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Holy basil and working memory: grade C

Limited evidence. Direction: Benefit.

Evidence maturity: Early signalShort-term onlySingle research group

Why this grade

Rubric condition met: C: one small RCT (n = 40) in healthy adults with positive results on task measures

One placebo-controlled trial in 40 healthy adults aged 18-30 found faster responses and fewer errors on the Sternberg working-memory task and the Stroop task after 300 mg/day of an ethanolic leaf extract for 30 days. Both groups improved, and the placebo group plateaued after day 15. The abstract gives no effect sizes, funding is not stated, and no replication was found (PubMed searches, November 11, 2026). Stroop results (executive function) are not graded separately.

How sure are we?

Evidence maturity: Early signal One RCT of 40 adults aged 18-30 with funding not stated (unknown is never treated as independent).

Tested as: Holy basil leaf extract

Who paid for the studies
Not stated (treated as not independent)
Risk of bias
Some concerns
Trial registry check
Not checked yet
Outcome measured
A test score, rating scale or performance measure
Who was studied
Matched
Doses used in studies
300 mg ethanolic leaf extract a day
  • Could rise: Would move to B with an independent replication, n of 100 or more, preregistered, with a cognitive primary.
  • Could fall: Would move to C none with an adequately sized null replication.

Science is provisional. This grade reflects the evidence we found as of . Next review: .

Maturity sits beside each grade. The grade says what the evidence shows; maturity says how much of it there is and how well it is confirmed.

Established
many trials from several independent teams, including at least one registered in advance
Emerging
two or more trials, or one large registered trial, not yet independently confirmed
Early signal
one trial, small pilots, or results only on secondary outcomes
Mechanistic only
lab, animal or biomarker data, or uncontrolled reports; no controlled human results
Traditional use only
a traditional-use monograph and nothing else

How we grade evidence

Studies this grade rests on

EffectMixedNo effectSize shows participants (n)201520202025Meta-analysisRCTSampath 2015, 2015: RCT, n = 40, result not recordedJamshidi 2017, 2017: meta-analysis, n not recorded, result not recorded
each study this grade rests on, by publication year and design. Solid: effect versus the comparator; half-filled: mixed; hollow: no effect; dashed: result not recorded yet. Larger marks had more participants.
Show the numbers
StudyYearDesignParticipantsResult
Sampath 20152015RCT40result not recorded
Jamshidi 20172017meta-analysisnot recordedresult not recorded

The Clinical Efficacy and Safety of Tulsi in Humans: A Systematic Review of the Literature.

Jamshidi N, Cohen MM. The Clinical Efficacy and Safety of Tulsi in Humans: A Systematic Review of the Literature Evid Based Complement Alternat Med, 2017. PMID 28400848

Result not recorded
Design
Systematic review of 24 human studies (no meta-analysis)
Population
Human clinical studies of tulsi as a single herb, mostly in India; healthy and clinical groups
Funding
RMIT University scholarship (first author)

Holy basil (Ocimum sanctum Linn.) leaf extract enhances specific cognitive parameters in healthy adult volunteers: A placebo controlled study.

Sampath S, Mahapatra SC, Padhi MM. Holy basil (Ocimum sanctum Linn.) leaf extract enhances specific cognitive parameters in healthy adult volunteers: A placebo controlled study Indian J Physiol Pharmacol, 2015. PMID 26571987

Result not recorded
Design
Randomized, placebo-controlled trial (30 days)
Sample
n = 40
Population
Healthy adult volunteers (18-30 years per Jamshidi 2017 review table)
Funding
not stated in the PubMed or Crossref record; full text not read

Search and history

Search (): (holy basil[tiab] OR tulsi[tiab] OR "Ocimum sanctum"[tiab] OR "Ocimum tenuiflorum"[tiab]) AND (cognitive[tiab] OR cognition[tiab] OR memory[tiab] OR attention[tiab] OR "reaction time"[tiab]) AND (randomized[tiab] OR placebo[tiab])

  • Graded C (awaiting approval)
  • C to C (approved): Editor sign-off November 13, 2026: grade matches the editor-approved final page
  • C to C (approved) (maturity: early signal): Maturity, bias summary and re-check date added