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Henna

Traditionally used for: Hair colouring; Body art and skin staining; Traditional scalp and skin care.

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What is Henna? Henna is a dye from the leaves of a shrub, Lawsonia inermis. Dried and ground, the leaves make a green powder. Mixed with liquid, it stains skin, nails and hair red-brown. In Hausa it is called lalle. Across West Africa it marks weddings, naming days and festivals. Pastes sold as "black henna" are different; they often hold PPD, a harsh dye that burns skin. Henna is a proven dye. Health claims for it rest mostly on tradition and lab work. Long use is not proof of effect or of safety. How does Henna work? The stain itself is simple chemistry. Henna leaves hold a dye called lawsone. Lawsone sticks to keratin, the tough protein in skin, nails and hair. That is why the colour lasts. It fades as stained skin cells flake away. Dyed hair keeps its colour until it grows out. The health claims are far less settled. In test tubes, henna extracts slow the growth of some bacteria and fungi. Whether that happens on human skin is not established. In animal studies, extracts have sped up wound healing and calmed swelling. These are early findings. They are not proof of a benefit in people. One effect is well documented in people, and it is a harmful one. Henna can break apart red blood cells in people who lack an enzyme called G6PD. Babies and young children have been harmed this way, sometimes badly. What forms does Henna come in? Henna reaches buyers in a few forms: - Loose green leaf powder, sold by weight in markets and shops. - Ready-mixed paste in cones, used for body art. - Boxed hair dyes, sometimes blended with indigo or other plant dyes. - Fresh or dried whole leaves, crushed at home in some rural areas. - "Black henna" or "instant" paste, which is a PPD product and not safe for skin. Traditional practice mixes the powder with water, lemon juice, tea or oil. Some packaged hair products mix henna with chemical dyes. The label may not say so clearly. Where it comes from: Henna has a long and well-recorded past across Africa, the Middle East and South Asia. In Hausa communities it is known as lalle and is tied to celebration. Brides had hands and feet patterned before a wedding. It was also used at naming ceremonies, at religious festivals and by men on the hair and beard. Patterns and their meanings differed from town to town. Healers of the region put the paste on skin for heat rash, sores, burns and foot cracks. It was also laid on the soles to cool the body in hot weather. Some texts record it for scalp trouble and hair loss. These records describe what people did. They do not show that the treatments worked.

Helps

What does Henna help with? Colouring hair: This one is not in doubt. Henna dyes hair red-brown and the effect is well proven. It coats the hair shaft rather than lifting its natural colour. It will not lighten hair. Results on grey hair are often bright orange unless blended with indigo. Colour from a plant dye is hard to predict. Staining skin for body art: Pure henna reliably stains the top layer of skin. The colour lasts roughly one to three weeks. This is a cosmetic effect, not a health one. The stain is deepest on palms and soles, where skin is thickest. Dandruff and scalp care: Tradition in West Africa and beyond used henna on the scalp for flaking and itch. Good human trials for this are lacking. In lab tests, henna extracts slow some yeasts linked to dandruff. Nobody has shown that this helps a real scalp. Any benefit you notice may be from the oil or wash used with it. Minor wounds, sores and burns: Healers applied henna paste to sores, cracked heels and small burns. Animal studies show faster wound closure with henna extracts. Human evidence is very thin. Putting plant paste on a burn or open wound can also bring in germs. Broken skin absorbs more lawsone, which raises the risk to people with G6PD deficiency. Fungal skin and nail problems: Henna was used on ringworm patches and on nails. In test tubes, henna extracts slow several fungi. That is a laboratory result only. No good trial shows that henna clears a fungal infection in people. Proven antifungal creams are available cheaply. Cooling hot hands and feet: Many users say henna on the palms and soles feels cooling. This is a comfort tradition with no trials behind it. Part of the feeling likely comes from the wet paste drying. There is no sign it lowers body temperature. Hand-foot syndrome during some chemotherapy: This is the one medical use with real human trials. Small studies in people on capecitabine found less redness and soreness on henna-treated hands and feet. The studies were small, short and not blinded. The findings are promising but not settled. Never start this without asking your cancer doctor first.

Quick Facts

  • What it is: A red-brown dye made from the ground leaves of Lawsonia inermis, used on skin, nails and hair.
  • Main uses: Hair colouring, Body art and skin staining, Traditional scalp and skin care
  • Active ingredients: Lawsone, Tannins, Gallic acid, Flavonoids
  • Forms: Loose leaf powder, Ready-mixed paste cones, Boxed hair dye, Dried whole leaves
  • Time to effect: Stain darkens over 24 to 48 hours
  • Side effects: Usually just staining; real danger from PPD black henna and in G6PD deficiency.
  • Pregnancy & breastfeeding: Not studied in pregnancy; avoid unless your clinician advises otherwise.

Educational information, not medical advice — ask your doctor or midwife.

What is Henna?

Henna is a dye from the leaves of a shrub, Lawsonia inermis. Dried and ground, the leaves make a green powder. Mixed with liquid, it stains skin, nails and hair red-brown.

In Hausa it is called lalle. Across West Africa it marks weddings, naming days and festivals. Pastes sold as "black henna" are different; they often hold PPD, a harsh dye that burns skin.

Henna is a proven dye. Health claims for it rest mostly on tradition and lab work. Long use is not proof of effect or of safety.

How does Henna work?

The stain itself is simple chemistry. Henna leaves hold a dye called lawsone. Lawsone sticks to keratin, the tough protein in skin, nails and hair.

That is why the colour lasts. It fades as stained skin cells flake away. Dyed hair keeps its colour until it grows out.

The health claims are far less settled. In test tubes, henna extracts slow the growth of some bacteria and fungi. Whether that happens on human skin is not established.

In animal studies, extracts have sped up wound healing and calmed swelling. These are early findings. They are not proof of a benefit in people.

One effect is well documented in people, and it is a harmful one. Henna can break apart red blood cells in people who lack an enzyme called G6PD. Babies and young children have been harmed this way, sometimes badly.

What forms does Henna come in?

Henna reaches buyers in a few forms:

- Loose green leaf powder, sold by weight in markets and shops.

- Ready-mixed paste in cones, used for body art.

- Boxed hair dyes, sometimes blended with indigo or other plant dyes.

- Fresh or dried whole leaves, crushed at home in some rural areas.

- "Black henna" or "instant" paste, which is a PPD product and not safe for skin.

Traditional practice mixes the powder with water, lemon juice, tea or oil.

Some packaged hair products mix henna with chemical dyes. The label may not say so clearly.

Where it comes from:

Henna has a long and well-recorded past across Africa, the Middle East and South Asia. In Hausa communities it is known as lalle and is tied to celebration. Brides had hands and feet patterned before a wedding.

It was also used at naming ceremonies, at religious festivals and by men on the hair and beard. Patterns and their meanings differed from town to town.

Healers of the region put the paste on skin for heat rash, sores, burns and foot cracks. It was also laid on the soles to cool the body in hot weather. Some texts record it for scalp trouble and hair loss.

These records describe what people did. They do not show that the treatments worked.

Who should avoid Henna?

  • Never use paste sold as "black henna" or "instant henna" on your skin; it contains PPD, a dye that can burn and scar.
  • Never use henna on a newborn or baby, including on the hands, feet or scalp.
  • Do not use henna on anyone with G6PD deficiency (an inherited problem that makes red blood cells fragile); it can destroy red blood cells.
  • Never swallow henna powder, paste, leaves or hair-dye mixture.
  • Do not use henna if you have had a past reaction to hair dye, PPD or a black henna tattoo.
  • Avoid henna on broken, burned, weeping or infected skin.
  • Avoid henna while pregnant or breastfeeding unless your doctor says it is fine, as it has not been studied.
  • Do not use henna on a child unless a doctor has confirmed the child does not have G6PD deficiency.
  • Avoid breathing in loose henna powder if you have asthma; mix it in a well-aired place.

When should you see a doctor?

Wash the paste off and get medical help the same day if the skin blisters, weeps or swells.

Go to an emergency department now if you or your child has any of these after henna use:

- Dark brown or cola-coloured urine - Yellow eyes or skin - Very pale skin, extreme tiredness or fainting - Fast breathing or a racing heart - Swelling of the lips, face or tongue, or trouble breathing

These can mean red blood cells are breaking down or a severe allergy is starting. Tell the staff that henna was used and on which part of the body.

Is Henna legal where you live?

In the United States, the FDA allows henna only as a hair dye, not for use on skin. Adding PPD to skin paste is illegal there and in the European Union, though such pastes are still sold in markets and at tourist stalls.

Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.

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