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Vacha

Acorus calamus

Vacha (Acorus calamus) is a plant drug, also called Sadgrantha, Ugragandha and Vaca. WHO/JECFA evaluated beta-asarone in Food Additives Series No. Anti-neuroinflammatory: Beta-asarone suppresses TNF-alpha and IL-1beta secretion, reducing neuroinflammation. Blood-brain barrier penetration: Both alpha- and beta-asarone cross the blood-brain barrier, enabling direct CNS activity.

Key facts
Botanical nameAcorus calamus
FamilyAcoraceae
OrderAcorales
Pharmacopoeia statusWHO/JECFA evaluated beta-asarone in Food Additives Series No. 16 (1981), determining carcinogenic risk from chronic exposure. FDA banned calamus as human food additive in 1968 (21 CFR 189.110). Not approved as a drug. Despite bans in Western regulatory frameworks, Acorus calamus (Vacha) remains in the Ayurvedic Pharmacopoeia of India and is widely used in traditional Indian, Chinese, and Unani medicine systems. The regulatory divergence between traditional use and modern safety assessments remains unresolved.
Taxon identifiersGBIF 2873769 · Wikidata Q158008 · NCBI Taxonomy 4465
Names in other languages
Sanskritषड्ग्रन्था (ṣaḍgranthā), उग्रगन्धा (ugragandhā), वचा (vacā)
Hindiवच (vaca)
Tamilவசம்பு

Sources: Flowers of India 'Sweet Flag' page: 'Sanskrit: वचा Vachaa, वाच Vacha, Bhadra'; MMPND Sorting Acorus names, Acorus calamus entry: 'Hindi: Bach, Gharbacha (Goa)'; Flowers of India 'Sweet Flag' page: 'Hindi: बच Bach, घोरबच Ghorbach, सफ़ेद बच Safed bach'; MMPND Sorting Acorus names, Acorus calamus entry: 'Tamil: Vasambu'; Flowers of India 'Sweet Flag' page: 'Tamil: Vashambu, Pullai-valathi'; Vacha (Acorus calamus) dravyaguna monographs at sdach.ac.in and the Acorus calamus ethnopharmacology review in Front. Pharmacol., which give the synonym set Ugragandha ('offensive nauseating smell'), Golomi/Lomashi/Jatila ('rhizome hairy like cow's hair'), Shadgrantha/Shataparvika ('rhizome with more than six nodes'), Hemavati; Vacha dravyaguna monographs (sdach.ac.in) and the Acorus calamus review in Front. Pharmacol.: 'Shataparvika/Shadagrantha: its rhizome has more than 6 nodes'. How we source.

The evidence at a glance

12papers on this site for this drug, published 2014 to 2024, 11 with a DOI.

  • 1Systematic reviews and meta-analyses
  • 11Other clinical studies and reviews

A count is not a conclusion and a tier is a study design, not a verdict. Each paper is listed with what it measured on the page below. See the research index for how papers are tiered.

Names and identification

LanguageName
EnglishVacha

How does it work?

  • Acetylcholinesterase (AChE) inhibition: Beta-asarone is the major constituent showing maximum AChE inhibitory potential, protecting cognitive function in Alzheimer’s disease models.
  • Anti-neuroinflammatory: Beta-asarone suppresses TNF-alpha and IL-1beta secretion, reducing neuroinflammation.
  • Blood-brain barrier penetration: Both alpha- and beta-asarone cross the blood-brain barrier, enabling direct CNS activity.
  • Antioxidant neuroprotection: Alpha-asarone normalizes increased superoxide dismutase and lipid peroxidation, restores catalase, glutathione peroxidase, reduced glutathione, and vitamins C and E in brain regions.
  • GABAergic and NMDA modulation: Alpha-asarone shows anticonvulsant activity.
  • Sedative/tranquilizing: Asarones potentiate hypnosis in vivo through CNS depressant activity.
  • Antimicrobial: Volatile compounds demonstrate activity against P. aeruginosa and S. aureus through membrane disruption.

Modern Research (Meta-Analysis)

Total PubMed publications found: 1037

Key Research Papers

1. Role of Vacha (

Authors: Sharma Vineet, Sharma Rohit, Gautam DevNath Singh et al. Journal: Journal of clinical medicine (2020) PMID: 32325895

Vacha (…

Keywords: Acorus calamus, clinical trial, ethnomedicinal, metabolic application, neurological, neuroprotective, pharmacological action, phytochemistry, toxicity

2. Acorus calamus var. angustatus Besser: Insight into current research on ethnopharmacological use, phytochemistry, pharmacology, toxicology, and pharmacokinetics.

Authors: He Xirui, Chen Xufei, Yang Yan et al. Journal: Phytochemistry (2023) PMID: 36871902

A. calamus var. angustatus Besser is an important traditional medicinal herb commonly used in China and other Asian countries. This study is the first systematic review of the literature to thoroughly analyze the ethnopharmacological application, phytochemistry, pharmacology, toxicology and pharmacokinetic properties of A. calamus var. angustatus Besser and provides a rationale for future research and prospects for application in clinical treatment. Information on relevant studies investigating A. calamus var. angustatus Besser was collected from SciFinder, the Web of Science, PubMed, CNKI, Elsevier, ResearchGate, ACS, Flora of China, and Baidu Scholar, etc. up to December 2022. In addition, information was also obtained from Pharmacopeias, books on Chinese herbal classics, local books, as…

Keywords: Acoraceae, Acorus calamus var. angustatus Besser, Ethnopharmacology, Pharmacokinetics, Pharmacology, Phytochemistry, Toxicology

3. Anticonvulsant activity of raw and classically processed Vacha (Acorus calamus Linn.) rhizomes.

Authors: Bhat Savitha D, Ashok B K, Acharya R N et al. Journal: Ayu (2012) PMID: 23049196

The rhizome of Vacha (Acorus calamus) has been used in Ayurvedic medicine for the treatment of various ailments, such as epilepsy, headache, eye disorders, insomnia, loss of memory, etc. Previous studies demonstrated that Vacha rhizome is having significant anticonvulsant activity against various induced seizures models in experimental animals. Ayurvedic pharmacopoeia of India has advocated Shodhana (purificatory procedures) to be done prior to its use. In the present study a comparative anticonvulsant activity of raw and Shodhita (classically processed) Vacha rhizomes were screened against Maximal Electro Shock (MES) seizure model to assess the effect of classical purificatory procedure on pharmacological action of Vacha. Phenytoin was used as standard antiepileptic drug for comparison. P…

Keywords: Acorus calamus, anticonvulsant, epilepsy, phenytoin, shodhana, vacha

4. Acorus calamus: a bio-reserve of medicinal values.

Authors: Khwairakpam Amrita Devi, Damayenti Yengkhom Devi, Deka Anindita et al. Journal: Journal of basic and clinical physiology and pharmacology (2018) PMID: 29389665

Many plants are found to possess reliable pharmacological properties and have started to attract the attention of researchers. One such holistic plant is Acorus calamus, commonly known as sweet flag, belonging to the rhizomatous family Acoraceae. The different parts of this plant, such as the leaves and rhizomes, are used traditionally in different medicinal preparations for the treatment of various ailments including arthritis, neuralgia, diarrhoea, dyspepsia, kidney and liver troubles, eczema, sinusitis, asthma, fevers, bronchitis, hair loss, and other disorders. Many reports have also appeared in mainstream scientific journals confirming its nutritional and medicinal properties. Biochemical analysis of the plant has revealed a large number of secondary metabolites that may be responsibl…

Keywords: Acorus calamus, biological properties, phytochemicals, traditional medicine

5. Acorus calamus (The Healing Plant): a review on its medicinal potential, micropropagation and conservation.

Authors: Sharma Vikas, Singh Isha, Chaudhary Priyanka Journal: Natural product research (2014) PMID: 24824923

Acorus calamus L., a tall, perennial, grass-like monocot plant from the Acoraceae family, is a well-known plant in Indian traditional medicines for centuries. It is a highly valued herb as it acts as a rejuvenator for brain and nervous system. It is a main medhya drug, which has the property of improving the memory power and intellect. Rhizomes of the plant are widely used in the treatment of number of ailments such as epilepsy, mental ailments, chronic diarrhoea, dysentery, fever, abdominal tumours, kidney and liver troubles, and rheumatism. A. calamus leaves, rhizomes and its essential oil possess many biological activities such as antispasmodic, carminative and are compiled in a simple approach in this review. This review presents a pragmatic description that deals with chemical constit…

Keywords: Acorus calamus, anticarcinogenic, antimicrobial, conservation, pharmacological activities, phytoconstituents, toxicity

6. Radioprotectors: Nature’s Boon.

Authors: Lang Damanpreet Kaur, Singh Harwinder, Arora Arpita et al. Journal: Mini reviews in medicinal chemistry (2021) PMID: 33494677

Major approach in controlling as well as eradicating the cancerous growth is through radiotherapy, but this treatment leads to toxicity in the normal cells, leading to secondary malignancies, teratogenesis, and necrosis. More than 15,000 malignancies occur due to exposure to harmful radiations during computed tomography scans. Natural products are non-toxic; there have been reports that herbal products, when given along with radiation, have shown increased tumor control property. The discussed agents in this review have potential antioxidant, immunomodulatory, free radical scavenging, metal chelating, and anti-inflammatory properties…

Keywords: Acorus calamus, Podophyllum hexandrum, Radioprotective agents, Tinospora cordifolia., Xylopia aethiopica, hesperidin

7. Is it safe to use Acorus calamus as a source of promising bioactive compounds in prevention and treatment of cardiovascular diseases?

Authors: Olas Beata, Bryś Magdalena Journal: Chemico-biological interactions (2018) PMID: 29273563

Acorus calamus has a rich history in natural medicine, and offers many health benefits. The plant has anti-inflammatory, antimicrobial, diuretic, antiurolithiatic and other properties. Moreover, various parts, especially the rhizome and roots, are sources of a range of bioactive phenolic compounds with beneficial effects on the cardiovascular system. This review article summarizes the current knowledge of the chemical composition of different parts of A. calamus and their roles in the prevention and treatment of cardiovascular diseases. However, as no human studies have been performed, the review only includes in vitro and animal studies. The paper also briefly reviews the toxicity of A. calamus and its products for human health, especially regarding the cardiovascular system…

Keywords: Acorus calamus, Bioactive compounds, Cardiovascular diseases, Toxic properties

8. Experimental evidence for use of

Authors: Das Bhrigu Kumar, Swamy Ahm Viswanatha, Koti Basavaraj C et al. Journal: Heliyon (2019) PMID: 31193009

Cancer is one of the major non-communicable diseases posing substantial challenges in both developing and developed countries. The options available for treatment of different cancer are associated with various limitations, including severe toxicity, drug resistance, poor outcomes and a high risk of relapse. Hence, an increased attention and necessity for screening of various phytochemicals from natural sources for superior and safer alternative has been ongoing for several decades. In recent years, phytochemicals like galantamine, erwinaze, rivastigmine, resveratrol from natural sources have been found to be important therapeutic targets for the treatment of various diseases including cancer, neurodegeneration, diabetes, and cardiovascular effects. …

Keywords: Biochemistry, Cancer research, Cell biology, Evidence-based medicine, Molecular biology, Oncology

What do recent studies show?

Recent safety updates

  • FDA BANNED (1968): Calamus and its products are prohibited from direct addition or use as human food in the United States (21 CFR 189.110) due to beta-asarone carcinogenicity in chronic rat feeding studies.
  • Beta-asarone produced dose-dependent increase in leiomyosarcomas in the intestine of male rats at doses causing severe toxicity and increased mortality.
  • European Council limits: beta-asarone content restricted to 0.1 mg/kg in non-alcoholic drinks and 1 mg/kg in alcoholic drinks.
  • Classified as GHS Category 1B sensitiser and Category 2 irritant for rhizome oil (2025 OECD assessment).
  • Indian variety (tetraploid) contains highest beta-asarone content; North American variety (diploid) contains primarily alpha-asarone with much lower beta-asarone.
  • 2025 Ames test found negative mutagenicity results for Indian extracts and beta-asarone, but this does not negate chronic carcinogenicity concerns.
  • Reported adverse events in humans: prolonged vomiting in 7 consumers exposed to asarones from A. calamus.
  • No human long-term safety or carcinogenicity studies exist.

What is it made of?

The marker compounds are listed under Dosage forms and preparation, below.

Dosage forms and preparation

Dosage Forms: Churna (powder), Kwatha (decoction), Capsule, Tablet, Taila (medicated oil), Nasya (nasal drops), Lepa (paste)

Standard Dosage: 250 mg-1 g powder twice daily (low dose due to beta-asarone content); Nasya: 2-4 drops per nostril; NOT for prolonged internal use

Optimal Timing: Morning on empty stomach; Nasya in early morning; NOT recommended at bedtime

Storage: Airtight, light-resistant containers at 15-25 deg C. Keep out of reach of children. Label must clearly state beta-asarone content and regulatory status for target market.

Marker Compounds: beta-Asarone, alpha-Asarone, Acoramone, Eugenol, Cis-methyl isoeugenol, Calamenol, Galangin, Acorenone

Synergistic Combinations

  • Brahmi (Bacopa monnieri) - nootropic synergy
  • Shankhapushpi (Convolvulus pluricaulis) - cognitive enhancement combination
  • Jatamansi (Nardostachys jatamansi) - calming and memory-enhancing synergy
  • Ashwagandha - adaptogenic and neuroprotective combination
  • Honey as anupana

Published research

Literature indexed in PubMed that concerns this subject, grouped by study type. A paper appearing here is a record of what has been published, not evidence that the subject works, and laboratory or animal results do not transfer to people. Study titles link to PubMed so you can read the source rather than take our word.

Systematic reviews and meta-analyses1

  1. Auditeau E, Chassagne F, Bourdy G and others. 2019. Herbal medicine for epilepsy seizures in Asia, Africa and Latin America: A systematic reviewJournal of ethnopharmacology. PMID 30610931 · doi:10.1016/j.jep.2018.12.049

Other clinical studies and reviews11

  1. Aleem M, Khan MI. 2024. Concept of dementia (Nisy ā n) in Unani system of medicine and scientific validation of an important Unani pharmacopoeial preparation 'Majoon Vaj' for its management: a reviewJournal of complementary & integrative medicine. PMID 37384842 · doi:10.1515/jcim-2021-0447
  2. Garang Z, Feng Q, Luo R and others. 2023. Commiphora mukul (Hook. ex Stocks) Engl.: Historical records, application rules, phytochemistry, pharmacology, clinical research, and adverse reactionJournal of ethnopharmacology. PMID 37301302 · doi:10.1016/j.jep.2023.116717
  3. Gayathri S, Raghu CH, Fayaz SM. 2022. Phytotherapeutics against Alzheimer's Disease: Mechanism, Molecular Targets and Challenges for Drug DevelopmentCNS & neurological disorders drug targets. PMID 34544351 · doi:10.2174/1871527320666210920120612
  4. Mahfooz S, Itrat M, Uddin H and others. 2022. Unani medicinal herbs as potential air disinfectants: an evidence-based reviewReviews on environmental health. PMID 34384009 · doi:10.1515/reveh-2021-0087
  5. Uebel T, Hermes L, Haupenthal S and others. 2021. α-Asarone, β-asarone, and γ-asarone: Current status of toxicological evaluationJournal of applied toxicology : JAT. PMID 33236787 · doi:10.1002/jat.4112
  6. Schönknecht K, Surdacka A, Rudenko L. 2021. EFFECTIVENESS OF COMPOSED HERBAL EXTRACT IN THE TREATMENT OF GINGIVITIS AND ORAL AND PHARYNGEAL MUCOSA - REVIEW OF STUDIESWiadomosci lekarskie (Warsaw, Poland : 1960). PMID 34459780
  7. Oveissi V, Ram M, Bahramsoltani R and others. 2019. Medicinal plants and their isolated phytochemicals for the management of chemotherapy-induced neuropathy: therapeutic targets and clinical perspectiveDaru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences. PMID 30852764 · doi:10.1007/s40199-019-00255-6
  8. Olas B, Bryś M. 2018. Is it safe to use Acorus calamus as a source of promising bioactive compounds in prevention and treatment of cardiovascular diseases?Chemico-biological interactions. PMID 29273563 · doi:10.1016/j.cbi.2017.12.026
  9. Khwairakpam AD, Damayenti YD, Deka A and others. 2018. Acorus calamus: a bio-reserve of medicinal valuesJournal of basic and clinical physiology and pharmacology. PMID 29389665 · doi:10.1515/jbcpp-2016-0132
  10. Sharma V, Singh I, Chaudhary P. 2014. Acorus calamus (The Healing Plant): a review on its medicinal potential, micropropagation and conservationNatural product research. PMID 24824923 · doi:10.1080/14786419.2014.915827
  11. Rajput SB, Tonge MB, Karuppayil SM. 2014. An overview on traditional uses and pharmacological profile of Acorus calamus Linn. (Sweet flag) and other Acorus speciesPhytomedicine : international journal of phytotherapy and phytopharmacology. PMID 24200497 · doi:10.1016/j.phymed.2013.09.020

Reviewed by Dr. Awadesh Pratap Singh, BAMS, on 11 October 2026. What that review covered.

Consult a qualified vaidya before acting on anything here. Ayurvedic practice is prescribed to a person, not to a condition: the same dravya is given, withheld or substituted depending on your constitution, your agni, the season and what else you are already taking. A page cannot know any of that. Self-prescribing from a reference is how the wrong preparation, the wrong dose or the wrong anupana gets used.

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