Educational information, not medical advice — ask your doctor or midwife.
Ocimum tenuiflorum is holy basil, best known as tulsi. It is a small, scented shrub in the mint family. The leaves are used as a spice, a tea and a supplement.
It is not the sweet basil used in pesto. That is a different plant, Ocimum basilicum. Tulsi tastes sharper and a little like cloves.
People take it for stress, low mood, blood sugar and coughs. It has been grown and used in India for many centuries. Long use is not proof that it works, and it is not proof that it is safe.
Here is the short verdict on the evidence. Small human trials hint at mild effects on stress scores and fasting blood sugar. The trials are few, short and weakly designed, so nothing is settled.
No one has shown exactly how tulsi acts in the human body. Most of what is claimed comes from lab dishes and animal work.
Tulsi is often called an adaptogen, meaning a plant said to blunt the effects of stress. In animal studies, tulsi extracts lowered stress hormone levels and changed behaviour in stress tests. Whether this happens in people is not established.
In test tubes, compounds from the leaf mop up free radicals and slow some inflammation signals. In animals, extracts have lowered blood sugar and blood fats. These are early findings, not proof of a medical effect.
Some lab work shows the leaf oil slowing bacteria and fungi. That does not mean it treats an infection in a person.
Tulsi is sold in several forms. Strength varies widely between them.
Fresh leaves, chewed or cooked, mostly in Indian and Thai dishes.
Dried leaf tea, loose or in bags. This is the mildest and most common form.
Capsules and tablets of dried leaf or leaf extract.
Loose leaf powder, stirred into water, honey or food.
Liquid tinctures in alcohol or glycerine.
Essential oil, which is very strong. It is for scent use only and should never be swallowed.
Tulsi also appears in mixed Ayurvedic formulas and in cough syrups sold in India. Mixed products carry the risks of every herb in them.
Tulsi holds a sacred place in Hindu homes and temples. Plants were grown in courtyards and tended daily. It is named in Ayurvedic texts going back many centuries.
Ayurvedic writers classed it as a rasayana, a plant said to support long life and vigour. Traditional healers used the leaf for coughs, fevers, chest complaints, insect bites and poor digestion.
In Thai cooking, holy basil is the herb in pad kaphrao. There it is food, not medicine.
Tulsi tea spread worldwide as a wellness drink from the 1990s onward. This page describes that record; it is not advice to treat yourself with it.
Stop and get medical advice if you notice unusual bruising, nosebleeds or bleeding gums.
Also stop and call your doctor if you feel shaky, sweaty or confused, which can mean low blood sugar.
Seek urgent care for a swollen face or lips, a spreading rash, or trouble breathing. Those point to an allergic reaction.
See your doctor before starting if you are on any regular prescription medicine.
In the United States, tulsi is sold as a dietary supplement and as a herbal tea. In the UK and EU it is sold as a food or food supplement. No medicines regulator has approved it to treat any disease.
Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.
What it is typically used for, usual dose, cautions, and the study behind it where real trial data exists.
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