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Prof. Dr. Mustafa Özdoğan · Medical Oncologist

What Is Ayurveda? Is It Used in Cancer Treatment?

What Is Ayurveda? Is It Used in Cancer Treatment?
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What Is Ayurveda?

Last updated: October 2026

Ayurveda is a traditional medical system with a history of approximately 3.000 years in India; it combines herbal and mineral mixtures, diet, yoga and meditation. There is no clinical evidence that Ayurvedic medicines prevent or treat cancer. Yoga and meditation, which are part of this system, may help with anxiety, sleep and quality of life during cancer treatment.

Quick Answer · Physician Summary
  • Cancer treatment: There is no evidence that Ayurvedic medicines treat cancer. Although some herbs affect tumor cells in the laboratory, this has not been demonstrated in patients.
  • Area of benefit: Yoga and meditation benefit anxiety, depression, sleep problems and fatigue in patients with cancer; ASCO and Society for Integrative Oncology (SIO) guidelines recommend them.
  • Risks: Lead, mercury and arsenic have been found in some Ayurvedic products; herbs may interact with chemotherapy and targeted medicines. Ashwagandha has been associated with liver injury and is not permitted in dietary supplements in Türkiye.
  • The greatest danger: Patients choosing alternative methods instead of proven treatment were found to have a 2,5-fold higher risk of death.

Why Does This Matter?

Many people diagnosed with cancer want to add something “natural” to treatment. Ayurvedic mixtures, “immune-boosting” herbs and cleansing regimens are widely marketed online and on social media. Although some of these products appear harmless, their contents may be uncertain, they may reduce the effects of cancer medicines or increase their side effects.

On the other hand, some components of Ayurveda, particularly yoga and meditation, can genuinely contribute to patients’ quality of life when used alongside proven treatments. Rather than rejecting or accepting Ayurveda entirely, it is therefore necessary to distinguish which components are safe and beneficial and which are risky. We explain the difference between complementary and alternative medicine in this article .

What Is Ayurveda?

Ayurveda is a traditional medical system originating in India, derived from the Sanskrit words “ayur” (life) and “veda” (knowledge). It classifies people according to three “doshas” called vata, pitta and kapha and recommends herbal and mineral mixtures, diet, cleansing practices, yoga and meditation accordingly. In India, it is regulated by the Ministry of AYUSH.

Ayurvedic medicines may contain from a few to hundreds of ingredients. Commonly used herbs include ashwagandha (Withania somnifera, “Indian ginseng”), guggul, boswellia (frankincense), gotu kola, turmeric, ginger, aloe and garlic. Ashwagandha is often confused with black seed, whereas black seed (Nigella sativa) is a different plant. We discuss black seed separately in this article . We explain the history of Ayurveda in our medical history article .

“Rasa shastra,” a branch of Ayurveda, involves deliberately adding metals such as lead, mercury, gold and silver to some mixtures. Cleansing practices called “Panchakarma” may include induced vomiting, bowel evacuation and bloodletting.

Figure 1 · Components of Ayurveda: Evidence and Risk

Assessment of the different components of Ayurveda for patients with cancer.

yoga and meditationfor anxiety, sleep, fatigue and quality of lifebenefits demonstrated in randomized studies dietary and lifestyle recommendationsbalanced nutrition and activity are beneficial; Ayurveda-specific diets have no proven effect on cancer herbal mixturesnot shown to treat cancer; may interact with chemotherapyand targeted medicines metal-containing products, cleansing practiceslead, mercury and arsenic poisoning; induced vomiting,bloodletting and bowel evacuation may cause harm
How to read: From top to bottom, evidence decreases and risk increases. Yoga and meditation have demonstrated benefits; herbal mixtures lack evidence and may interact with medicines; metal-containing products and cleansing practices may be harmful.

Can Ayurveda Treat Cancer?

No. The Memorial Sloan Kettering Cancer Center’s herbal products database and the United States National Center for Complementary and Integrative Health (NCCIH) state that no well-designed clinical study demonstrates that Ayurvedic approaches treat cancer. Some herbs, such as curcumin, the active ingredient in turmeric, have shown effects on tumor cells in the laboratory, but have no proven benefit in patients.

  • Curcumin: The most extensively researched herbal component; no benefit in cancer treatment has been demonstrated. Highly absorbable curcumin products have been associated with liver injury.
  • Ashwagandha: There is only one small, nonrandomized study reporting reduced fatigue during chemotherapy for breast cancer; there was no significant survival difference, and the researchers stated that a randomized study was needed.

The Cost of Choosing Alternative Treatment

Risk of death among those choosing only alternative treatment
Comparison with patients receiving proven cancer treatment, fold. Johnson et al., JNCI 2018; United States National Cancer Database.
All patients
2,5-fold
Breast cancer
5,7-fold
Colorectal cancer
4,6-fold
Lung cancer
2,2-fold
How to read: The scale is 0-6-fold. The study compared 280 patients with nonmetastatic breast, prostate, lung or colorectal cancer who chose only alternative methods instead of proven treatment with 560 similar patients. The study is not specific to Ayurveda; it covers alternative treatments in general.

This table shows that the greatest risk lies less in the herb itself than in delaying or rejecting effective treatment. We discuss this in detail in our article on alternative products .

Which Components of Ayurveda May Help Patients with Cancer?

The components of Ayurveda with evidence in cancer care are yoga and meditation, whose origins are intertwined with Ayurveda:

Practice Evidence
Yoga In a randomized study involving 410 patients with cancer, 4 weeks of yoga improved sleep quality and reduced sleeping medication use. Sleep also improved in patients with lymphoma. It prevented increased fatigue during radiotherapy for prostate cancer.
Meditation and mindfulness-based methods High-quality studies demonstrate benefits for anxiety and depression.
Guideline recommendations The SIO and ASCO breast cancer guideline recommends meditation and yoga for quality of life; the 2023 guideline recommends mindfulness-based methods and yoga for anxiety and depression. The same guidelines emphasize insufficient evidence of benefits from herbal and dietary supplements.

We explain how and when yoga may be practiced by patients with cancer in our yoga article . These methods are used alongside cancer treatment, rather than in its place.

What Are the Side Effects and Risks of Ayurvedic Products?

Known risks
  • Heavy metal poisoning: The United States Centers for Disease Control and Prevention (CDC), between 2000-2003, reported 12 cases of lead poisoning associated with Ayurvedic medicines. Of 70 products purchased from stores in Boston, %20 contained lead, mercury or arsenic; of 193 products bought online, %21 contained these metals. For metal-containing “rasa shastra” products, the rate reached %41.
  • Liver injury: Ashwagandha is listed among possible causes in the United States National Institutes of Health database on drug-induced liver injury (LiverTox); cases involving jaundice 2-12 weeks after starting use have been reported. Denmark has banned the sale of products containing ashwagandha.
  • Risk in pregnancy: Used for respiratory symptoms, Adhatoda vasica may trigger miscarriage and labor. High-dose ashwagandha has been associated with miscarriage risk during pregnancy.
  • Hormonal effects: Because ashwagandha may increase testosterone, it may be unsuitable in hormone-sensitive prostate cancer; it may also affect thyroid hormones.

Interactions with Cancer Medicines

Many Ayurvedic herbs induce or inhibit liver enzymes that break down medicines (particularly CYP3A4). Guggul and ashwagandha induce this enzyme, potentially lowering blood levels of many chemotherapy and targeted medicines and reducing their effects. Shankhapushpi syrup lowers levels of the epilepsy medicine phenytoin. The United States National Cancer Institute (NCI) also notes reports of worse outcomes in patients with breast cancer taking antioxidant supplements during chemotherapy or radiotherapy. We discuss the effects of supplements on cancer treatment in this article .

Figure 2 · Before Using an Herbal Product

Steps for people considering Ayurvedic or herbal products during cancer treatment.

show the product to your oncologistbring its packaging, ingredients and dosage if you are receiving chemotherapy, targeted medicinesor radiotherapydo not start an herbal product during treatment avoid products with uncertain contentsin one-fifth of products purchased onlineheavy metals were found safe complementary approachesyoga, meditation, exercise: alongside treatment,with your team’s knowledge
How to read: Show the product to your oncologist first; do not start an herbal product while treatment is ongoing, and avoid products with uncertain contents. Yoga, meditation and exercise can be used safely with your team’s knowledge.
The Situation in Türkiye
  • Legal status: Ayurveda is not included in the Ministry of Health’s list of traditional and complementary medicine (GETAT) practices. The 15 listed practices are acupuncture, apitherapy, phytotherapy, hypnosis, leech therapy, homeopathy, chiropractic, cupping, larval therapy, mesotherapy, prolotherapy, osteopathy, ozone, reflexology and music therapy. The GETAT regulation was updated in April 2026.
  • Ashwagandha: According to the Ministry of Agriculture and Forestry’s scientific opinion dated 2021, ashwagandha root cannot be used in foods or dietary supplements.
  • Practical recommendation: The contents and purity of Ayurvedic products purchased online or abroad cannot be monitored; they should not be used during cancer treatment.

Frequently Asked Questions

Does Ayurveda treat cancer?
No. There is no clinical evidence that Ayurvedic medicines prevent or treat cancer. Patients choosing alternative methods instead of proven treatment have been shown to have a 2,5-fold increased risk of death.
Can Ayurvedic herbs be used during chemotherapy?
Not recommended. Herbs such as guggul and ashwagandha may affect liver enzymes that break down medicines, reducing the effects of chemotherapy and targeted medicines; heavy metals have been found in some products. Consult your oncologist about every product.
Are ashwagandha and black seed the same?
No. Ashwagandha (Withania somnifera) is a plant also known as “Indian ginseng”; black seed (Nigella sativa) is a different plant. Ashwagandha cannot be used in dietary supplements in Türkiye.
Can patients with cancer practice yoga?
Yes, most patients can. Randomized studies demonstrate benefits of yoga for sleep, anxiety, fatigue and quality of life, and guidelines recommend it. Consult your team about suitable movements if you have bone metastasis or are recovering from surgery.

Glossary

Dosha
Three basic energies (vata, pitta, kapha) assumed in Ayurveda to describe a person’s physical and mental constitution; they have no scientific equivalent.
Rasa shastra
A practice involving deliberate addition of metals and minerals to Ayurvedic mixtures.
CYP3A4
A liver enzyme that breaks down many medicines; herbs may affect this enzyme and alter drug levels.

DROZDOGAN Academy Commentary

Ayurveda is not a single treatment, but a system of practices with very different levels of evidence.

⚡ Why it matters

The “natural” label creates an impression of safety, but uncertain contents, heavy metals and drug interactions may directly affect cancer treatment.

✅ Current evidence

Randomized studies and guidelines support the contribution of yoga and meditation to quality of life. Herbal mixtures have not demonstrated benefits in cancer treatment.

⚠️ Limitations

Ayurvedic products are not standardized; two products with the same name may have very different contents. Most studies are small and laboratory-based.

🩺 What to do in practice
  1. Proven treatment must never be delayed.
  2. Every product you use should be shown to your oncologist .
  3. During treatment, herbal mixtures should be avoided.
  4. Yoga and meditation should be considered safe complementary approaches.
❓ Open questions

Small studies are investigating whether standardized, safe forms of certain components, such as curcumin, have a role in specific side effects; randomized studies are needed for definitive conclusions.

Our brief assessment: Ayurvedic medicines do not replace cancer treatment and may pose risks during treatment. Yoga and meditation are evidence-based, safe supportive methods accompanying treatment.

Transparency note
  • This article was prepared in October 2026. Definitions and safety information come from Memorial Sloan Kettering Cancer Center, NCCIH, CDC and LiverTox; clinical trial findings from original publications; and information about Türkiye from the Ministry of Health and Ministry of Agriculture and Forestry.
  • Not verified: The full text of the practice list annexed to the GETAT regulation updated in April 2026; the official date of Denmark’s ban.
  • The diagrams and Academy commentary are our own. This article is not personal medical advice.

References

  1. Memorial Sloan Kettering Cancer Center. About Herbs: Ayurveda. mskcc.org
  2. Memorial Sloan Kettering Cancer Center. About Herbs: Ashwagandha. mskcc.org
  3. NCCIH. Ayurvedic Medicine: In Depth. nccih.nih.gov
  4. NCCIH. Turmeric. nccih.nih.gov
  5. CDC. Lead poisoning associated with Ayurvedic medications — five states, 2000–2003. MMWR. 2004;53(26). cdc.gov
  6. Saper RB et al. Heavy metal content of Ayurvedic herbal medicine products. JAMA. 2004;292(23):2868-73. jamanetwork.com
  7. Saper RB et al. Lead, mercury, and arsenic in US- and Indian-manufactured Ayurvedic medicines sold via the Internet. JAMA. 2008;300(8):915-23. jamanetwork.com
  8. LiverTox. Ashwagandha. ncbi.nlm.nih.gov
  9. Johnson SB et al. Use of alternative medicine for cancer and its impact on survival. J Natl Cancer Inst. 2018;110(1):121-4. doi:10.1093/jnci/djx145
  10. Biswal BM et al. Effect of Withania somnifera on fatigue and quality of life in breast cancer patients undergoing chemotherapy. Integr Cancer Ther. 2013;12(4):312-22. sagepub.com
  11. Mustian KM et al. Multicenter randomized controlled trial of yoga for sleep quality among cancer survivors. J Clin Oncol. 2013;31(26):3233-41. PMC3757292
  12. Lyman GH et al. Integrative therapies during and after breast cancer treatment: ASCO endorsement of the SIO guideline. J Clin Oncol. 2018. doi:10.1200/JCO.2018.79.2721
  13. Carlson LE et al. Integrative oncology care of symptoms of anxiety and depression: SIO-ASCO guideline. J Clin Oncol. 2023. doi:10.1200/JCO.23.00857
  14. NCI PDQ. Cancer therapy interactions with foods and dietary supplements. cancer.gov
  15. Republic of Türkiye Ministry of Health. GETAT practices. saglik.gov.tr
  16. Ministry of Agriculture and Forestry. Scientific opinion on Withania somnifera, 2021. tarimorman.gov.tr
  17. Danish Food Agency. Ashwagandha. foedevarestyrelsen.dk

Sources

Ayurveda
Integrative Medicine | Memorial Sloan Kettering Cancer Center.
mskcc.org
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