Research suggests that holy basil (tulsi) may help reduce psychological stress, with support coming from a range of study types including one randomized controlled trial reporting reduced perceived stress scores and lower hair cortisol levels compared to placebo, as well as multiple narrative and systematic reviews documenting adaptogenic effects through mechanisms such as regulation of the hypothalamic-pituitary-adrenal axis and modulation of cortisol. The broader body of literature, including a systematic review of 24 human clinical studies, characterizes tulsi as a promising botanical for stress and lifestyle-related conditions, while phytochemical reviews point to constituents such as eugenol as likely contributors to its stress-reducing properties. However, the overall evidence base has meaningful limitations: a 2022 systematic review examining HPA axis effects across 52 botanical RCTs concluded that the evidence for most herbs, tulsi included, remains too inconsistent to draw firm conclusions, with ashwagandha standing out as the most consistently supported option in that particular analysis. Studies indicate that while the direction of the research is generally favorable, the field would benefit from larger, more rigorously designed trials to clarify tulsi's mechanisms, effective forms, and the populations most likely to benefit.
Citations from PubMed and preprint sources. Match score (0-100) reflects automated search ranking, not clinical appraisal.
| Title | Type | Year | Direction | Match |
|---|---|---|---|---|
| A randomized, double-blind, placebo-controlled trial investigating the effect... | Other | 2022 | Supports | 98 |
| Tulsi - Ocimum sanctum: A herb for all reasons. | Review | 2014 | Supports | 97 |
| The Clinical Efficacy and Safety of Tulsi in Humans: A Systematic Review of t... | Review | 2017 | Supports | 95 |
| The Safety and Efficacy of Botanicals with Nootropic Effects. | Review | 2021 | Supports | 82 |
| System-Level, Molecular and Cellular Mechanisms of Selected Plant Adaptogens-... | Review | 2026 | Supports | 80 |
| Modulation of the hypothalamic-pituitary-adrenal (HPA) axis by plants and phy... | Systematic review | 2022 | Supports | 80 |
| A Comprehensive Review of the Phytochemical Constituents and Bioactivities of... | Review | 2024 | Supports | 78 |
| Harnessing the Antibacterial, Anti-Diabetic and Anti-Carcinogenic Properties ... | Review | 2024 | Supports | 75 |
| Systemic and Anticancer Potential of Adaptogenic Constituents Isolated from T... | Review | 2022 | Supports | 75 |
| Food-Derived Phytochemicals: Multicultural Approaches to Oxidative Stress and... | Review | 2025 | Supports | 60 |