Black seed has been used as an herbal medicine for thousands of years by many cultures and traditional systems of medicine across Asia, Africa, Europe, and the Middle East. Additionally, black seed has been used as a culinary spice to add flavor to various foods and for food preservation.^[6]

By many, black seed was considered to be a panacea — a remedy for nearly all diseases — and it has historically been referred to as “the herb from heaven”.^[4] Black seed was supposedly used by several ancient Greek physicians, including Hippocrates, Dioscorides, and Galen. The mention of black seed and its therapeutic properties can be found in several historical texts ranging from the Bible to The Canon of Medicine by the classical Muslim physician Avicenna.^[4][16]

Typical uses were far reaching but included difficulty breathing, rheumatism, pain, tiredness, skin rashes and infections, blisters, dizziness, liver disease, lactation, trouble sleeping, indigestion, and as an insect-repellant. Interestingly, black seed was also reportedly used in ancient Egypt as a preservative for mummification and was found in the tomb of the Egyptian pharaoh Tutankhamun, dating its use back to 1300 BC.^[4][17]

Historically, black seed has been used topically to treat a variety of skin ailments thanks to its anti-inflammatory and antimicrobial properties. Clinical research supporting the use of black seed in this context is minimal, but the existing evidence is promising.

Black seed lotion or gel may be effective for the management of mild to moderate acne. Preliminary research suggests that black seed applied topically for 8 weeks may reduce the number of comedones, papules, and pustules compared to both a placebo and benzoyl peroxide 5% lotion (a commonly used product for acne).^[18][19][20] This is supported by in vitro research finding that black seed and thymoquinone possess antibacterial effects against certain bacteria known to contribute to acne.^[21][22]

A few studies have looked at the effects of black seed on inflammatory skin conditions. In hand eczema, black seed was comparably effective to steroid cream and superior to an unmedicated cream for reducing eczema severity.^[23] In psoriasis, black seed applied topically, taken orally, or both, led to a reduction in psoriatic lesions compared to baseline, with the combination group seeing the largest improvement.^[24] Lastly, in oral lichen planus black seed was comparably effective to steroid gel at reducing symptoms (check out our study summary here).^[25]

While promising, further research finding similar results is needed before we can feel confident about the effects of black seed on skin health.

Black seed has antiviral, immune-modulating, and anti-inflammatory properties, which makes it a potential candidate for the treatment of COVID-19. Additionally, compounds in black seed might theoretically prevent SARS-CoV-2 from entering human cells by blocking the receptor the virus uses to gain entry, angiotensin-converting enzyme 2 (ACE2).^[26][27]

A 2023 meta-analysis suggested that in people with COVID-19, black seed supplementation may reduce the risk of mortality and reduce the time to a negative PCR test. However, three of the seven studies included in the analysis used black seed in addition to other interventions (honey or other herbal medicines), and most trials were not blinded, which reduces our confidence in these findings.^[28] Additionally, some trials using black seed or its active compound (thymoquinone) in patients with mild to moderate COVID-19 reported a faster reduction of symptoms compared to a placebo,^[29][30][27] while another trial found no effect.^[31]

Despite preliminary research showing potential promise, there is currently not enough evidence to reasonably recommend black seed for the treatment (or prevention) of COVID-19.

Black seed has anti-inflammatory and immune-modulating properties, and preclinical research suggests it may also reduce histamine release and leukotriene B4 synthesis, making it an interesting candidate for both asthma and allergic rhinitis. Clinical research is limited to a handful of small trials, but so far results have tended to be positive.

In allergic rhinitis, several trials have found reductions in symptoms (e.g., itching, sneezing, congestion, runny nose) with black seed supplementation compared to a placebo. Benefits have been demonstrated for mild, moderate, or severe allergic rhinitis with both oral and intranasal black seed.^[32][33][34]

For asthma, preliminary research has reported clinically significant improvements in the Asthma Control Test scores — a validated measurement tool that considers shortness of breath, interference with daily activities, use of rescue inhalers, nighttime waking, and overall asthma control — in both children and adults with partially controlled asthma.^[35][36][37] There’s also some data to suggest that black seed may have a bronchodilatory (airway-opening) effect and improve lung function, including increased forced expiratory volume in 1 second (FEV1) and peak expiratory flow rate, but this hasn’t been found consistently. ^{[38][16][39][40]}

Black seed has historically been used for the management of rheumatism and conditions associated with pain and inflammation. Current clinical research is limited but has generally been positive.

In preliminary research, black seed has been found to reduce symptoms of rheumatoid arthritis in women as measured with the Disease Activity Score-28 (DAS-28) — a validated, objective way of measuring disease activity based on the number of tender or swollen joints — and to reduce the duration of morning stiffness. However, no clear effect on markers of inflammation or antioxidant status has been found in this population.^[41]

While the data are promising and supported by a large number of animal studies, more research is needed to clarify whether black seed has a role in the management of rheumatoid arthritis.