Omnia SanaPlant Comparison
Andrographis vs Field Horsetail
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.
At a glance
Andrographis and Field Horsetail: they share 6 indicated uses (arthritis / joint pain, cancer (anticancer research), infection (general), …); 3 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Andrographis | Field Horsetail | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 5/10 | 5/10 | Comparable evidence |
| Cancer (anticancer research) | 2/10 | 2/10 | Comparable evidence |
| Infection (general) | 8/10 | 5/10 | Stronger for Andrographis |
| Inflammation (general) | 5/10 | 5/10 | Comparable evidence |
| Skin irritation | 5/10 | 5/10 | Comparable evidence |
| Wounds | 5/10 | 5/10 | Comparable evidence |
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
Field horsetail is exceptionally rich in silica, concentrated in the stem, and is a signature source of this mineral in Western herbal medicine.
Antioxidant flavonoids contributing to the plant's anti-inflammatory activity.
An enzyme that degrades vitamin B1 (thiamine); the basis of the caution against prolonged or excessive use.
Pharmacological Actions
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).
Traditional & Indicated Uses
inferred from anti-inflammatory action
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).
Symptomatic relief of the common cold and acute upper respiratory tract infection (reduces symptom severity and duration)
Immunostimulant / immune support
Symptomatic relief of the common cold and acute upper respiratory tract infection (reduces symptom severity and duration)
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from anti-rheumatic action
inferred from anticancer action
inferred from antimicrobial action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from diuretic action
inferred from diuretic action
inferred from diuretic action
Safety, Cautions & Contraindications
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.
High doses have caused nephrotoxicity and reproductive toxicity in studies; use standardized products at recommended doses and avoid prolonged high-dose use.
Field horsetail contains thiaminase, an enzyme that degrades thiamine (vitamin B1); prolonged or excessive use can cause thiamine deficiency — symptoms include neurological problems and weight loss. This risk is greatest with repeated large doses or prolonged use. The plant also contains nicotine at low levels and silica compounds. Not recommended for children or during pregnancy and breastfeeding. People with impaired kidney function should avoid use, as diuretic effects may worsen fluid and electrolyte imbalance. Caution with concurrent diuretic medications. The EMA herbal monograph recognises traditional use at appropriate short-term doses in adults only (European Medicines Agency, 2016; Sandhu et al., 2010).
Duke (2002) rates horsetail as + (moderate caution) and notes clinical evidence (score 2) for its diuretic and wound-healing (vulnerary) activities, consistent with Commission E approval. High silica content may strengthen connective tissue, hair, and nails. Dose: 6 g dried herb daily as tea or in capsules. Horsetail contains thiaminase (breaks down vitamin B1) and an unidentified neurotoxin — it should not be taken long-term or in large quantities. Not for use in patients with edema due to cardiac or renal insufficiency, and avoid in children under 12 (Duke, 2002).
External Ids
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]
Perennial, spore-bearing (non-flowering) plant with two distinct stem types arising from a deep, black, jointed rhizome. In early spring, unbranched, pale brownish fertile stems appear first, each topped with a spore-bearing cone, and die back once spores are shed; these are followed by the familiar green, hollow, jointed, ridged sterile stems bearing whorls of thin, needle-like branches at each node, giving a bottlebrush appearance.
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]
Grows in damp grassland, waste ground, riverbanks, roadsides and disturbed soil on a wide range of soils; native and common across the temperate Northern Hemisphere (Europe, Asia, North America).
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]
The green sterile stems are cut in summer, at their most vigorous, and dried quickly in a warm, shaded, airy place; careful identification against the more toxic marsh horsetail (Equisetum palustre), which grows in similar damp ground, is essential before wild-harvesting.
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]
Field horsetail has a long European folk history as a diuretic remedy for urinary gravel and mild fluid retention, as an astringent, anti-inflammatory and vulnerary herb for wounds and connective-tissue support, and, owing to its very high silica content, as a traditional tonic for hair, nails and skin.[11]
Preparations
Dosage
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.
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.
The EU herbal monograph gives a single dose of 1-4 g of the comminuted herb in 150 mL of boiling water as an infusion or decoction (5-15 minutes), 3-4 times daily, for a daily dose of 3-12 g, in adolescents, adults and elderly; traditionally used over a period of 2 to 4 weeks. For cutaneous use, 10 g in 1 L of water as a decoction for impregnated dressings and irrigation. Not recommended under 12 years. Educational reference only, not a prescription.
References
Lookalikes Review
Dangerous Lookalikes
Not documented
References & Sources
- 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 - 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 - 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
https://doi.org/10.1007/s13318-021-00736-7 - 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
https://doi.org/10.1002/pds.5190 - 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
https://doi.org/10.1016/j.jep.2021.113954 - 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
https://doi.org/10.3390/life11040348 - 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
https://doi.org/10.1080/1354750X.2022.2043444 - 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
https://doi.org/10.1046/j.1365-2710.2003.00534.x - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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
- Hegedus, C., Muresan, M., Badale, A., Bombicz, M. and others (2020) 'SIRT1 Activation by Equisetum arvense L. (Horsetail) Modulates Insulin Sensitivity in Streptozotocin Induced Diabetic Rats', Molecules, 25(11), pp. 2541. doi:10.3390/molecules25112541 Preclinical
https://doi.org/10.3390/molecules25112541 - Dragos, D., Gilca, M., Gaman, L., Vlad, A., Iosif, L. et al (2017) 'Phytomedicine in Joint Disorders', Nutrients, 9(1), pp. 70. doi:10.3390/nu9010070 Traditional / reference
https://doi.org/10.3390/nu9010070 - Grundemann, C., Lengen, K., Sauer, B., Garcia-Kaufer, M. and others (2014) 'Equisetum arvense (common horsetail) modulates the function of inflammatory immunocompetent cells', BMC Complementary and Alternative Medicine, 14, pp. 283. doi:10.1186/1472-6882-14-283 Preclinical
https://doi.org/10.1186/1472-6882-14-283 - Wang, L., Zhang, L., Zheng, G. and Luo, H (2021) 'Equisetum arvense L aqueous extract: a novel chemotherapeutic supplement for treatment of human colon carcinoma', Archives of Medical Science, 19(5), pp. 1472-1478. doi:10.5114/aoms/138146 Preclinical
https://doi.org/10.5114/aoms/138146 - Jeong, S.Y., Yu, H.S., Ra, M.J., Jung, S.M. and others (2023) 'Phytochemical Investigation of Equisetum arvense and Evaluation of Their Anti-Inflammatory Potential in TNFalpha/INFgamma-Stimulated Keratinocytes', Pharmaceuticals, 16(10), pp. 1478. doi:10.3390/ph16101478 Preclinical
https://doi.org/10.3390/ph16101478 - Klncalp, S., Ekiz, F., Basar, O., Coban, S. and others (2012) 'Equisetum arvense (Field Horsetail)-induced liver injury', European Journal of Gastroenterology & Hepatology, 24(2), pp. 213-214. doi:10.1097/MEG.0b013e32834e7ff0 Preclinical
https://doi.org/10.1097/MEG.0b013e32834e7ff0 - Maeda, H., Miyamoto, K. and Sano, T (1997) 'Occurrence of dermatitis in rats fed a cholesterol diet containing field horsetail (Equisetum arvense L.)', Journal of Nutritional Science and Vitaminology, 43(5), pp. 553-563. doi:10.3177/jnsv.43.553 Preclinical
https://doi.org/10.3177/jnsv.43.553 - Saslis-Lagoudakis, C.H., Bruun-Lund, S., Iwanycki, N.E., Seberg, O. and others (2015) 'Identification of common horsetail (Equisetum arvense L.; Equisetaceae) using Thin Layer Chromatography versus DNA barcoding', Scientific Reports, 5, pp. 11942. doi:10.1038/srep11942 Preclinical
https://doi.org/10.1038/srep11942 - Mimica-Dukic, N., Simin, N., Cvejic, J., Jovin, E. and others (2008) 'Phenolic compounds in field horsetail (Equisetum arvense L.) as natural antioxidants', Molecules, 13(7), pp. 1455-1464. doi:10.3390/molecules13071455 Preclinical
https://doi.org/10.3390/molecules13071455 - Tufarelli, V., Baghban-Kanani, P., Azimi-Youvalari, S., Hosseintabar-Ghasemabad, B. and others (2021) 'Effects of Horsetail (Equisetum arvense) and Spirulina (Spirulina platensis) Dietary Supplementation on Laying Hens Productivity and Oxidative Status', Animals, 11(2), pp. 335. doi:10.3390/ani11020335 Preclinical
https://doi.org/10.3390/ani11020335 - Carneiro, D.M., Marques, L.C., Velasques, L.O. et al (2016) 'Randomized, double-blind clinical trial to assess the acute diuretic effect of Equisetum arvense (Field Horsetail) in healthy volunteers'. doi:10.1155/2014/760683 Randomized trial
https://doi.org/10.1155/2014/760683 - European Medicines Agency (2016) 'European Union herbal monograph on Equisetum arvense L., herba'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-equisetum-arvense-l-herba_en.pdf Traditional / reference
https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-equisetum-arvense-l-herba_en.pdf - http://LatvijasDaba.lv (n.d.) 'tīruma kosa – Equisetum arvense L'. Available at: http://LatvijasDaba.lv Traditional / reference
http://LatvijasDaba.lv - Royal Botanic Gardens, Kew (n.d.) 'Equisetum arvense L'. Available at: https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:17003330-1 Traditional / reference
https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:17003330-1 - Sandhu, N.S., Kaur, S. and Chopra, D (2010) 'Equisetum arvense: pharmacology and phytochemistry — a review', 3(3), pp. 146--150. Traditional / reference
https://scholar.google.com/scholar?q=Equisetum%20arvense%3A%20pharmacology%20and%20phytochemistry%20%E2%80%94%20a%20review - Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition - NatureSpot 'Marsh Horsetail - Equisetum palustre'. Available at: https://www.naturespot.org/species/marsh-horsetail Traditional / reference
https://www.naturespot.org/species/marsh-horsetail - Muller, J. and Puttich, P.M. and Beuerle, T (2020) 'Variation of the Main Alkaloid Content in Equisetum palustre L. in the Light of Its Ontogeny', Toxins, 12(11), pp. 710. doi:10.3390/toxins12110710 Preclinical
https://doi.org/10.3390/toxins12110710 - Ibi, A. and Du, M. and Beuerle, T. and Melchert, D. and Solnier, J. and Chang, C (2022) 'A Multi-Pronged Technique for Identifying Equisetum palustre and Equisetum arvense - Combining HPTLC, HPLC-ESI-MS/MS and Optimized DNA Barcoding Techniques', Plants, 11(19), pp. 2562. doi:10.3390/plants11192562 Preclinical
https://doi.org/10.3390/plants11192562
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.