Tulsi (Holy Basil) for Stress

Verdict: Weak, industry-tilted evidence for stress relief

A handful of small, short-term trials suggest Tulsi (Holy Basil) may modestly ease self-reported stress, but the evidence is weak, leans heavily on industry-funded studies, and has no backing from major health authorities. Treat it as unproven rather than a dependable stress remedy.

C 🟠 C Weak Evidence Published with Warning

🔬Why this grade7-layer evidence engine

The grade rests on just three small, short human studies, all pointing in a favorable direction but none strong on their own. The OciBest RCT (PMID 21977056, n=150, 6 weeks) cut self-rated stress symptoms about 39% more than placebo (P<=0.05), and the Holixer RCT (PMID 36185698, n=100, 8 weeks) improved Perceived Stress Scale scores (p=0.003) and lowered hair cortisol (p=0.025). A 2017 systematic review (PMID 28400848) called Tulsi an effective treatment for psychological stress, but it is narrative with no meta-analysis, and only a minority of its 24 studies actually examined stress.

Several weaknesses hold the verdict at Weak. Samples are small, the main outcomes are subjective self-reports, and funding is a real concern: the Holixer trial was sponsored by a supplement maker (Natural Remedies Pty Ltd) with author payments from the industry, and OciBest never disclosed its funding source. That pattern triggered an industry-funding warning flag.

Regulators and clinics offer no meaningful endorsement. The FDA only lists the plant's botanical identifier and has sent warning letters over disease claims; the EU's EFSA has the relevant botanical health claims on hold; the WHO records only a traditional-medicine monograph. Among clinics, only Cleveland Clinic comments, neutrally citing the 2017 review while stressing the evidence is limited, and the NIH, Mayo Clinic, Harvard Health, and psychiatric societies are silent. Note also that medicinal Tulsi (Ocimum sanctum/tenuiflorum) is a different species from common culinary basil.

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Scoring transparency

All scores computed by a 7-layer evidence engine — fully auditable
Raw score 0.55
D
C
B
A
S
← counter-evidence / ineffectiveeffective / strong evidence →
Final grade
C · Published with Warning
Confidence
87%
Highly consistent evidence
Evidence level
E3
Single high-quality meta-analysis

How strongly each layer supports this effect

lower = less supportive
L1 ExamineGlobal benchmark
0.50
L11 AI re-checkIndependent read
0.50
L5 Clinical bodiesAuthoritative stance
0.55
L2 PubMedPrimary literature
0.60
L3 MechanismPlausibility
0.65
Against Mixed Supports
View the full decision path (audit trail)
  1. compute_raw_score — 加權公式: L2×0.30 + L3×0.25 + L5×0.25 + L11×0.10 + L1×0.10 = 0.551
  2. tier_from_score — 依分數區間映射至 tier letter
  3. apply_hec_rules — 高階證據未達主導 (0 positive vs 1 negative),由 raw_score 決定
  4. tier_strict_requirement_check — | B→C 因 scope.conflation_risk=true 且 L11 獨評較低 (B7-2 tier cap)
  5. detect_disputes — 偵測到 0 個 hard + 1 個 soft dispute
  6. decide_status — 依 tier + dispute 結果決定 status

📄PubMed studies (3)L2 · primary research & systematic reviews

The Clinical Efficacy and Safety of Tulsi in Humans: A Systematic Review of the Literature
PMID: 28400848 2017 系統性回顧
Finding: All 24 reviewed human studies reported favourable clinical outcomes with no significant adverse events; authors concluded tulsi is an effective treatment for psychological stress (no meta-analytic p-value).
Academic
View on PubMed
Efficacy of an Extract of Ocimum tenuiflorum (OciBest) in the Management of General Stress: A Double-Blind, Placebo-Controlled Study
PMID: 21977056 2012 RCT (double-blind) n = 150
Finding: Symptom scores decreased significantly vs placebo (P <= 0.05); overall improvement 39% (1.6x) greater than placebo.
Effect size: 39% greater improvement vs placebo (1.6x)
View on PubMed
A randomized, double-blind, placebo-controlled trial of an Ocimum tenuiflorum extract (Holixer) on stress, mood, and sleep in adults
PMID: 36185698 2022 RCT (double-blind) n = 100
Finding: Greater PSS improvement vs placebo (p = 0.003); hair cortisol lower at week 8 (p = 0.025).
⚠️ Industry-funded
View on PubMed

🏛️Regulatory & authoritative positionsL4/L5 · FDA / EMA / NIH ODS / Cochrane / Mayo …

L4a US FDA
Cautious
OCIMUM TENUIFLORUM TOP source↗
L4e WHO
Neutral
Folium Ocimi Sancti source↗
L5c Cleveland Clinic
Neutral
Some of the studies in the 2017 systematic review showed tulsi could increase someone's energy and help manage physical and emotional stress. source↗
PMID 100% verifiedevery citation checked via NCBI Entrez
🔬3 PubMed studiesindependently re-checked by multiple sub-agents
engine_version: v1.0 claim_id: CLM-COND-stress-INT-tulsi-001 繁體中文版 →