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Mexican Folk Herbs: Epazote, Ruda, Manzanilla, Nopal and Others

Epazote, ruda, manzanilla, nopal and hierba buena are plants used in Mexican home and folk remedies. See what research shows for each and the safety cautions, including pregnancy.

Content last updated . This page has not been medically reviewed.

Quick reference

PlantTraditional use reportedWhat research showsMain caution
EpazoteRemedy for intestinal worms in the AmericasPreclinical onlyEssential oil linked to deaths; caution in pregnancy
Ruda (rue)Used by some to bring on a periodNo good clinical evidence foundPregnancy, skin burns in sunlight
Manzanilla (chamomile)Tea for stomach upset, calmInsufficient evidence for most usesAllergy to daisy-family plants
Nopal (prickly pear pad)Food and remedy for diabetesPromising but limited, small studiesMay lower blood sugar
Hierba buena (mint)Digestive and cold remedyPreclinical; few human trialsProduct quality

Epazote

Epazote (Chenopodium ambrosioides, also called wormseed) has been used for centuries in the Americas as a remedy against intestinal worms. [2] Its essential oil contains ascaridole, which is a potent anthelmintic but has also caused human deaths, leading to its disuse. [2] A laboratory study found that almost 90% of the worm-killing activity of an infusion came from another water-soluble component, and the authors concluded that the traditional infusion appears safer than the essential oil. [2] That was an experiment in worms and rat gut tissue, not a human trial. Preclinical. Never use the essential oil. A 1979 paper lists wormseed among plants used in New Mexico to bring on a period, which is another reason pregnancy requires caution. [3] Intestinal worms need a proper diagnosis and treatment from a clinician.

Ruda (rue)

Ruda is Ruta graveolens. A 1979 paper notes that rue has been used independently in different cultures as an abortifacient (to end a pregnancy) and may cause toxic side effects. [3] A 2021 review lists Ruta graveolens among plants to avoid in pregnancy. [4] In a mouse study of Ruta graveolens extract, fetal death was found. [5] The skin risk is documented too: contact with rue followed by sunlight can cause a photoirritant reaction, and a case report described a burn requiring specialist burn care. [6][7] Systemic toxicity and photosensitivity may be related to compounds such as psoralens at high doses. [8] Proper evidence not found for a proven medical benefit; the 2026 review notes that more clinical studies are required. [8] Do not use rue to try to end or "bring on" a pregnancy or period. If a period is late, see a clinician.

Manzanilla (chamomile)

Manzanilla is usually chamomile, Matricaria recutita. Our existing guides cover chamomile and chamomile tea. The NIH National Center for Complementary and Integrative Health (NCCIH) says studies for specific conditions have not produced enough reliable evidence to rate usefulness. [9] It says some preliminary studies suggest a chamomile supplement may help generalized anxiety, but chamomile alone has not been shown to help infant colic. [9] Tea amounts are likely safe, but allergic reactions can occur, especially for people allergic to ragweed, chrysanthemums, marigolds or daisies. [9] Interactions with warfarin and some other drugs have been reported. [9]

Nopal (prickly pear pad)

Nopal is the pad of Opuntia ficus-indica, eaten as a vegetable and used traditionally in Mexico for diabetes. [10] In a small study of 14 Mexican patients with type 2 diabetes, adding 300 g of steamed nopal to a breakfast was linked to a lower blood glucose peak after the meal than the same breakfast without it. [10] A systematic review of five randomized trials of cactus pear found no significant effect on body weight, and reported reductions in blood pressure and total cholesterol; trials were few and varied in quality. [11] Adverse events included stomach upset and flu symptoms. [11] Promising but limited. If you take diabetes medicine, ask your clinician before using nopal as a remedy, and do not stop or change prescribed treatment. See type 2 diabetes and metabolic health.

Hierba buena (mint)

"Hierba buena" literally means "good herb." The closest published match we read is a 2021 review of spearmint (Mentha spicata). It reports traditional uses for cold, cough, asthma, fever and digestive problems, and varied effects in lab studies. [12] The authors say clinical trials in people are still needed. [12] Preclinical and traditional use only. For peppermint, which has more human research, see peppermint tea.

Frequently asked questions

Is epazote safe to eat?

We did not find a human safety study of epazote as a food. Its essential oil is linked to deaths, so do not take the oil. [2] Ask a clinician about use in pregnancy.

Is ruda safe in pregnancy?

A 2021 review lists it among plants to avoid in pregnancy. [4]

Is chamomile tea safe?

Tea amounts are likely safe for most people, but allergy is possible. [9]

Does nopal lower blood sugar?

A small study found a lower after-meal glucose peak in patients with type 2 diabetes. [10] The evidence is limited. Talk with your clinician.

Can these herbs replace my medicine?

No. Do not stop prescribed medicine for any herbal remedy.

More details: evidence, limits and cautions

The details behind this page: cautions, limits of the evidence and where sources disagree. Open any note to read it.

How to read this page
These plants are part of Mexican kitchens and home remedies, and also of the wider tradition described on the curanderismo page. Here we cover what published research says about five of them. We give no doses, recipes or preparation steps, and no plant here is a substitute for medical care. Plants differ by region and by how they are prepared. Historical use is not evidence of safety or benefit; see historical use vs clinical evidence.

In a small study of Hispanic women with type 2 diabetes in the southwestern US, 21 of 23 interviewed women used one or more herbal remedies, and 77 different remedies were named. The remedies appeared to supplement, not replace, standard medical treatment. [1] That is why safety and interactions matter.

Safety for all of these
Natural does not mean safe. A review of traditional plants in pregnancy says herbs can contain substances that are toxic to the body and the fetus, and that safety studies are usually lacking. [4] Ask a clinician or pharmacist about pregnancy, children, medicines and long-term conditions; see pregnancy and breastfeeding. For a suspected plant poisoning in the US, call Poison Help at 1-800-222-1222, or 911 in an emergency.
References
  1. Johnson L and others. Use of herbal remedies by diabetic Hispanic women in the southwestern United States. Phytotherapy Research 2006. PubMed 16557605 (abstract).
  2. MacDonald D and others. Ascaridole-less infusions of Chenopodium ambrosioides contain a nematocide(s) that is(are) not toxic to mammalian smooth muscle. Journal of Ethnopharmacology 2004. PubMed 15138003 (abstract).
  3. Conway GA, Slocumb JC. Plants used as abortifacients and emmenagogues by Spanish New Mexicans. Journal of Ethnopharmacology 1979. PubMed 232204 (abstract).
  4. Bernstein N and others. Is it safe to consume traditional medicinal plants during pregnancy? Phytotherapy Research 2021. PubMed 33164294 (abstract).
  5. de Freitas TG, Augusto PM, Montanari T. Effect of Ruta graveolens L. on pregnant mice. Contraception 2005. PubMed 15639078 (abstract).
  6. Eickhorst K, DeLeo V, Csaposs J. Rue the herb: Ruta graveolens-associated phytophototoxicity. Dermatitis 2007. PubMed 17303046 (abstract).
  7. Radotra I, Gardiner S, Barnes D. A phytophototoxic injury at a burns unit: the after-effects of the common rue plant. Journal of Burn Care & Research 2018. PubMed 29931352 (abstract).
  8. Adel-Mehraban MS and others. Exploring the genus Ruta: traditional uses, pharmacology, and safety concerns. Planta Medica 2026. PubMed 41213598 (abstract).
  9. National Center for Complementary and Integrative Health (NCCIH). Chamomile: Usefulness and Safety. Read 2026-10-22.
  10. Lopez-Romero P and others. The effect of nopal (Opuntia ficus indica) on postprandial blood glucose, incretins, and antioxidant activity in Mexican patients with type 2 diabetes. Journal of the Academy of Nutrition and Dietetics 2014. PubMed 25132122 (abstract).
  11. Onakpoya IJ, O'Sullivan J, Heneghan CJ. The effect of cactus pear (Opuntia ficus-indica) on body weight and cardiovascular risk factors: a systematic review and meta-analysis of randomized clinical trials. Nutrition 2015. PubMed 25837206 (abstract).
  12. Mahendran G, Verma SK, Rahman LU. The traditional uses, phytochemistry and pharmacology of spearmint (Mentha spicata L.): a review. Journal of Ethnopharmacology 2021. PubMed 34087400 (abstract).
Education, not medical advice. This page is for general information. It does not diagnose or treat any condition and is not a substitute for care from a qualified health professional. Natural does not automatically mean safe. Ask a clinician or pharmacist before changing your care, especially if you take medication, are pregnant or breastfeeding, or have a health condition.