Omnia SanaPlant Comparison
Andrographis vs Water avens
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 Water avens: they share 6 indicated uses (cancer (anticancer research), infection (general), inflammation (general), …); 4 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Andrographis | Water avens | Verdict |
|---|---|---|---|
| Cancer (anticancer research) | 2/10 | 2/10 | Comparable evidence |
| Infection (general) | 8/10 | 2/10 | Stronger for Andrographis |
| Inflammation (general) | 5/10 | 2/10 | Stronger for Andrographis |
| Skin irritation | 5/10 | 2/10 | Stronger for Andrographis |
| Sore throat | 7/10 | 2/10 | Stronger for Andrographis |
| Wounds | 5/10 | 2/10 | Stronger 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
Hydrolysable ellagitannins - the dominant astringent constituents of water avens.
Additional hydrolysable and condensed tannins contributing to the astringent, antidiarrhoeal and elastase-inhibiting activity.
Ellagic acid and ellagic-acid glycosides (antioxidant; precursors of anti-inflammatory urolithins in the gut).
Gallic acid and galloyl derivatives (antioxidant, antimicrobial).
Antioxidant flavonol glycosides.
Triterpenoid saponins and aglycones.
The root essential oil is dominated by eugenol, giving the clove-like scent (shared with clove) and antiseptic, mild-anaesthetic character.
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).
Astringent hydrolysable tannins; traditional remedy for diarrhoea and dysentery.
Inhibits prostaglandin biosynthesis; ellagitannin-derived urolithins are anti-inflammatory.
Geum (avens) extracts show antineoplastic and skin antineoplastic activity in vitro (preclinical).
Antiviral activity of avens (Geum) extract in vitro (congener).
Neuroprotective activity of water avens polyphenol fractions.
Avens root extract showed antidiabetic (glucose-lowering) activity in vivo (congener G. urbanum).
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 anticancer action
Astringent (tannin) antidiarrhoeal; traditional remedy for diarrhoea and dysentery.
Root decoction used traditionally as a gargle/mouthwash for mouth ulcers and spongy gums; antimicrobial.
inferred from astringent/antimicrobial gargle use
inferred from antimicrobial action
inferred from astringent/antimicrobial action and traditional wound-wash use
inferred from anti-inflammatory/antimicrobial skin activity
Avens root showed antidiabetic activity in vivo (congener).
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.
The root and herb are rich in tannins; large or prolonged doses may cause digestive upset or constipation and can reduce the absorption of iron and some medicines - take apart from iron supplements and other drugs.
Safety in pregnancy and breastfeeding has not been established; avoid medicinal doses during pregnancy and lactation.
In-vivo toxicity testing of avens (Geum) extract showed a favourable profile at the doses studied, but high-dose or long-term safety is not established.
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]
A perennial herb of the rose family, 20-60 cm tall, growing from a thick, reddish, aromatic rhizome that smells of cloves when broken (from its eugenol content) - the source of the name 'chocolate root'. The basal leaves are pinnate with a large terminal lobe, forming a rosette. Its distinctive flowers are nodding (drooping) bells with dull purple-pink to orange sepals and cream-to-pink petals, quite unlike the erect open yellow flowers of its relative wood avens (Geum urbanum). The fruit is a rounded head of achenes, each with a hooked, feathery style that clings to fur and clothing.[1, 9]
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]
Damp ground: wet meadows, marshes, streamsides, ditches, fens and damp woodland across Europe, western Asia and North America. It favours moist, base-rich soils. Unlike wood avens (Geum urbanum), a plant of dry hedgerows and shade, water avens grows in wet, open places.[1]
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 reddish rhizome/root is the main medicinal part, dug in spring or autumn and dried carefully to preserve its clove-scented, eugenol-bearing, tannin-rich qualities; the aerial flowering parts are gathered in summer. The root has historically been used both as an astringent medicine and as a flavouring (a coffee/chocolate substitute and to flavour ale).[5, 9]
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]
Water avens shares the astringent, tannin-based traditional medicine of the avens (Geum) genus. The clove-scented root has been used as an astringent for diarrhoea, dysentery and other bowel complaints, as a gargle and mouth wash for sore throat, mouth ulcers and spongy gums, and as a wash for wounds and skin inflammation. It was also valued as an aromatic bitter tonic and, historically, a febrifuge, and the fragrant root was used to flavour ale and as a coffee/chocolate substitute (hence 'chocolate root').[8, 9]
Preparations
Dried aerial parts infused or lightly decocted in hot water as a very bitter traditional fever and cold remedy.
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.
Not documented
References
Lookalikes Review
Synonyms
Not documented
Drug Class Interactions
Not documented
Pairings
Not documented
Classic Rosaceae astringent pairing: both are tannin-rich roots traditionally combined for diarrhoea and as mouth/throat gargles.[8]
Rosaceae astringents rich in hydrolysable tannins, traditionally used together for diarrhoea, sore throat and as gargles.[8]
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
- Orlova, A. and Kysil, E. and Tsvetkova, E. and Meshalkina, D. and Whaley, A. and Whaley, A.O. and Laub, A. and Francioso, A. and Babich, O. and Wessjohann, L.A. and Mosca, L. and Frolov, A. and Povydysh, M (2022) 'Phytochemical Characterization of Water Avens (Geum rivale L.) Extracts: Structure Assignment and Biological Activity of the Major Phenolic Constituents', Plants (Basel), 11(21), pp. 2859. doi:10.3390/plants11212859 Preclinical
https://doi.org/10.3390/plants11212859 - Owczarek, A. and Gudej, J (2013) 'Investigation into biologically active constituents of Geum rivale L', Acta Poloniae Pharmaceutica, 70(1), pp. 111-114. Preclinical
https://scholar.google.com/scholar?q=Investigation%20into%20biologically%20active%20constituents%20of%20Geum%20rivale%20L. - Panizzi, L. and Catalano, S. and Miarelli, C. and Cioni, P.L. and Campeol, E (2000) 'In vitro antimicrobial activity of extracts and isolated constituents of Geum rivale', Phytotherapy Research, 14(7), pp. 561-563. doi:10.1002/1099-1573(200011)14:7<561::aid-ptr651>3.0.co;2-h Preclinical
https://doi.org/10.1002/1099-1573(200011)14:7<561::aid-ptr651>3.0.co;2-h - Ming, D. and Jiang, R. and But, P.P. and Towers, G.H.N. and Yu, D (2002) 'A new compound from Geum rivale L', Journal of Asian Natural Products Research, 4(3), pp. 217-220. doi:10.1080/10286020290024022 Preclinical
https://doi.org/10.1080/10286020290024022 - Owczarek, A. and Gudej, J. and Kicel, A (2013) 'Composition of essential oil from aerial and underground parts of Geum rivale and G. urbanum growing in Poland', Natural Product Communications, 8(4), pp. 505-508. doi:10.1177/1934578x1300800425 Preclinical
https://doi.org/10.1177/1934578x1300800425 - Bunse, M. and Lorenz, P. and Stintzing, F.C. and Kammerer, D.R (2021) 'Insight into the Secondary Metabolites of Geum rivale L. and Geum urbanum L. Seeds (Rosaceae)', Plants (Basel), 10(6), pp. 1219. doi:10.3390/plants10061219 Preclinical
https://doi.org/10.3390/plants10061219 - Tunon, H. and Olavsdotter, C. and Bohlin, L (1995) 'Evaluation of anti-inflammatory activity of some Swedish medicinal plants. Inhibition of prostaglandin biosynthesis and PAF-induced exocytosis', Journal of Ethnopharmacology, 48(2), pp. 61-76. doi:10.1016/0378-8741(95)01285-l Preclinical
https://doi.org/10.1016/0378-8741(95)01285-l - Lamaison, J.L. and Carnat, A. and Petitjean-Freytet, C (1990) 'Tannin content and inhibiting activity of elastase in Rosaceae', Annales Pharmaceutiques Francaises, 48(6), pp. 335-340. Meta-analysis / review
https://scholar.google.com/scholar?q=Tannin%20content%20and%20inhibiting%20activity%20of%20elastase%20in%20Rosaceae - Blinova, K.F (1954) 'Anatomical structure of Geum urbanum and Geum rivale and localization of tannins', Aptechnoe Delo, 3(2), pp. 30-35. Traditional / reference
https://scholar.google.com/scholar?q=Anatomical%20structure%20of%20Geum%20urbanum%20and%20Geum%20rivale%20and%20localization%20of%20tannins - Kosmala, M. and Milala, J. and Karlinska, E (2025) 'Ellagitannins and Other Polyphenols Along with Dietary Components of the Rosaceae Medicinal Plants', Molecules, 30(23), pp. 4574. doi:10.3390/molecules30234574 Meta-analysis / review
https://doi.org/10.3390/molecules30234574 - Bunse, M. and Mailander, L.K. and Lorenz, P. and Stintzing, F.C. and Kammerer, D.R (2022) 'Evaluation of Geum urbanum L. Extracts with Respect to Their Antimicrobial Potential', Chemistry and Biodiversity, 19(2), pp. e202100850. doi:10.1002/cbdv.202100850 Preclinical
https://doi.org/10.1002/cbdv.202100850 - Gunther, I. and Rimbach, G. and Nevermann, S. and Neuhauser, C. and Stadlbauer, V. and Schwarzinger, B. and Schwarzinger, C. and Ipharraguerre, I.R. and Weghuber, J. and Luersen, K (2021) 'Avens Root (Geum urbanum L.) Extract Discovered by Target-Based Screening Exhibits Antidiabetic Activity in the Hen's Egg Test Model', Frontiers in Pharmacology, 12, pp. 794404. doi:10.3389/fphar.2021.794404 Preclinical
https://doi.org/10.3389/fphar.2021.794404 - Zaharieva, M.M. and Dimitrova, L.L. and Philipov, S. and Nikolova, I. and Vilhelmova, N. and Grozdanov, P. and Nikolova, N. and Popova, M. and Bankova, V. and Konstantinov, S.M. and Zheleva-Dimitrova, D. and Najdenski, H.M (2021) 'In Vitro Antineoplastic and Antiviral Activity and In Vivo Toxicity of Geum urbanum L. Extracts', Molecules, 27(1), pp. 245. doi:10.3390/molecules27010245 Preclinical
https://doi.org/10.3390/molecules27010245 - Dimitrova, L. and Zaharieva, M.M. and Tserovska, L. and Popova, M. and Bankova, V. and Najdenski, H (2025) 'Inhibition of the MRSA Biofilm Formation and Skin Antineoplastic Activity of Ethyl Acetate Roots and Aerial Parts Extracts from Geum urbanum L', Antibiotics (Basel), 14(7), pp. 627. doi:10.3390/antibiotics14070627 Preclinical
https://doi.org/10.3390/antibiotics14070627 - Dimitrova, L. and Zaharieva, M.M. and Popova, M. and Kostadinova, N. and Tsvetkova, I. and Bankova, V. and Najdenski, H (2017) 'Antimicrobial and antioxidant potential of different solvent extracts of the medicinal plant Geum urbanum L', Chemistry Central Journal, 11(1), pp. 113. doi:10.1186/s13065-017-0343-8 Preclinical
https://doi.org/10.1186/s13065-017-0343-8 - Ton That, Q. and Nguyen Thien, T.V. and Dang, H.P. and Le Hoan, N. and Vo, L.K.T. and Nguyen, M.H.D. and Ngu, N.T. and Nguyen, T.S. and Hansen, P.E (2018) 'Chemical constituents of Geum urbanum L. roots', Natural Product Research, 32(21), pp. 2529-2534. doi:10.1080/14786419.2018.1425844 Preclinical
https://doi.org/10.1080/14786419.2018.1425844 - Piwowarski, J.P. and Granica, S. and Zwierzynska, M. and Stefanska, J. and Schopohl, P. and Melzig, M.F. and Kiss, A.K (2014) 'Role of human gut microbiota metabolism in the anti-inflammatory effect of traditionally used ellagitannin-rich plant materials', Journal of Ethnopharmacology, 155(1), pp. 801-809. doi:10.1016/j.jep.2014.06.032 Preclinical
https://doi.org/10.1016/j.jep.2014.06.032
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.