36-72.
6. Eidi A. Antidiabetic effect of garlic (Allium sativum L.) in
normal and streptozotocin induced diabetic rats.
Phytomedicine 2006; 13: 624-629.
7. Harde P. Antidiabetic Herbal drugs- A Review.
Pharmacophore- An International Research Journal
2012; 3(1): 18-22.
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Objective: The aim: To substantiate the need of wider use of species in dietician rehabilitation of patients with poly- and comorbidity, postcovid syndrome based on the analysis of the latest scientific achievements with the study of their pharmacological properties. Patients and methods: Materials and methods: The information search in printed and electronic editions, search scientific bases with application of methods of the analysis, comparison and generalization of information data is carried out. Conclusion: Conclusions: New scientific data on the pharmacological properties of spices give grounds to use them more widely in the rehabilitation of patients with poly- and comorbidities and infectious processes.
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Vegetables are one of the first-born foods known to man. Vegetables are the natural essential food of human. They contain considerable amounts of crucial nutrients in a rational proportion. Holy Quran is one of the reference books describing the significance of plants used for diverse diseases in many verses. In observation of the significance of this study widespread data was collected from Holy Quran and Ahadith`s books; Current outcomes confined to several higher plant species are: Allium cepa L, Allium sativum L. Cucumis sativus L. Lagenaria siceraria, Lagenaria siceraria L. and Hordeum vulgare L. consequences were scientifically organized by alphabetical order of botanic names observed by English name, family, parts used, medicinal uses and references mentioned from Holy Quran and Ahadith. There are numerous verses in Quran talking about the vegetables, including; onions, garlic, zinger, barley, kadoo etc. What has been cited in the Quran is what researchers have done over the time, since the Quran is governed by logic. While we do not know the causes for various effects in the Quran, we consider it as the substance.
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In this study the hypoglycaemic, hypocholesterolaemic and hypotriglyceridaemic effects of garlic were studied in streptozotocin (STZ)-induced diabetic rats. Compared to normal (non-diabetic) rats, STZ-induced diabetic rats had approximately 200% higher serum glucose, 50% higher serum cholesterol and 30% higher serum triglyceride levels as well as 86% higher urinary protein levels. Daily treatment of STZ-induced diabetic rats with an extract of raw garlic (500mg/kg intraperitoneally) for seven weeks significantly lowered serum glucose, cholesterol and triglyceride levels. Compared to control diabetic rats, garlic-treated rats had 57% less serum glucose, 40% lower serum cholesterol levels and 35% lower triglyceride. In addition, urinary protein levels in garlic-treated diabetic animals were 50% lower compared to the diabetic controls. In contrast, the increased urine output and water intake of diabetic rats were not affected by garlic treatment. These results indicate that raw garlic possesses a beneficial potential in reversing proteinuria in addition to reducing blood sugar, cholesterol and triglycerides in diabetic rats. Therefore, garlic could be of great value in managing the effects and complications of diabetes in affected individuals.
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The antidiabetic effect of garlic ethanolic extract (Allium sativum L.) was investigated in normal and streptozotocin-induced diabetic rats. In the present study, oral administration of garlic extract (0.1, 0.25 and 0.5 g/kg body wt.) for 14 days on the level of serum glucose, total cholesterol, triglycerides, urea, uric acid, creatinine, aspartate amino transferase (AST) and alanine amino transferase (ALT) in normal and streptozotocin-induced diabetic rats were evaluated. Oral administrations of the garlic extract significantly decreased serum glucose, total cholesterol, triglycerides, urea, uric acid, creatinine, AST and ALT levels, while increased serum insulin in diabetic rats but not in normal rats (p<0.05). A comparison was made between the action of garlic extract and glibenclamide (600 microg/kg), the known antidiabetic drug. The antidiabetic effect of the extract was more effective than that observed with glibenclamide. It is concluded that the plant must be considered as excellent candidate for future studies on diabetes mellitus.
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Traditional medicines derived from medicinal plants are used by about 60% of the world's population. This review focuses on Indian herbal drugs and plants used in the treatment of diabetes, especially in India. Diabetes is an important human ailment afflicting many from various walks of life in different countries. In India it is proving to be a major health problem, especially in the urban areas. Though there are various approaches to reduce the ill effects of diabetes and its secondary complications, herbal formulations are preferred due to lesser side effects and low cost. A list of medicinal plants with proven antidiabetic and related beneficial effects and of herbal drugs used in treatment of diabetes is compiled. These include Allium sativum, Eugenia jambolana, Momordica charantia, Ocimum sanctum, Phyllanthus amarus, Pterocarpus marsupium, Tinospora cordifolia, C. indica, Helicteres isora, Stevia rebaudiana, Gymnema sylvestre, Enicostemma littorale Blume.
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Garlic has long been used medicinally, most recently for its cardiovascular, antineoplastic, and antimicrobial properties. Sulfur compounds, including allicin, appear to be the active components in the root bulb of the garlic plant. Studies show significant but modest lipid-lowering effects and antiplatelet activity. Significant blood pressure reduction is not consistently noted. There is some evidence for antineoplastic activity and insufficient evidence for clinical antimicrobial activity. Side effects generally are mild and uncommon. Garlic appears to have no effect on drug metabolism, but patients taking anticoagulants should be cautious. It seems prudent to stop taking high dosages of garlic seven to 10 days before surgery because garlic can prolong bleeding time.
Garlic (Allium stivum). The Longwood Herbal Task Force -The center for Holistic Pediatric Education
  • J Kemper
Kemper J, Kathi. Garlic (Allium stivum). The Longwood Herbal Task Force -The center for Holistic Pediatric Education and Research 2000; 8: 36-72.
Health effects of Garlic. Complementary and Alternative medicine
  • E Tattelman
Tattelman E. Health effects of Garlic. Complementary and Alternative medicine 2005; 72(1): 103-106.