Plant Comparison

Andrographis vs Astragalus

A side-by-side comparison of two medicinal plants — every documented constituent, action, use, safety note and cited source, assembled automatically from the Omnia Sana database.

First plant
Second plant
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Plant AAndrographisAndrographis paniculataAcanthaceaeFull monograph →
Plant BAstragalusAstragalus membranaceusFabaceaeFull monograph →

At a glance

Andrographis and Astragalus: they share 7 indicated uses (arthritis / joint pain, cancer (anticancer research), cold & flu, …); 3 pharmacological actions in common.

AndrographisAstragalus
Constituents33
Pharmacological actions66
Indicated uses1010
Safety notes33
Cited sources1718
Indicated uses
Only Andrographis
FeverSore throatWounds
Shared (7)
Arthritis / joint painCancer (anticancer research)Cold & fluImmune supportInfection (general)Inflammation (general)Skin irritation
Only Astragalus
Fatigue / low energyKidney supportStress
Pharmacological actions
Only Andrographis
AntimicrobialAntipyretic (reduces fever)Antiviral
Shared (3)
Anti-inflammatoryAnticancer (preclinical)Immunomodulator / immune support
Only Astragalus
AdaptogenAntioxidantNephroprotective (kidney support)

Evidence face-off — shared uses

ConditionAndrographisAstragalusVerdict
Arthritis / joint pain5/101/10Stronger for Andrographis
Cancer (anticancer research)2/102/10Comparable evidence
Cold & flu8/102/10Stronger for Andrographis
Immune support5/102/10Stronger for Andrographis
Infection (general)8/102/10Stronger for Andrographis
Inflammation (general)5/101/10Stronger for Andrographis
Skin irritation5/101/10Stronger for Andrographis

Evidence scores (1–10) are computed from the tier of each cited source. “Comparable” means the two scores are within one point. Follow a score to its detailed sources.

Key Constituents

Diterpenoid lactones[2, 3, 10, 11]

Andrographolide is the principal active compound; also neoandrographolide and deoxyandrographolide.

Flavonoids[11]

Antioxidant and anti-inflammatory constituents.

Flavonoids
Polyphenols and other phenolics[11]

Contribute to antioxidant activity.

Phenolic compounds
Astragalus polysaccharides (APS)[11]

Principal immunomodulatory constituents.

Polysaccharides
Cycloartane triterpenoid saponins (astragaloside IV)[5]

Major bioactive saponin with cardio-, neuro-, hepato- and renoprotective effects.

Saponins
Isoflavonoids (calycosin, formononetin)[5]

Antioxidant flavonoid constituents of the root.

Flavonoids

Pharmacological Actions

Anti-inflammatory[2, 7, 9, 10, 11]
Anticancer (preclinical)[14, 15, 16]

Andrographolide, the principal diterpene lactone of Andrographis paniculata, suppresses proliferation and induces apoptosis across breast, lung, colon, cervical, hepatic and haematological cancers via NF-kappaB and PI3K/Akt inhibition (preclinical).

Antimicrobial[1, 6, 8, 10, 11]

Antimicrobial and antiviral

Antipyretic (reduces fever)[11, 17]

Antipyretic (fever)

Antiviral[1, 5, 8, 10, 11]

Antimicrobial and antiviral

Immunomodulator / immune support[10, 11]

Immunostimulant / immune support

Adaptogen[5, 10]

Adaptogenic tonic for fatigue and low vitality (traditional 'Qi' tonic)

Anti-inflammatory[2, 5, 7]

Antioxidant and anti-inflammatory

Anticancer (preclinical)[2, 5, 11, 15, 16, 17]

Astragalus membranaceus and its constituents (astragaloside IV, cycloastragenol, Astragalus polysaccharide) inhibit tumour growth, invasion and metastasis and enhance antitumour immunity across lung, colorectal and gastrointestinal cancers (preclinical, incl. in vivo).

Antioxidant[4, 5, 9]

Antioxidant and anti-inflammatory

Immunomodulator / immune support[2, 4, 5, 6, 11, 12, 13]

Immune support / immunomodulation (activates macrophages, NK cells, T and B lymphocytes)

Nephroprotective (kidney support)[5, 18]

Renoprotective (kidney support) - as an adjunct in chronic kidney disease, reduced proteinuria and raised haemoglobin and serum albumin across trials (Cochrane review; study quality low)

Traditional & Indicated Uses

Arthritis / joint pain[10, 11]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Arthritis / joint pain
Cancer (anticancer research)[14, 15, 16]Traditional · 2/10

Andrographolide (from Andrographis paniculata) acts as a chemopreventive and antitumour agent against breast, lung, colorectal, cervical, prostate and hepatocellular cancers and leukaemia, inducing apoptosis and inhibiting NF-kappaB and PI3K/AKT signalling (preclinical).

Evidence: 2
Label: Cancer (anticancer research)
Cold & flu[10, 12, 17]Good · 8/10

Symptomatic relief of the common cold and acute upper respiratory tract infection (reduces symptom severity and duration)

Evidence: 8
Label: Cold & flu
Fever[11, 17]Traditional · 2/10

Antipyretic (fever)

Evidence: 2
Label: Fever
Immune support[10, 11]Moderate · 5/10

Immunostimulant / immune support

Evidence: 5
Label: Immune support
Infection (general)[10, 12, 17]Good · 8/10

Symptomatic relief of the common cold and acute upper respiratory tract infection (reduces symptom severity and duration)

Evidence: 8
Label: Infection (general)
Inflammation (general)[10, 11]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Inflammation (general)
Skin irritation[10, 11]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Skin irritation
Sore throat[12, 17]Good · 7/10
Evidence: 7
Label: Sore throat
Wounds[10, 11]Moderate · 5/10

inferred from antimicrobial action

Evidence: 5
Label: Wounds
Arthritis / joint pain[5]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Cancer (anticancer research)[2, 5, 11, 15, 16, 17]Traditional · 2/10

Astragalus membranaceus protects against gastrointestinal cancers; astragaloside IV inhibits lung cancer metastasis via macrophage repolarization, cycloastragenol boosts CD8+ T-cell antitumour immunity (with anti-PD-1 synergy), and Astragalus polysaccharide suppresses inflammation-induced colorectal cancer (preclinical).

Evidence: 2
Label: Cancer (anticancer research)
Cold & flu[11]Traditional · 2/10

Supports resistance to colds and respiratory infection (immune)

Evidence: 2
Label: Cold & flu
Fatigue / low energy[5]Traditional · 1/10

Adaptogenic tonic for fatigue and low vitality (traditional 'Qi' tonic)

Evidence: 1
Label: Fatigue / low energy
Immune support[5, 11]Traditional · 2/10

Immune support / immunomodulation (activates macrophages, NK cells, T and B lymphocytes); Supports resistance to colds and respiratory infection (immune)

Evidence: 2
Label: Immune support
Infection (general)[11]Traditional · 2/10

Supports resistance to colds and respiratory infection (immune)

Evidence: 2
Label: Infection (general)
Inflammation (general)[5]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Inflammation (general)
Kidney support[5, 18]Good · 7/10

Renoprotective (kidney support) - as an adjunct in chronic kidney disease, reduced proteinuria and raised haemoglobin and serum albumin across trials (Cochrane review; study quality low)

Evidence: 7
Label: Kidney support
Skin irritation[5]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Skin irritation
Stress[5]Traditional · 1/10

inferred from adaptogen action

Evidence: 1
Label: Stress

Safety, Cautions & Contraindications

Safety note[10, 17]Caution

Avoid in pregnancy and when trying to conceive: high doses have shown reproductive toxicity in animals and the herb has a traditional reputation as an abortifacient.

Safety note[10]Caution

High doses have caused nephrotoxicity and reproductive toxicity in studies; use standardized products at recommended doses and avoid prolonged high-dose use.

Safety note[10, 17]Caution

May lower blood pressure and blood sugar and may interact with anticoagulant/antiplatelet, antihypertensive and immunosuppressant medicines; allergic reactions can occur.

Safety note[11]Info

Astragalus stimulates immune activity; on theoretical grounds it should be used cautiously in autoimmune disease and with immunosuppressant medicines (for example after organ transplant) - discuss with a clinician.

Safety note[5]Info

Generally well tolerated; high-quality long-term human safety and toxicity data remain limited.

Safety note[5]Caution

Safety in pregnancy and breastfeeding has not been established; avoid medicinal doses.

External Ids

Gbif: 3173178
Powo: urn:lsid:ipni.org:names:45226-1
Wikidata: Q1551608
Gbif: 2933951
Powo: urn:lsid:ipni.org:names:478610-1
Wikidata: Q15532251

Botanical Description

Erect, branching annual herb with a slender, quadrangular (square-sectioned), dark green stem. The leaves are opposite, lance-shaped and glabrous, with a short stalk. Small, two-lipped, white flowers with purple-pink markings are borne in loose, spreading axillary and terminal racemes. The whole plant, and especially the leaves, is intensely and characteristically bitter.[11]

Height: 30-110 cm
Habit: Erect, branching annual herb
Leaves: Opposite, lance-shaped, glabrous, short-stalked
Flowers: Small, two-lipped, white flowers marked with purple-pink, in loose spreading racemes
Stem: Slender, quadrangular (square in cross-section), dark green, branching
Root: Shallow, fibrous root system
Fruit: Small, elastically dehiscent capsule
Flowering Period: September-December (varies by climate)

Erect perennial herb with a long, fibrous, pale yellow taproot. The leaves are pinnately compound with numerous small, oval leaflets, giving a soft, ferny appearance. Small, pale yellow, pea-like flowers are borne in loose axillary clusters (racemes), followed by membranous, inflated seed pods that give the species its name.[5]

Height: 40-100 cm
Habit: Erect perennial herb
Leaves: Pinnately compound with numerous small, oval leaflets
Flowers: Small, pale yellow, pea-like flowers in loose axillary racemes
Stem: Erect, softly hairy
Root: Long, fibrous, pale yellow taproot (the medicinal part, huang qi)
Fruit: Membranous, inflated seed pod
Flowering Period: June-July

Habitat

Native to India and Sri Lanka and widely distributed through South and Southeast Asia, growing wild in plains, hillsides, roadsides and cultivated fields; also grown commercially as a medicinal crop.[11]

Native to the grasslands, sunny slopes and forest margins of northern and north-eastern China, Mongolia and parts of Korea; widely cultivated as a medicinal crop across East Asia.[5]

Harvesting

The aerial parts (leaves and tender stems) are cut just before or at the onset of flowering, when andrographolide content is typically highest, and dried in shade to preserve the bitter diterpenoid lactones.[11]

Parts: Aerial parts (leaves and herb)
Season: Before to early flowering

The root is dug from plants at least four years old, typically in spring or autumn, then cleaned and dried, often sliced into the characteristic pale, fibrous 'coin' slices used in traditional decoctions.[5]

Parts: Root
Season: Spring or autumn, from four-year-old (or older) plants

Traditional Uses

Andrographis, the 'king of bitters', is a cornerstone bitter tonic of Ayurvedic and traditional Chinese medicine (Chuan xin lian), used for fevers, colds, sore throat, infections and liver complaints. This traditional reputation for treating the common cold and upper respiratory infections is now supported by clinical trials of standardised extracts.[10, 12]

Astragalus root (huang qi) is one of the most widely used tonic herbs in traditional Chinese medicine, classified as a 'Qi tonic' for fatigue, low vitality and reduced resistance to colds and infections, and used to support immune, cardiovascular and kidney health.[5, 11]

Preparations

Infusion/decoction[11]

Dried aerial parts infused or lightly decocted in hot water as a very bitter traditional fever and cold remedy.

Standardised extract[10, 12]

Extract standardised to andrographolide content, taken as tablets or capsules; the form used in most clinical trials for cold/URTI symptom relief.

Decoction[5]

Dried, sliced root simmered in water, often alongside other tonic herbs, as the classic traditional Chinese medicine preparation.

Standardised extract[5, 11]

Concentrated extract standardised to polysaccharide or astragaloside IV content, taken as capsules or tablets.

Dosage

Standardised extract[10, 12]

Clinical trials for upper respiratory infection commonly use extracts standardised to around 60-120 mg andrographolide daily, in divided doses, for up to 5-7 days. Educational reference only, not a prescription.

Dried herb[13]

The WHO monograph on Herba Andrographidis gives, by indication - for the common cold, 1.5-3.0 g of the powdered crude drug three times daily, after meals and at bedtime; for pyrexia, a decoction from 3 g of the crude drug twice daily; for diarrhoea, a decoction from 3-9 g as a single dose as needed, or two 500 mg tablets four times daily. Note that the EMA HMPC assessed this herb and issued a public statement rather than a monograph, so there is no EU posology. Educational reference only, not a prescription.

Decoction[14]

The WHO monograph on Radix Astragali gives doses of 3-9 g per day. Traditional Chinese medicine references often cite a considerably higher 9-30 g of dried root per day; WHO's figure is the conservative regulatory-tier one and is stated here in preference. Educational reference only, not a prescription.

Standardised extract[11]

Clinical studies commonly use extracts providing the equivalent of several grams of dried root daily, in divided doses. Educational reference only, not a prescription.

References

REF-1615, REF-1616, REF-1617, REF-1618, REF-1619, REF-1620, REF-1621, REF-1622, REF-1623
REF-0739, REF-0736, REF-0737, REF-2256, REF-0402, REF-2257, REF-2258, REF-2259, REF-2260, REF-2261, REF-0401, REF-2262, REF-2263

Lookalikes Review

Outcome: none-known
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07
Outcome: none-known
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

References & Sources

  1. Okonogi, R. and others (2023) 'Efficacy of Andrographis paniculata spray in acute pharyngitis: A randomized controlled trial', Drug Discoveries & Therapeutics, 17(5), pp. 315-321. doi:10.5582/ddt.2023.01053 Randomized trial
    https://doi.org/10.5582/ddt.2023.01053
  2. Hossain, S., Urbi, Z., Karuniawati, H., Mohiuddin, R.B. and others (2018) 'Overview of pharmacological activities of Andrographis paniculata and its major compound andrographolide', Critical Reviews in Food Science and Nutrition, 61(10), pp. 1635-1652. doi:10.1080/10408398.2018.1501657 Meta-analysis / review
    https://doi.org/10.1080/10408398.2018.1501657
  3. Worakunphanich, W. and others (2021) 'Andrographis paniculata Formulations: Impact on Diterpene Lactone Oral Bioavailability', European Journal of Drug Metabolism and Pharmacokinetics, 46(5), pp. 565-581. doi:10.1007/s13318-021-00736-7 Meta-analysis / review
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  4. Worakunphanich, W., Thavorncharoensap, M., Youngkong, S., Thakkinstian, A. and Chaikledkaew, U (2021) 'Safety of Andrographis paniculata: A systematic review and meta-analysis', Pharmacoepidemiology and Drug Safety, 30(6), pp. 727-739. doi:10.1002/pds.5190 Meta-analysis / review
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  5. Kumar, S., Singh, B. and Bajpai, V (2021) 'Andrographis paniculata (Burm.f.) Nees and its major constituent andrographolide as potential antiviral agents', Journal of Ethnopharmacology, 274, pp. 113954. doi:10.1016/j.jep.2021.113954 Meta-analysis / review
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  6. Barbosa, F.L. and others (2021) 'Andrographis paniculata (Burm. f.) Wall. ex Nees: An Updated Review of Phytochemistry, Antimicrobial Pharmacology, and Clinical Safety and Efficacy', Life, 11(4), pp. 348. doi:10.3390/life11040348 Meta-analysis / review
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  7. Singh, P. and others (2022) 'Andrographis paniculata mitigates first-line anti-tubercular drugs-induced nephrotoxicity in Wistar rats', Biomarkers, 27(4), pp. 385-394. doi:10.1080/1354750X.2022.2043444 Preclinical
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  8. Coon, J.T. and Ernst, E (2004) 'Andrographis paniculata in the symptomatic treatment of uncomplicated upper respiratory tract infection: systematic review of randomized controlled trials', Journal of Clinical Pharmacy and Therapeutics, 29(1), pp. 37-45. doi:10.1046/j.1365-2710.2003.00534.x Meta-analysis / review
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  9. Rondee, N. and others (2023) 'The Effects of Andrographis paniculata (Burm.F.) Wall. Ex Nees and Andrographolide on Neuroinflammation in the Treatment of Neurodegenerative Diseases', Nutrients, 15(15), pp. 3428. doi:10.3390/nu15153428 Meta-analysis / review
    https://doi.org/10.3390/nu15153428
  10. Zeng, B., Wei, A., Zhou, Q., Yuan, M., Lei, K., Liu, Y., Song, J., Guo, L. and Ye, Q (2021) 'Andrographolide: A review of its pharmacology, pharmacokinetics, toxicity and clinical trials and pharmaceutical researches', Phytotherapy Research. doi:10.1002/ptr.7324 Randomized trial
    https://doi.org/10.1002/ptr.7324
  11. Gonde, D.P., Bhole, B.K. and Kakad, K.S (2023) 'Andrographolide, diterpenoid constituent of Andrographis paniculata: Review on botany, phytochemistry, molecular docking analysis, and pharmacology', Annales Pharmaceutiques Francaises. doi:10.1016/j.pharma.2023.10.001 Preclinical
    https://doi.org/10.1016/j.pharma.2023.10.001
  12. Hu, X.Y., Wu, R.H., Logue, M., Blondel, C., Lai, L.Y.W., Stuart, B., Flower, A., Fei, Y.T., Moore, M., Shepherd, J., Liu, J.P. and Lewith, G (2017) 'Andrographis paniculata (Chuan Xin Lian) for symptomatic relief of acute respiratory tract infections in adults and children: A systematic review and meta-analysis', PLoS ONE. doi:10.1371/journal.pone.0181780 Meta-analysis / review
    https://doi.org/10.1371/journal.pone.0181780
  13. World Health Organization (2002) 'Herba Andrographidis'. Available at: https://iris.who.int/items/6418d8af-5200-4e6b-9bf5-004f3aa62a37 Traditional / reference
    https://iris.who.int/items/6418d8af-5200-4e6b-9bf5-004f3aa62a37
  14. Tundis, R. and Patra, J.K. and Bonesi, M. and Das, S. and Nath, R. and Das Talukdar, A. and Das, G. and Loizzo, M.R (2023) 'Anti-Cancer Agent: The Labdane Diterpenoid-Andrographolide', Plants, 12(10), pp. 1969. doi:10.3390/plants12101969 Preclinical
    https://doi.org/10.3390/plants12101969
  15. Mishra, S.K. and Tripathi, S. and Shukla, A. and Oh, S.H. and Kim, H.M (2015) 'Andrographolide and analogues in cancer prevention', Frontiers in Bioscience (Elite Edition), 7(2), pp. 255-266. doi:10.2741/E732 Preclinical
    https://doi.org/10.2741/E732
  16. Paul, S. and Roy, D. and Pati, S. and Sa, G (2021) 'The Adroitness of Andrographolide as a Natural Weapon Against Colorectal Cancer', Frontiers in Pharmacology, 12, pp. 731492. doi:10.3389/fphar.2021.731492 Preclinical
    https://doi.org/10.3389/fphar.2021.731492
  17. Memorial Sloan Kettering Cancer Center (n.d.) 'Andrographis (About Herbs)'. Available at: https://www.mskcc.org/cancer-care/integrative-medicine/herbs/andrographis Traditional / reference
    https://www.mskcc.org/cancer-care/integrative-medicine/herbs/andrographis
  1. Xu, B., Huang, J.P., Peng, G., Cao, W., Liu, Z. et al (2024) 'Total biosynthesis of the medicinal triterpenoid saponin astragalosides', Nature Plants, 10(11), pp. 1826-1837. doi:10.1038/s41477-024-01827-4 Preclinical
    https://doi.org/10.1038/s41477-024-01827-4
  2. Auyeung, K.K., Han, Q.B. and Ko, J.K (2016) 'Astragalus membranaceus: A Review of its Protection Against Inflammation and Gastrointestinal Cancers', The American Journal of Chinese Medicine, 44(1), pp. 1-22. doi:10.1142/S0192415X16500014 Traditional / reference
    https://doi.org/10.1142/S0192415X16500014
  3. Zhang, Y., Ji, W., Qin, H., Chen, Z., Zhou, Y. et al (2024) 'Astragalus polysaccharides alleviate DSS-induced ulcerative colitis in mice by restoring SCFA production and regulating Th17/Treg cell homeostasis in a microbiota-dependent manner', Carbohydrate Polymers, 349, pp. 122829. doi:10.1016/j.carbpol.2024.122829 Preclinical
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  13. Liu, Y. and Lv, W (2019) 'Research progress in Astragalus membranaceus and its active components on immune responses in liver fibrosis', Chinese Journal of Integrative Medicine, 26(10), pp. 794-800. doi:10.1007/s11655-019-3039-1 Meta-analysis / review
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    https://iris.who.int/items/6418d8af-5200-4e6b-9bf5-004f3aa62a37
  15. Xu, F. and Cui, W.-Q. and Wei, Y. and Cui, J. and Qiu, J. and Hu, L.-L. and Gong, W.-Y. and Dong, J.-C. and Liu, B.-J (2018) 'Astragaloside IV inhibits lung cancer progression and metastasis by modulating macrophage polarization through AMPK signaling', Journal of Experimental & Clinical Cancer Research, 37(1), pp. 207. doi:10.1186/s13046-018-0878-0 Preclinical
    https://doi.org/10.1186/s13046-018-0878-0
  16. Deng, G. and Zhou, L. and Wang, B. and Sun, X. and Zhang, Q. and Chen, H. and Wan, N. and Ye, H. and Wu, X. and Sun, D. and Sun, Y. and Cheng, H (2022) 'Targeting cathepsin B by cycloastragenol enhances antitumor immunity of CD8 T cells via inhibiting MHC-I degradation', Journal for ImmunoTherapy of Cancer, 10(10), pp. e004874. doi:10.1136/jitc-2022-004874 Preclinical
    https://doi.org/10.1136/jitc-2022-004874
  17. Li, Q. and Zhang, C. and Xu, G. and Shang, X. and Nan, X. and Li, Y. and Liu, J. and Hong, Y. and Wang, Q. and Peng, G (2024) 'Astragalus polysaccharide ameliorates CD8 T cell dysfunction through STAT3/Gal-3/LAG3 pathway in inflammation-induced colorectal cancer', Biomedicine & Pharmacotherapy, 171, pp. 116172. doi:10.1016/j.biopha.2024.116172 Preclinical
    https://doi.org/10.1016/j.biopha.2024.116172
  18. Zhang, H.W., Lin, Z.X., Xu, C., Leung, C. and Chan, L.S (2014) 'Astragalus (a traditional Chinese medicine) for treating chronic kidney disease', Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD008369.pub2 Meta-analysis / review
    https://doi.org/10.1002/14651858.CD008369.pub2

Generated automatically from the Omnia Sana plant database and its cited sources. For educational purposes only — not medical advice. Always consult a qualified practitioner before using medicinal plants.