Sweet basil
Ocimum basilicum
Also calledKemangi (Indonesian)
The familiar kitchen herb, used medicinally from India and Southeast Asia to Persia and Africa for colds, coughs, fever and digestive complaints. A handful of small Iranian and Indian trials have tested basil syrup for anxiety, basil oil for knee osteoarthritis and basil mouthwash for gingivitis; the essential oil can contain large amounts of estragole, a compound EMA treats as a genotoxic carcinogen.
What it is used for
- Anxiety and nervous tensionLimited
In a single-blind trial of 60 people with major depression, a basil leaf-extract syrup (1,100 mg per 5 ml) taken for 4 weeks alongside usual treatment reduced anxiety and depression scores more than placebo. One small trial.1
- Arthritis and joint painLimited
In a double-blind trial of 100 people with knee osteoarthritis, a traditional Persian basil-in-sesame oil rubbed on three times daily for 4 weeks performed no differently from diclofenac gel; both groups improved. There was no placebo group.2
- Mouth ulcers and gum healthLimited
In a double-blind trial of 70 adults with plaque-induced gingivitis, a 30% basil mouthwash used with toothbrushing for 21 days was non-inferior to 0.2% chlorhexidine for reducing gum inflammation and plaque.3
- Wind, bloating and colicTraditional
Avicenna, Rhazes and the 18th-century Persian author Salehi Heravi mention basil for bloating and haemorrhoids; healers in southern Thailand use it for flatulence. Not tested in trials.2,4
- CoughTraditional
Leaf and seed decoctions are used for cough, colds and fever by healers in several districts of India and Nepal. A review of respiratory effects found mainly laboratory and animal studies and very few clinical studies.4,5
- FeverTraditional
Recorded in Indian ethnobotanical surveys as a leaf-and-seed decoction for fever; untested clinically.4
How it is prepared
syrup
A syrup made from a hydroalcoholic leaf extract, as prepared for an Iranian trial.
Talaei et al. 2025 trial: 1,100 mg extract per 5 ml syrup for 4 weeks (research preparation).
Anxiety and nervous tension
infused oil
Fresh basil leaves prepared in sesame oil according to a traditional Persian formulation and rubbed on the joint.
Askari et al. 2024 trial: applied three times daily for 4 weeks.
Arthritis and joint pain
decoction
Leaves and seeds boiled in water, as recorded among Indian traditional healers.
Cough · Fever
Amounts are as recorded by the named source, not a recommendation.
Safety
- Pregnancy
- Insufficient data
- Breastfeeding
- Insufficient data
- Children
- EMA (estragole statement): exposure of young children to estragole should be minimised, which applies chiefly to the essential oil and concentrated extracts.
Do not use if
- Essential oil and concentrated extracts in pregnancy, breastfeeding and young children: EMA asks that estragole exposure in these groups be minimised
Side effects
- In the anxiety trial, mild transient stomach discomfort and headache in a few participants
- No adverse events were recorded with topical basil oil in the knee osteoarthritis trial
Toxicity
Culinary amounts are not a concern in published reviews, which attribute safety concerns mainly to the essential oil and its estragole and methyl eugenol content. Estragole is genotoxic and carcinogenic in rodents; EMA judged short-term adult use of herbal medicines at normal doses not to pose a significant cancer risk but called for further studies and noted that skin absorption has not been assessed. A 2018 review recommended a precautionary limit on these compounds in basil oils and use of low-estragole chemotypes.
In the healing traditions
- Persian medicine
Basil
Described as reducing inflammation and easing bloating and haemorrhoids; a traditional oil of basil in sesame is used on painful joints.
Avicenna; Rhazes; Salehi Heravi (18th century), as cited by Askari et al. 2024
Indian folk medicine
Basil
The review notes use in the Ayurvedic and Unani systems; in surveys of Indian traditional healers (Uttarakhand, Odisha, Assam, Sikkim, Kerala) leaves and seeds are given as decoctions, pastes or juice for fever, cough, colds, urinary problems, constipation, headache, insomnia and diarrhoea.
- Southeast Asian (Jamu, Thai, Philippine…)
Basil
Thai healers in Phatthalung use it for flatulence and peptic ulcer; in Mindanao, Philippines, leaves are rubbed on cold sores.
Active compounds
- estragole (methyl chavicol)
- phenylpropanoid that can make up 5–85% of the essential oil depending on chemotype; EMA considers it a naturally occurring genotoxic carcinogen
- linalool
- major monoterpene alcohol of many basil oils
- eugenol and methyl eugenol
- phenylpropanoids of the oil
- rosmarinic acid and other polyphenols
- phenolic constituents of the leaf
History
Basil was described by Avicenna and Rhazes among the medieval Persian physicians, and a basil-in-sesame oil from Persian medicine was tested against diclofenac gel in a 2024 Iranian trial. Basil is thought to be native to Asia and Africa, and tradition holds that Alexander the Great brought it from India to Greece.
Sources
- 1.Talaei M et al. Basil (Ocimum basilicum) to alleviate anxiety in patients with major depressive disorder: a randomized placebo-controlled clinical trial. Brain Behav 2025
- 2.Askari A et al. A randomized double-blind active-controlled clinical trial on the efficacy of topical basil (Ocimum basilicum) oil in knee osteoarthritis. Front Pharmacol 2024
- 3.Pai Khot AJ et al. Clinical effectiveness of Ocimum basilicum mouthwash as an adjunct to toothbrushing in managing patients with plaque-induced gingivitis: a randomised controlled trial. Int J Dent Hyg 2026 (abstract)
- 4.Azizah NS et al. Sweet basil (Ocimum basilicum L.): a review of its botany, phytochemistry, pharmacological activities, and biotechnological development. Plants 2023
- 5.Aminian AR, Mohebbati R, Boskabady MH. The effect of Ocimum basilicum L. and its main ingredients on respiratory disorders: an experimental, preclinical, and clinical review. Front Pharmacol 2021
- 6.EMEA/HMPC Public statement on the use of herbal medicinal products containing estragole (EMEA/HMPC/137212/2005)
- 7.Sestili P et al. The potential effects of Ocimum basilicum on health: a review of pharmacological and toxicological studies. Expert Opin Drug Metab Toxicol 2018 (abstract)
- 8.GBIF Backbone Taxonomy: Ocimum basilicum L. (IUCN category via GBIF)
- 9.EMA/HMPC/228356/2012 Rev. 2: European Union herbal monographs — overview of recommendations for the paediatric population (2023)
Reference, not prescription. Nothing here is medical advice. Herbs can interact with medicines and be dangerous in pregnancy; tell your doctor or pharmacist about anything you take.