Plant Comparison
Chili Pepper vs Meadowsweet
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
Chili Pepper and Meadowsweet: they share 9 indicated uses (arthritis / joint pain, back pain, headache, …); 3 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Chili Pepper | Meadowsweet | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 6/10 | 1/10 | Stronger for Chili Pepper |
| Back pain | 6/10 | 1/10 | Stronger for Chili Pepper |
| Headache | 1/10 | 1/10 | Comparable evidence |
| Indigestion | 1/10 | 1/10 | Comparable evidence |
| Infection (general) | 1/10 | 1/10 | Comparable evidence |
| Inflammation (general) | 1/10 | 1/10 | Comparable evidence |
| Pain (general) | 6/10 | 1/10 | Stronger for Chili Pepper |
| Skin irritation | 1/10 | 1/10 | Comparable evidence |
| Wounds | 1/10 | 1/10 | 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
The pungent alkaloid-like compounds responsible for the fruit's heat and its counterirritant/analgesic action via TRPV1 receptor desensitisation.
Give ripe red fruit its colour and contribute antioxidant and anti-inflammatory activity.
Antioxidant and anti-inflammatory flavonoids identified in leaf and fruit extracts.
Historically the source of aspirin's chemical inspiration; provide the plant's analgesic and anti-inflammatory activity, buffered by co-occurring mucilage and tannins.
Antioxidant constituents contributing to the plant's anti-inflammatory and gastroprotective effects.
Contribute to astringency and the characteristic sweet almond-like fragrance.
Pharmacological Actions
Traditional & Indicated Uses
inferred from anti-inflammatory action
inferred from analgesic action
inferred from digestive action
inferred from antimicrobial action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from gastroprotective action
inferred from anti-inflammatory action
inferred from anticancer action
inferred from gastroprotective action
inferred from antimicrobial action
inferred from anti-inflammatory action
inferred from antispasmodic action
inferred from antispasmodic action
inferred from anti-inflammatory action
inferred from diuretic action
inferred from diuretic action
inferred from diuretic action
Safety, Cautions & Contraindications
Capsaicin causes intense burning sensation; avoid contact with eyes and mucous membranes. High oral doses can cause gastrointestinal irritation, nausea, and diarrhoea. Topical preparations may cause skin irritation and should be used diluted. Not recommended for individuals with active peptic ulcers. Caution with anticoagulants — capsaicin may enhance bleeding risk. During pregnancy, culinary amounts are considered safe, but high-dose supplements should be avoided. Repeated topical application leads to desensitisation (TRPV1 depletion), which is the basis for its analgesic use. Children under 2 should not be given capsaicin-containing topical products (Basu and Bhattacharyya, 2023).
Duke (2002) rates cayenne/chili pepper (Capsicum annuum) highly for its clinically documented analgesic, counterirritant, and rubefacient activities. Commission E approves topical capsaicin preparations for muscle pain, arthritis, and neuralgia (score 2). The active compound capsaicin depletes substance P in sensory neurons upon repeated application, reducing pain signals. Capsaicin cream (0.025–0.075%) is a validated treatment for post-herpetic neuralgia, diabetic neuropathy, and osteoarthritis pain. Internal use can irritate mucous membranes; external use requires avoiding contact with eyes and mucous membranes (Duke, 2002).
Generally safe in normal culinary and medicinal doses. Avoid in salicylate sensitivity or aspirin allergy. Not recommended for children with viral illnesses (Reye's syndrome risk, as with other salicylate-containing plants). Avoid during pregnancy and breastfeeding.
Duke (2002) rates meadowsweet as ++ and notes analgesic, antiulcer, antirheumatic, astringent, and anti-aggregant activities at the experimental level (score 1). The plant is historically significant as a precursor to aspirin — salicylate compounds in meadowsweet were originally used to derive acetylsalicylic acid. Unlike aspirin, meadowsweet's salicylates are combined with protective mucilaginous compounds that may reduce gastric irritation. Duke notes that individuals with aspirin (salicylate) sensitivity should avoid meadowsweet; the plant also has anticoagulant properties that may interact with blood-thinning medications (Duke, 2002).
External Ids
Botanical Description
Bushy annual or short-lived perennial herb (grown as an annual in temperate climates) with glossy, oval to lance-shaped leaves. Small, star-shaped, white to greenish flowers give way to the characteristic fleshy, hollow fruit (a berry), which ripens from green through yellow to red and varies enormously in size, shape and pungency between cultivars.[1]
Tall, moisture-loving perennial herb with pinnately compound leaves, dark green above and whitish-downy beneath, the leaflets sharply toothed. Dense, fluffy, creamy-white flower clusters with a strong, sweet, almond-like fragrance are borne atop reddish, grooved stems.[1]
Habitat
Native to Central and South America; cultivated worldwide in warm and temperate climates as a food and medicinal crop, thriving in full sun on well-drained soil.[1]
Grows in damp meadows, marshes, riverbanks, ditches and wet woodland margins; native to Europe and temperate Asia, favouring moist, nutrient-rich ground.[1]
Harvesting
Fruit is picked at the desired stage of ripeness (green for milder use, fully red for maximum capsaicin and carotenoid content) through summer and autumn; seeds are separated and dried from fully ripe fruit.
The flowering tops, leaf and stem are cut in summer as the flowers open, when the characteristic salicylate content is highest, and dried in a warm, shaded, airy place.[1]
Traditional Uses
Chili pepper fruit has a long history across the Americas and, after global spread, in many other traditional medicine systems as a warming digestive stimulant and topical counterirritant/analgesic for muscle and joint pain, building on capsaicin's now well-documented ability to desensitise pain-sensing nerve fibres with repeated application.[1]
Meadowsweet is historically significant as the plant from which salicylic acid derivatives (the chemical basis of aspirin) were first isolated, and has long been used in European folk medicine as an anti-inflammatory, analgesic and gastroprotective remedy for feverish colds, rheumatic and joint pain, and digestive complaints such as acid reflux and indigestion - notably, its natural mucilage is thought to buffer the gastric irritation associated with isolated salicylates.[1, 4]
Preparations
Standardised capsaicin cream or patch applied to the affected area for muscle, joint or nerve pain; repeated application depletes substance P and reduces pain signalling.
Dried flower, leaf and stem infused in hot water as a traditional anti-inflammatory and digestive tea.
Tincture (1:5) of the dried aerial parts; single dose 2-4 ml, daily dose 6-12 ml per the EU herbal monograph. Educational reference only, not a prescription.
Concentrated extract studied in vitro and in vivo for anti-inflammatory and gastroprotective activity.
Dosage
The EU herbal monograph on Capsici fructus gives semi-solid dosage forms corresponding to 40-53 mg capsaicinoids per 100 g, applied as a thin layer to the affected area 2-4 times daily, in adults and elderly. For medicated plasters, a maximum of 1 plaster per day applied for at least 4 and up to 12 hours, with at least 12 hours before a new plaster is applied to the same area. Not recommended under 18 years. Expect an initial burning sensation that lessens with repeated use. Note the monograph covers hot chilli fruit (C. annuum var. minimum and small-fruited C. frutescens), not sweet peppers. Educational reference only, not a prescription.
The EU herbal monograph gives a single dose of 1.5-6 g of the comminuted herb as an infusion, for a daily dose of 2-18 g, in adults and elderly; a powdered herbal substance at 250-500 mg per dose (250-1500 mg daily) and a 1:5 tincture at 2-4 mL per dose (6-12 mL daily) are also listed. Contraindicated in hypersensitivity to salicylates. For rheumatic-type complaints, not to be used for more than 4 weeks. Not recommended under 18 years. Educational reference only, not a prescription.
References
Lookalikes Review
References & Sources
- Cho, S.Y., Kim, H.W., Lee, M.K., Kim, H.J., Kim, J.B., Choe, J.S., Lee, Y.M. and Jang, H.H (2020) 'Antioxidant and anti-inflammatory activities in relation to the flavonoids composition of pepper (Capsicum annuum L.)', Antioxidants, 9(10), pp. 986. doi:10.3390/antiox9100986 Preclinical
https://doi.org/10.3390/antiox9100986 - Khan, F.A., Mahmood, T., Ali, M., Saeed, A. and Maalik, A (2014) 'Pharmacological importance of an ethnobotanical plant: Capsicum annuum L', Natural Product Research, 28(16), pp. 1267-1274. doi:10.1080/14786419.2014.895723 Meta-analysis / review
https://doi.org/10.1080/14786419.2014.895723 - Srinivasan, K (2016) 'Biological activities of red pepper (Capsicum annuum) and its pungent principle capsaicin: a review', Critical Reviews in Food Science and Nutrition, 56(9), pp. 1488-1500. doi:10.1080/10408398.2013.772090 Meta-analysis / review
https://doi.org/10.1080/10408398.2013.772090 - Hernandez-Perez, T., Gomez-Garcia, M.D.R., Valverde, M.E. and Paredes-Lopez, O (2020) 'Capsicum annuum (hot pepper): an ancient Latin-American crop with outstanding bioactive compounds and nutraceutical potential. A review', Comprehensive Reviews in Food Science and Food Safety, 19(6), pp. 2972-2993. doi:10.1111/1541-4337.12634 Meta-analysis / review
https://doi.org/10.1111/1541-4337.12634 - Sanati, S., Razavi, B.M. and Hosseinzadeh, H (2018) 'A review of the effects of Capsicum annuum L. and its constituent, capsaicin, in metabolic syndrome', Iranian Journal of Basic Medical Sciences, 21(5), pp. 439-448. doi:10.22038/IJBMS.2018.25200.6238 Meta-analysis / review
https://doi.org/10.22038/IJBMS.2018.25200.6238 - Mandal, S.K., Rath, S.K., Logesh, R., Mishra, S.K., Devkota, H.P. and Das, N (2023) 'Capsicum annuum L. and its bioactive constituents: a critical review of a traditional culinary spice in terms of its modern pharmacological potentials with toxicological issues', Phytotherapy Research, 37(3), pp. 965-1002. doi:10.1002/ptr.7660 Meta-analysis / review
https://doi.org/10.1002/ptr.7660 - Grojja, Y., Hajlaoui, H., Luca, S.V., Abidi, J., Skalicka-Wozniak, K., Zouari, S. and Bouaziz, M (2023) 'Untargeted phytochemical profiling, antioxidant, and antimicrobial activities of a Tunisian Capsicum annuum cultivar', Molecules, 28(17), pp. 6346. doi:10.3390/molecules28176346 Preclinical
https://doi.org/10.3390/molecules28176346 - Hernandez-Ortega, M., Ortiz-Moreno, A., Hernandez-Navarro, M.D., Chamorro-Cevallos, G., Dorantes-Alvarez, L. and Necoechea-Mondragon, H (2012) 'Antioxidant, antinociceptive, and anti-inflammatory effects of carotenoids extracted from dried pepper (Capsicum annuum L.)', Journal of Biomedicine and Biotechnology, 2012, pp. 524019. doi:10.1155/2012/524019 Preclinical
https://doi.org/10.1155/2012/524019 - Maji, A.K. and Banerji, P (2016) 'Phytochemistry and gastrointestinal benefits of the medicinal spice, Capsicum annuum L. (Chilli): a review', Journal of Complementary & Integrative Medicine, 13(2), pp. 97-122. doi:10.1515/jcim-2015-0037 Meta-analysis / review
https://doi.org/10.1515/jcim-2015-0037 - Marrelli, M., Menichini, F. and Conforti, F (2016) 'Hypolipidemic and antioxidant properties of hot pepper flower (Capsicum annuum L.)', Plant Foods for Human Nutrition, 71(3), pp. 301-306. doi:10.1007/s11130-016-0560-7 Preclinical
https://doi.org/10.1007/s11130-016-0560-7 - Song, C., Yu, C., Zhu, X., Luo, X., Zhang, Y., Meng, L., Luo, Y., Chang, H., Qin, C. and Liu, Y (2020) 'A new capsaicin-containing phenolic glycoside from Capsicum annuum L', Natural Product Research, 36(2), pp. 546-552. doi:10.1080/14786419.2020.1789983 Preclinical
https://doi.org/10.1080/14786419.2020.1789983 - European Medicines Agency (HMPC) (2015) 'European Union herbal monograph on Capsicum annuum L. var. minimum (Miller) Heiser and small fruited varieties of Capsicum frutescens L., fructus'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-capsicum-annuum-l-var-minimum-miller-heiser-and-small-fruited-varieties-capsicum-frutescens-l-fructus_en.pdf Traditional / reference
https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-capsicum-annuum-l-var-minimum-miller-heiser-and-small-fruited-varieties-capsicum-frutescens-l-fructus_en.pdf - Anand, P. and Bley, K (2011) 'Topical capsaicin for pain management: therapeutic potential and mechanisms of action of the new high-concentration capsaicin 8% patch', 107(4), pp. 490--502. doi:10.1093/bja/aer260 Clinical study
https://doi.org/10.1093/bja/aer260 - Basu, S. and Bhattacharyya, S (2023) 'Capsicum and capsaicin: a comprehensive review of chemistry, pharmacology, and therapeutic applications', 22(5), pp. 1413--1442. doi:10.1007/s11101-023-09875-8 Traditional / reference
https://doi.org/10.1007/s11101-023-09875-8 - Derry, S., Rice, A.S., Cole, P., Tan, T. and Moore, R.A (2017) 'Topical capsaicin (high concentration) for chronic neuropathic pain in adults'. doi:10.1002/http://14651858.CD007393.pub4 Randomized trial
https://doi.org/10.1002/http://14651858.CD007393.pub4 - Royal Botanic Gardens, Kew (n.d.) 'Capsicum annuum L'. Available at: https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:841033-1 Traditional / reference
https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:841033-1 - Molina-Torres, J., García-Chávez, A. and Ramírez-Chávez, E (1999) 'Antimicrobial properties of alkamides present in flavouring plants traditionally used in Mesoamerica', 64(3), pp. 241--248. doi:10.1016/S0378-8741(98)00131-4 Traditional / reference
https://doi.org/10.1016/S0378-8741(98)00131-4 - Lv, J., Qi, L., Yu, C. et al (2015) 'Consumption of spicy foods and total and cause specific mortality: population based cohort study'. doi:10.1136/bmj.h3942 Clinical study
https://doi.org/10.1136/bmj.h3942 - 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
- Samardžić, S., Arsenijević, J., Božić, D., Milenković, M. et al (2017) 'Antioxidant, anti-inflammatory and gastroprotective activity of Filipendula ulmaria (L.) Maxim. and Filipendula vulgaris Moench', Journal of Ethnopharmacology, 213, pp. 132-137. doi:10.1016/j.jep.2017.11.013 Preclinical
https://doi.org/10.1016/j.jep.2017.11.013 - Andonova, T., Muhovski, Y., Apostolova, E., Naimov, S. et al (2024) 'DNA-Protective, Antioxidant and Anti-Carcinogenic Potential of Meadowsweet (Filipendula ulmaria) Dry Tincture', Antioxidants (Basel), 13(10), pp. 1200. doi:10.3390/antiox13101200 Preclinical
https://doi.org/10.3390/antiox13101200 - Van der Auwera, A., Peeters, L., Foubert, K., Piazza, S. et al (2023) 'In Vitro Biotransformation and Anti-Inflammatory Activity of Constituents and Metabolites of Filipendula ulmaria', Pharmaceutics, 15(4), pp. 1291. doi:10.3390/pharmaceutics15041291 Preclinical
https://doi.org/10.3390/pharmaceutics15041291 - Katanic, J., Boroja, T., Mihailovic, V., Nikles, S., Pan, S., Rosic, G., Selakovic, D., Joksimovic, J., Mitrovic, S. and Bauer, R (2016) 'In vitro and in vivo assessment of meadowsweet (Filipendula ulmaria) as anti-inflammatory agent', Journal of Ethnopharmacology, 193, pp. 627-636. doi:10.1016/j.jep.2016.10.015 Preclinical
https://doi.org/10.1016/j.jep.2016.10.015 - Samardzic, S., Tomic, M., Pecikoza, U., Stepanovic-Petrovic, R. and Maksimovic, Z (2016) 'Antihyperalgesic activity of Filipendula ulmaria (L.) Maxim. and Filipendula vulgaris Moench in a rat model of inflammation', Journal of Ethnopharmacology, 193, pp. 652-656. doi:10.1016/j.jep.2016.10.024 Preclinical
https://doi.org/10.1016/j.jep.2016.10.024 - Katanic, J., Matic, S., Pferschy-Wenzig, E., Kretschmer, N., Boroja, T., Mihailovic, V., Stankovic, V., Stankovic, N., Mladenovic, M., Stanic, S., Mihailovic, M. and Bauer, R (2016) 'Filipendula ulmaria extracts attenuate cisplatin-induced liver and kidney oxidative stress in rats: In vivo investigation and LC-MS analysis', Food and Chemical Toxicology, 99, pp. 86-102. doi:10.1016/j.fct.2016.11.018 Preclinical
https://doi.org/10.1016/j.fct.2016.11.018 - Arsenijevic, N., Selakovic, D., Katanic Stankovic, J.S., Mihailovic, V., Mitrovic, S., Milenkovic, J., Milanovic, P., Vasovic, M., Nikezic, A., Milosevic-Djordjevic, O., Zivanovic, M., Filipovic, N., Jakovljevic, V., Jovicic, N. and Rosic, G (2021) 'Variable neuroprotective role of Filipendula ulmaria extract in rat hippocampus', Journal of Integrative Neuroscience, 20(4), pp. 871-883. doi:10.31083/j.jin2004089 Preclinical
https://doi.org/10.31083/j.jin2004089 - Matic, S., Katanic, J., Stanic, S., Mladenovic, M., Stankovic, N., Mihailovic, V. and Boroja, T (2015) 'In vitro and in vivo assessment of the genotoxicity and antigenotoxicity of the Filipendula hexapetala and Filipendula ulmaria methanol extracts', Journal of Ethnopharmacology, 174, pp. 287-292. doi:10.1016/j.jep.2015.08.025 Preclinical
https://doi.org/10.1016/j.jep.2015.08.025 - Pannakal, S.T., Eilstein, J., Hubert, J., Kotland, A., Prasad, A., Gueguiniat-Prevot, A., Juchaux, F., Beaumard, F., Seru, G., John, S. and Roy, D (2023) 'Rapid Chemical Profiling of Filipendula ulmaria Using CPC Fractionation, 2-D Mapping of 13C NMR Data, and High-Resolution LC-MS', Molecules, 28(17), pp. 6349. doi:10.3390/molecules28176349 Preclinical
https://doi.org/10.3390/molecules28176349 - Valle, M.G., Nano, G.M. and Tira, S (1988) 'The Essential Oil of Filipendula ulmaria', Planta Medica, 54(2), pp. 181-182. doi:10.1055/s-2006-962390 Preclinical
https://doi.org/10.1055/s-2006-962390 - Popowski, D., Zentek, J., Piwowarski, J.P. and Granica, S (2021) 'Gut Microbiota of Pigs Metabolizes Extracts of Filipendula ulmaria and Orthosiphon aristatus - Herbal Remedies Used in Urinary Tract Disorders', Planta Medica, 88(3-04), pp. 254-261. doi:10.1055/a-1647-2866 Preclinical
https://doi.org/10.1055/a-1647-2866 - Bespalov, V.G., Alexandrov, V.A., Semenov, A.L., Kovan'ko, E.G., Ivanov, S.D., Vysochina, G.I., Kostikova, V.A. and Baranenko, D.A (2016) 'The inhibitory effect of meadowsweet (Filipendula ulmaria) on radiation-induced carcinogenesis in rats', International Journal of Radiation Biology, 93(4), pp. 394-401. doi:10.1080/09553002.2016.1257834 Preclinical
https://doi.org/10.1080/09553002.2016.1257834 - European Medicines Agency (HMPC) (2011) 'Community herbal monograph on Filipendula ulmaria (L.) Maxim., herba'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-filipendula-ulmaria-l-maxim-herba-first-version_en.pdf Traditional / reference
https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-filipendula-ulmaria-l-maxim-herba-first-version_en.pdf - Bridge, J (2008) 'The Herbal Remedy Handbook'. Traditional / reference
https://scholar.google.com/scholar?q=The%20Herbal%20Remedy%20Handbook - Drummond, E.M., Harbourne, N., Marete, E., Jacquier, J.C., O'Riordan, D. and Gibney, E.R (2013) 'Inhibition of pro-inflammatory biomarkers in THP1 macrophages by polyphenols derived from chamomile, meadowsweet and willow bark', 27(4), pp. 588--594. Traditional / reference
https://scholar.google.com/scholar?q=Inhibition%20of%20pro-inflammatory%20biomarkers%20in%20THP1%20macrophages%20by%20polyphenols%20derived%20from%20chamomile%2C%20meadowsweet%20and%20willow%20bark - Grieve, M (1931) 'A Modern Herbal'. Traditional / reference
https://scholar.google.com/scholar?q=A%20Modern%20Herbal - 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
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.