Plant Comparison
Water avens vs Noni
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
Water avens and Noni: they share 6 indicated uses (cancer (anticancer research), inflammation (general), infection (general), …); 6 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Water avens | Noni | Verdict |
|---|---|---|---|
| Cancer (anticancer research) | 2/10 | 7/10 | Stronger for Noni |
| Inflammation (general) | 2/10 | 2/10 | Comparable evidence |
| Infection (general) | 2/10 | 2/10 | Comparable evidence |
| Wounds | 2/10 | 2/10 | Comparable evidence |
| Skin irritation | 2/10 | 2/10 | Comparable evidence |
| Blood sugar / diabetes support | 2/10 | 2/10 | 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
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.
A major phytochemical class of noni fruit and leaf, studied for antioxidant and anti-inflammatory activity.
Found mainly in the root and, at lower levels, the fruit; studied for anticancer and antimicrobial activity.
Fruit polysaccharides studied for gut-microbiota-modulating and anti-inflammatory effects in animal models of inflammatory bowel disease.
A phenolic coumarin found in the fruit, studied for anti-inflammatory and vascular effects.
Pharmacological Actions
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 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).
inferred from anti-inflammatory action
inferred from antidiabetic action
inferred from anticancer action
inferred from antimicrobial action
inferred from anti-inflammatory action
inferred from antidiabetic action
inferred from anti-inflammatory action
Safety, Cautions & Contraindications
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.
Generally safe in moderate amounts. High potassium content — use caution in renal disease. Rare cases of hepatotoxicity reported with excessive consumption. May interact with warfarin (due to vitamin K content). Avoid during pregnancy.
Duke (2002) rates noni as +++ and notes analgesic, antirheumatic, antiarthritic, antitumor, antispasmodic, and hypotensive activities at the experimental level (score 1). Traditional Polynesian and South Asian medicine values it as a broad-spectrum tonic. The plant contains morindine, proxeronine, and damnacanthal, which are under investigation for immunomodulatory and anti-tumor effects. Duke notes that noni fruit can be consumed as food and is generally safe, though the juice has a strong unpleasant odor and taste. No significant toxicity has been reported with regular food consumption (Duke, 2002).
External Ids
Synonyms
Not documented
Botanical Description
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]
Small evergreen tree or shrub (Rubiaceae), 3-10 m tall, with large, glossy, dark green, elliptical leaves marked by prominent parallel veins. Small, white, tubular, fragrant flowers are borne in dense rounded heads, developing into a compound fleshy fruit (syncarp) that is warty, semi-translucent and yellow-white when ripe, with a strong, pungent, cheese-like odour.[1]
Habitat
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]
Native to Southeast Asia and Australasia, and dispersed across the Pacific islands and into India and the Caribbean by early Polynesian voyagers and subsequent cultivation; grows in coastal areas, open and disturbed forest, and even on bare lava flows, tolerating poor, saline and drought-prone soils.[1, 6]
Harvesting
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]
Ripe fruit is hand-picked as it softens and turns yellow-white, then traditionally left to further ripen or ferment for juice production; leaves and root are also traditionally gathered.[6]
Traditional Uses
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]
Noni has an extensive Polynesian, South Asian and Southeast Asian traditional-medicine history, used as a broad-spectrum tonic for pain, inflammation, infection and immune support, and traditionally for diabetes and skin complaints. The fermented fruit juice is the most widely used modern preparation, now studied for antioxidant, anti-inflammatory, immunomodulatory and metabolic effects supporting several of these traditional uses.[1, 6]
Preparations
References
Drug Class Interactions
Not documented
Pairings
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]
Not documented
Lookalikes Review
Dosage
Not documented
Commercial noni juice is typically taken in modest daily amounts (a few tablespoons); given rare reports of hepatotoxicity with excessive or prolonged intake, avoid high doses, especially with pre-existing liver disease. Educational reference only, not a prescription.
References & Sources
- 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
- Potterat, O. and Hamburger, M (2007) 'Morinda citrifolia (Noni) fruit--phytochemistry, pharmacology, safety', Planta Medica, 73(3), pp. 191-199. doi:10.1055/s-2007-967115 Meta-analysis / review
https://doi.org/10.1055/s-2007-967115 - Brown, A.C (2012) 'Anticancer activity of Morinda citrifolia (Noni) fruit: a review', Phytotherapy Research, 26(10), pp. 1427-1440. doi:10.1002/ptr.4595 Meta-analysis / review
https://doi.org/10.1002/ptr.4595 - Almeida-Souza, F., de Souza, C.S., Taniwaki, N.N., Silva, J.J. and others (2016) 'Morinda citrifolia Linn. fruit (Noni) juice induces an increase in NO production and death of Leishmania amazonensis amastigotes in peritoneal macrophages from BALB/c', Nitric Oxide, 58, pp. 51-58. doi:10.1016/j.niox.2016.06.004 Preclinical
https://doi.org/10.1016/j.niox.2016.06.004 - Wang, R., Wang, L., Wang, S., Wang, J. and others (2022) 'Phenolics from noni (Morinda citrifolia L.) fruit alleviate obesity in high fat diet-fed mice via modulating the gut microbiota and mitigating intestinal damage', Food Chemistry, 402, pp. 134232. doi:10.1016/j.foodchem.2022.134232 Preclinical
https://doi.org/10.1016/j.foodchem.2022.134232 - Yoshitomi, H., Zhou, J., Nishigaki, T., Li, W. and others (2020) 'Morinda citrifolia (Noni) fruit juice promotes vascular endothelium function in hypertension via glucagon-like peptide-1 receptor-CaMKKbeta-AMPK-eNOS pathway', Phytotherapy Research, 34(9), pp. 2341-2350. doi:10.1002/ptr.6685 Preclinical
https://doi.org/10.1002/ptr.6685 - Almeida, E.S., de Oliveira, D. and Hotza, D (2019) 'Properties and Applications of Morinda citrifolia (Noni): A Review', Comprehensive Reviews in Food Science and Food Safety, 18(4), pp. 883-909. doi:10.1111/1541-4337.12456 Meta-analysis / review
https://doi.org/10.1111/1541-4337.12456 - Kim, S.H., Seong, G.S. and Choung, S.Y (2020) 'Fermented Morinda citrifolia (Noni) Alleviates DNCB-Induced Atopic Dermatitis in NC/Nga Mice through Modulating Immune Balance and Skin Barrier Function', Nutrients, 12(1), pp. 249. doi:10.3390/nu12010249 Preclinical
https://doi.org/10.3390/nu12010249 - Jin, M.Y., Wu, X.Y., Li, M.Y., Li, X.T. and others (2021) 'Noni (Morinda citrifolia L.) Fruit Polysaccharides Regulated IBD Mice Via Targeting Gut Microbiota: Association of JNK/ERK/NF-kappaB Signaling Pathways', Journal of Agricultural and Food Chemistry, 69(35), pp. 10151-10162. doi:10.1021/acs.jafc.1c03833 Preclinical
https://doi.org/10.1021/acs.jafc.1c03833 - Lee, D., Yu, J.S., Huang, P., Qader, M. and others (2020) 'Identification of Anti-Inflammatory Compounds from Hawaiian Noni (Morinda citrifolia L.) Fruit Juice', Molecules, 25(21), pp. 4968. doi:10.3390/molecules25214968 Preclinical
https://doi.org/10.3390/molecules25214968 - Ma, L.D., Lin, G.B., Yang, L.B., Cao, J.L. and others (2021) 'Morinda citrifolia (Noni) Juice Suppresses A549 Human Lung Cancer Cells via Inhibiting AKT/Nuclear Factor-kappaB Signaling Pathway', Chinese Journal of Integrative Medicine, 27(9), pp. 688-695. doi:10.1007/s11655-020-3421-y Preclinical
https://doi.org/10.1007/s11655-020-3421-y - Hirazumi, A. and Furusawa, E (1999) 'An immunomodulatory polysaccharide-rich substance from the fruit juice of Morinda citrifolia', 13(5), pp. 380--387. Preclinical
https://scholar.google.com/scholar?q=An%20immunomodulatory%20polysaccharide-rich%20substance%20from%20the%20fruit%20juice%20of%20Morinda%20citrifolia - Potterat, O. and Hamburger, M (2007) 'Morinda citrifolia (Noni) fruit — phytochemistry, pharmacology, safety', 73(3), pp. 191--199. doi:10.1055/s-2007-967115 Preclinical
https://doi.org/10.1055/s-2007-967115 - West, B.J., Jensen, C.J., Westendorf, J. and White, L.D (2006) 'A safety review of noni fruit juice', 71(8). doi:10.1111/j.1750-3841.2006.00164.x Traditional / reference
https://doi.org/10.1111/j.1750-3841.2006.00164.x - 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.