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Evaluating the efficacy of mixture of Boswellia carterii, Zingiber officinale, and Achillea millefolium on severity of symptoms, anxiety, and depression in irritable bowel syndrome patients
Abstract
Background: Irritable bowel syndrome (IBS) is the most prevalent functional gastrointestinal disorders (FGIDs) that affects in different aspects of life and patients experienced depression and anxiety more than others. There are several herbal medicines with positive effects in these patients. The aim of this study is to evaluate the effects of mixture of Boswellia carterii , Zingiber officinale , and Achillea Millefolium on severity of symptoms, anxiety, and depression in IBS patients. Materials and Methods: This clinical trial study was done in sixty IBS patients (with mild-to-moderate symptoms) divided into two case and control groups. Patients were assessed at the beginning, 1 month, and 3 months after by IBS-severity scoring system (IBS-SSS) and Hospital Anxiety and Depression Scale. IBS-SSS is used for quality of life evaluation too. Results: Sixty IBS patients (with mild to moderate symptoms) with a mean age of 38.75 ± 11.74 participated that 55.4% of cases and 72.8% of controls were men. The most prevalent type of IBS was the mixed type of IBS. The mean score of abdominal pain severity and frequency, bloating score, and depression and anxiety score were decreased in patients administered herbal medication, but changes in these variables in controls were not statistically significant. The changes in quality of life score between cases and controls were significant in men ( P = 0.01) although it was not significant in women. Conclusion: A mixture of B. Carterii , Z. officinale , and A. millefolium is effective in eliminating IBS symptoms and its related depression and anxiety and using herbal medicine in IBS treatment is suggested.
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“Another clinical trial in 60 patients with mild-to-moderate IBS symptoms observed that the administration of a herbal mixture containing Zingiber officinale, Boswellia carterii, and Achillea millefolium decreased abdominal pain severity and frequency, bloating, depression, and anxiety scores, accompanied with a significant improvement of quality of life in male patients compared with placebo [88].”
From Natural Remedies for Irritable Bowel Syndrome: A Comprehensive Review of Herbal-Based Therapies (2025) · cites this paper as [88]
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“In a clinical trial of 60 patients with mild-to-moderate IBS symptoms, a herbal mixture containing Zingiber officinale, Boswellia carterii, and Achillea millefolium significantly decreased abdominal bloating, abdominal pain, anxiety, and depression scores compared to placebo, while improving quality of life in male patients (p-0.01) [84].”
From Plant-Derived Treatments for IBS: Clinical Outcomes, Mechanistic Insights, and Their Position in International Guidelines (2026) · cites this paper as [84]
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Citations
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Cited by
Bayes, J., Schloss, J., & Sibbritt, D. (2020) · Advances in Nutrition · doi:10.1093/advances/nmz117 · Cited by 150
Natural Remedies for Irritable Bowel Syndrome: A Comprehensive Review of Herbal-Based Therapies
Abalo, R., Gallego-Barceló, P., & Gabbia, D. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26199345 · Cited by 5
Pastras, P., Aggeletopoulou, I., Bali, M., & Triantos, C. (2026) · Nutrients · doi:10.3390/nu18020183 · Cited by 1
Metadata
- Authors
- Kazemian, A., Toghiani, A., Shafiei, K., Afshar, H., Rafiei, R., Memari, M., & Adibi, P.
- Affiliations
- Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran
- Social Security Organization, Iran
- Department of Psychiatry, Behavioral Research Center, Najafabad, Iran
- Psychosomatic Research Center, Najafabad, Iran
- Islamic Azad University, Najafabad Branch, Najafabad, Iran
- Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
- Venue
- Journal of Research in Medical Sciences
- Published
- 2017-01
- Volume
- 22
- Issue
- 1
- ISSN
- 1735-1995
- 1735-7136
- Cited by
- 21
- References
- 2
- Language
- en
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