Plant Comparison

Chili Pepper vs Wood Betony

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 AChili PepperCapsicum annuumSolanaceaeFull monograph →
Plant BWood BetonyStachys officinalisLamiaceaeFull monograph →

At a glance

Chili Pepper and Wood Betony: they share 6 indicated uses (arthritis / joint pain, bloating, headache, …); 2 pharmacological actions in common.

Chili PepperWood Betony
Constituents33
Pharmacological actions45
Indicated uses1111
Safety notes22
Cited sources1913
Indicated uses
Only Chili Pepper
Back painCardiovascular / heart healthInfection (general)Pain (general)Wounds
Shared (6)
Arthritis / joint painBloatingHeadacheIndigestionInflammation (general)Skin irritation
Only Wood Betony
AnxietyMenstrual crampsMuscle spasmNervous tensionStress
Pharmacological actions
Only Chili Pepper
Analgesic (pain relief)Antimicrobial
Shared (2)
Anti-inflammatoryDigestive aid
Only Wood Betony
AntioxidantAntispasmodicAnxiolytic / calming

Evidence face-off — shared uses

ConditionChili PepperWood BetonyVerdict
Arthritis / joint pain6/101/10Stronger for Chili Pepper
Bloating1/101/10Comparable evidence
Headache1/101/10Comparable evidence
Indigestion1/101/10Comparable evidence
Inflammation (general)1/102/10Comparable evidence
Skin irritation1/101/10Comparable 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

Capsaicinoids (capsaicin, dihydrocapsaicin)[8]

The pungent alkaloid-like compounds responsible for the fruit's heat and its counterirritant/analgesic action via TRPV1 receptor desensitisation.

Carotenoids (capsanthin, beta-carotene)[8]

Give ripe red fruit its colour and contribute antioxidant and anti-inflammatory activity.

Carotenoids
Flavonoids (luteolin, apigenin)[1]

Antioxidant and anti-inflammatory flavonoids identified in leaf and fruit extracts.

FlavonoidsLuteolinApigenin
Phenylethanoid and iridoid glycosides (acteoside, harpagide, harpagoside, aucubin, betonyosides)[9, 10, 11]

Anti-inflammatory and antispasmodic constituents.

Iridoid glycosidesHarpagosideGlycosidesVerbascoside (acteoside)
Alkaloids (stachydrine, betaine)[11]

Characteristic nitrogen-containing constituents.

Alkaloids
Phenolic acids (rosmarinic, caffeic, chlorogenic), tannins and volatile oil[2, 3, 4, 7, 11, 12]

Antioxidant, astringent and aromatic constituents; methanolic extract of the herb showed strong free-radical-scavenging and lipid-peroxidation-inhibiting activity in vitro.

Phenolic acidsEssential (volatile) oilChlorogenic acidRosmarinic acidCaffeic acidTannins

Pharmacological Actions

Analgesic (pain relief)[3, 6, 8, 13, 14, 15, 16]
Anti-inflammatory[1, 2, 5, 8, 13, 14, 15, 16]
Antimicrobial[7, 14, 16, 17]
Digestive aid[3, 4, 9, 14, 16]
Anti-inflammatory[9, 11]

Anti-inflammatory and antispasmodic

Antioxidant[1, 2, 5, 8, 12]

Antioxidant - among the strongest free-radical scavengers in a comparative study of Lamiaceae herbs

Antispasmodic[11]

Anti-inflammatory and antispasmodic

Anxiolytic / calming[11, 13]

Gentle calmative for anxiety; Nervine / relaxant for nervous tension and tension headaches (especially headache worsened by anxiety or muscle tension)

Digestive aid[11]

Digestive bitter for indigestion, mild stomach upset and bloating

Traditional & Indicated Uses

Arthritis / joint pain[13, 14, 15, 16, 17]Moderate · 6/10

inferred from anti-inflammatory action

Evidence: 6
Label: Arthritis / joint pain
Back pain[13, 14, 15, 16, 17]Moderate · 6/10

inferred from analgesic action

Evidence: 6
Label: Back pain
Bloating[14, 16, 17]Traditional · 1/10

inferred from digestive action

Evidence: 1
Label: Bloating
Cardiovascular / heart health[14, 16, 17, 18]Limited · 3/10
Evidence: 3
Label: Cardiovascular / heart health
Headache[14, 16, 17]Traditional · 1/10

inferred from analgesic action

Evidence: 1
Label: Headache
Indigestion[14, 16, 17]Traditional · 1/10

inferred from digestive action

Evidence: 1
Label: Indigestion
Infection (general)[14, 16, 17]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Infection (general)
Inflammation (general)[14, 16, 17]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Inflammation (general)
Pain (general)[13, 14, 15, 16, 17]Moderate · 6/10
Evidence: 6
Label: Pain (general)
Skin irritation[14, 16, 17]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Skin irritation
Wounds[14, 16, 17]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Wounds
Anxiety[11, 13]Traditional · 1/10

Gentle calmative for anxiety; Nervine / relaxant for nervous tension and tension headaches (especially headache worsened by anxiety or muscle tension)

Evidence: 1
Label: Anxiety
Arthritis / joint pain[11]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Bloating[11]Traditional · 1/10

Digestive bitter for indigestion, mild stomach upset and bloating

Evidence: 1
Label: Bloating
Headache[11, 13]Traditional · 1/10

Nervine / relaxant for nervous tension and tension headaches (especially headache worsened by anxiety or muscle tension)

Evidence: 1
Label: Headache
Indigestion[11]Traditional · 1/10

Digestive bitter for indigestion, mild stomach upset and bloating

Evidence: 1
Label: Indigestion
Inflammation (general)[9, 11]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Inflammation (general)
Menstrual cramps[11]Traditional · 1/10

inferred from antispasmodic action

Evidence: 1
Label: Menstrual cramps
Muscle spasm[11]Traditional · 1/10

inferred from antispasmodic action

Evidence: 1
Label: Muscle spasm
Nervous tension[11, 13]Traditional · 1/10

Nervine / relaxant for nervous tension and tension headaches (especially headache worsened by anxiety or muscle tension)

Evidence: 1
Label: Nervous tension
Skin irritation[11]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Skin irritation
Stress[11, 13]Traditional · 1/10

inferred from anxiolytic action

Evidence: 1
Label: Stress

Safety, Cautions & Contraindications

Safety note[13, 14, 15, 16, 17, 18]Caution

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).

Safety note[13, 14, 15, 16, 17, 18, 19]Caution

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).

Safety note[11]Info

Generally well tolerated, with occasional mild nausea the main reported effect.

Safety note[11, 13]Caution

Traditionally avoided in pregnancy (uterine reputation), and it may lower blood pressure - use caution with blood-pressure medicines.

External Ids

Gbif: 2932944
Wikidata: Q1380
Gbif: 7777194
Wikidata: Q157297

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]

Height: 0.5-1.5 m
Habit: Bushy annual or short-lived perennial herb
Leaves: Glossy, oval to lance-shaped
Flowers: Small, star-shaped, white to greenish, borne singly or in small clusters
Stem: Branching, semi-woody at the base in older plants
Root: Fibrous root system
Fruit: Fleshy, hollow berry, ripening green to yellow/orange/red, containing numerous flat seeds
Flowering Period: Summer, continuing until frost

Perennial herb (Lamiaceae), 30-60 cm tall, with square, mostly unbranched, hairy stems. Leaves are mostly basal, oblong to heart-shaped, toothed and wrinkled. Small, reddish-purple, two-lipped flowers are borne in a dense, interrupted terminal spike.[11]

Height: 30-60 cm
Habit: Erect perennial herb
Leaves: Mostly basal, oblong to heart-shaped, toothed, wrinkled
Flowers: Small, reddish-purple, two-lipped, in a dense interrupted terminal spike
Stem: Square, mostly unbranched, hairy
Root: Fibrous perennial rootstock
Fruit: Four small nutlets (typical Lamiaceae schizocarp)
Flowering Period: June-September

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]

Native to Europe, growing in open woodland, grassland, hedgebanks and heathland on well-drained, often slightly acidic soils.[11]

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.

Parts: Fruit, Seed
Season: Summer to autumn, at desired ripeness

Aerial flowering parts are cut during flowering (summer) and dried.[11]

Parts: Aerial parts (flowering herb)
Season: Summer, during flowering

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]

Wood betony has an ancient European reputation - praised in Anglo-Saxon and medieval herbals as a cure-all, giving rise to the saying 'sell your coat and buy betony' - as a gentle nervine for headache, anxiety and nervous tension, and as a digestive bitter. Modern phytochemical studies confirm it is among the strongest antioxidants of the Lamiaceae family, alongside anti-inflammatory and antispasmodic constituents.[11, 13]

Preparations

Topical cream/ointment (capsaicin)[8]

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.

Infusion (tea)[11]

Dried aerial parts steeped in hot water - the classic calming and digestive preparation.

Dosage

Topical capsaicin cream[12]

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.

Infusion (tea)[11, 13]

Traditional guidance suggests roughly 1-2 g dried herb per cup as an infusion, up to three times daily. Educational reference only, not a prescription; use caution alongside blood-pressure medicines and avoid in pregnancy.

References

REF-2142, REF-2143, REF-2144, REF-2145, REF-2146, REF-2147, REF-2148, REF-2149, REF-2150, REF-2151, REF-2152
REF-1055, REF-1056, REF-1057, REF-1058, REF-1059, REF-1042, REF-1060, REF-1061, REF-1062, REF-1063

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. 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
  2. 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
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  3. 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
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  4. 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
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  11. 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
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  12. 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
  13. 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
  14. 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
  15. 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
  16. 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
  17. 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
  18. 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
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    https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition
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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.