The most-drunk herbal tea in the world, with real evidence for sleep and for gut spasm. — Matricaria chamomilla
remedyChamomile Matricaria chamomilla — hand-drawn plate, stylised. Not for identification — use a field guide and verify with a second source before eating any wild plant.
German chamomile (Matricaria chamomilla) is the annual grown for the blue-tinged essential oil rich in chamazulene and alpha-bisabolol. Roman chamomile (Chamaemelum nobile) is a low perennial with a different oil profile; recipes rarely distinguish them and the chemistry does.
What the evidence supports. Chamomile has randomised trial evidence for sleep quality (including in postpartum women) and for generalised anxiety in some trials, and it is traditionally and plausibly antispasmodic for gut cramping and dyspepsia. The effects are mild.
What changes quality most is how it was dried and how old it is. The essential-oil composition depends on plant part, origin, genetics, environment, season of harvest and extraction method — a long list that explains why two bags of chamomile can be very different medicines. Chamomile is also the clearest example of a herb that is genuinely worse when it is old: the aromatic components fade within a year.
The allergy point is the one to know. Chamomile is in the daisy family, and reactions occur in people allergic to ragweed, chrysanthemum and other Asteraceae. It is not a harmless tea for everyone.
What the studies found
Meta-Analysis2019Phytotherapy research : PTR
Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta-analysis of randomized trials and quasi-randomized trials.
Chamomile appears to be efficacious and safe for sleep quality and GAD.
Randomized Controlled Trial2024Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology
Comparison of liposomal gel with and without addition of chamomile for prevention of radiation dermatitis in head and neck cancer patients: A randomized controlled trial.
No statistically significant differences in outcomes were found between the two groups, though the chamomile liposomal gel group presented with lower grades of RD than the liposomal gel group.
| | |
|---|---|
| Life | Annual; self-seeds readily |
| Sowing | Surface-sow — do not bury. Light is needed to germinate |
| Light | Full sun |
| Soil | Poor to moderate. Rich soil gives leaf, not flower |
| Spacing | 15-20 cm; a weak competitor, keep it weed-free early |
| Harvest | Individual fully open flowers, every few days |
| First harvest | 8-10 weeks from sowing |
| Dry | Shade, ambient, single layer — heat destroys the oil |
Start indoors 6-8 weeks before last frost or direct-sow after. Let a few plants set seed and you will not have to sow again.
Preparation
Tea — 1 heaped teaspoon of dried flowers per cup, covered, 5 minutes. Use within a year.
For sleep — the trials used around 1.5 g of flower in a strong infusion, taken in the evening, often over several weeks rather than once.
For gut spasm — a strong infusion, often blended with peppermint or fennel.
Steam inhalation — chamomile in hot water for sinus congestion and irritation.
Compress / eyewash — a cooled infusion on a cloth, for irritated skin and tired eyes. Strain it properly — flower fragments in the eye are a mechanical problem.
Infused oil — chamomile flowers in oil for a calming massage oil.
Cautions and interactions
Chamomile is in the daisy family — avoid with ragweed, aster or chrysanthemum allergy.
It may interact with warfarin. Check with the prescriber if on anticoagulants.
Avoid medicinal doses in pregnancy without advice.
Do not use a chamomile eyewash that has not been strained, and do not home-treat a painful red eye.
Old chamomile has lost the compounds you wanted — replace it annually.
When this is not a self-care problem — get help
Lip swelling, rash or breathing difficulty after drinking chamomile — possible anaphylaxis; emergency care.
A painful red eye with blurred vision or a cloudy cornea — urgent assessment, not an eyewash.
Therapeutic efficacy and safety of chamomile for state anxiety, generalized anxiety disorder, insomnia, and sleep quality: A systematic review and meta-analysis of randomized trials and quasi-randomized trials. Phytotherapy research : PTR 2019; doi:10.1002/ptr.6349 PubMed 31006899
Dietary supplements for dysmenorrhoea. The Cochrane database of systematic reviews 2016; doi:10.1002/14651858.CD002124 PubMed 27000311
Efficacy and safety of Matricaria chamomilla intervention in managing menopausal symptoms: a triple-blind clinical trial. Menopause (New York, N.Y.) 2025; doi:10.3892/mmr.2010.377 PubMed 39836709
Comparison of liposomal gel with and without addition of chamomile for prevention of radiation dermatitis in head and neck cancer patients: A randomized controlled trial. Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology 2024; doi:10.1016/j.radonc.2024.110440 PubMed 39032836
Long-term chamomile (Matricaria chamomilla L.) treatment for generalized anxiety disorder: A randomized clinical trial. Phytomedicine : international journal of phytotherapy and phytopharmacology 2016; doi:10.1016/j.phymed.2016.10.012 PubMed 27912875