Clove (Syzygium aromaticum)
In short
Summary of findings for quick reference
Clove is one of the great world-trade spices, native to the Maluku Islands and carried for nearly two thousand years across the major healing traditions: Chinese medicine as ding xiang, Ayurveda as lavanga, the Greco-Arabic materia medica as qaranful, the Indonesian and Malay household tradition, and the European Christmas table of Glühwein and Lebkuchen. Across most of these, clove converges on the same family of uses, a warming digestive aromatic and a remedy for minor oral and dental complaints, and the European Apothekentradition has long used clove oil on an aching tooth. That depth, breadth and convergence place this entry at the highest historical significance tier.
The clinical picture is narrower than the tradition and sits firmly in the topical dental space. The single most informative study, Alqareer, Alyahya and Andersson 2006 in the Journal of Dentistry, was a split-mouth trial in 73 adults in which a topical clove gel matched twenty percent benzocaine and beat placebo for injection-site pain. That is one small topical anaesthesia study, not proof of a systemic effect. The honest reading is a plant with an exceptionally deep tradition and a real, narrow, topical dental signal, where active toothache still belongs with a dentist.
Where tradition and regulator meet, the detail matters. The EMA HMPCEuropean Medicines Agency, Committee on Herbal Medicinal Products (HMPC) monograph is traditional use only and covers clove essential oil, Caryophylli floris aetheroleum, for minor inflammation of the mouth and throat and for temporary toothache relief from a dental cavity. The whole bud, Caryophylli flos, has no EMA monograph; the German Commission E carries a separate positive monograph for the bud. The oil is far stronger than the bud, irritates membranes at full strength, and is not for children under two years, so a couple of cloves in Glühwein and a bottle of clove oil are not the same thing.
Clinical evidence ↔ Historical significanceWe display two separate evidence categories: clinical evidence from modern trials and historical significance from documented healing tradition. Both are valuable, but they answer different questions.Read more
In every encyclopedia entry we evaluate two distinct categories of evidence. Clinical evidence as used in trials meets a narrower but scientifically essential bar. At the same time, the hundreds of thousands of plant species worldwide have only partially been captured and tested in modern studies.
Alongside the trial picture our researchers compile a comprehensive overview of where and since when a plant has been used across different traditions of natural medicine. When a plant has been used as a medicinal plant in many cultures across many generations, that historical significance deserves to be visible too.
Our position: a truly informative overview emerges only when both categories sit side by side. We communicate transparently what counts as what.
Overview
Clove (Syzygium aromaticum) is the dried unopened flower bud of a tropical evergreen tree in the Myrtaceae family, native to the Maluku Islands, the Spice Islands of eastern Indonesia. The bud is hand-picked before it opens, sun-dried until it turns dark brown, and shipped worldwide as one of the most aromatic spices in the global trade. The signature bioactive is eugenol, which makes up around seventy to ninety percent of the essential oil; eugenyl acetate and beta-caryophyllene are the next major components. The same chemistry that gives clove its warm, sweet, intense aroma also gives it the tongue-numbing quality that European herbalists noticed centuries ago.
The European Medicines Agency Committee on Herbal Medicinal Products (EMA HMPCEuropean Medicines Agency, Committee on Herbal Medicinal Products (HMPC)) adopted a traditional-use monograph for clove oil, Caryophylli floris aetheroleum, for relief of minor inflammations of the oral mucosa and for minor toothache. For the bud itself, Caryophylli flos, the HMPC issued a public statement rather than a monograph, while the German Commission E published a positive monograph on the bud covering inflammation of the mouth and pharynx and dental analgesia. Named modern work includes Alqareer and colleagues 2006, who reported that a clove gel was comparable to twenty percent benzocaine for topical dental anaesthesia, and Shan and colleagues 2005, who ranked clove highest of twenty-six common spices on the ORAC in-vitro antioxidant assay. ORAC is a laboratory measurement, not a clinical outcome, and EFSA does not recognise it as a basis for antioxidant health claims. For Christianes Naturkraft, clove is one of the warming spices in our Klassik Sirup, anchored in the European Weihnachts-Tradition of Glühwein and Lebkuchen.
History
Clove has one of the longest and most colourful biographies of any spice. Chinese court records from the third century before the common era describe officials chewing clove buds before addressing the emperor, to freshen the breath. Arab and Indian traders carried clove westward along the spice routes for more than a thousand years. The botanical origin, the Maluku Islands in eastern Indonesia, stayed a closely guarded secret of the trading houses; when Portuguese and then Dutch ships reached the Moluccas in the sixteenth century, clove became one of the central commodities of European colonial expansion, with the Dutch East India Company maintaining a deliberate monopoly through the seventeenth and eighteenth centuries. The English word clove and the German Nelke both trace back to Latin clavus, nail, a description of the bud shape.
In the Austrian and broader German-speaking tradition, clove is first and foremost a Christmas spice. Whole cloves stuck into oranges make the classic Weihnachts-Pomander. Glühwein on the Christkindlmarkt is unthinkable without clove, cinnamon, and orange peel. Lebkuchen, Magenbrot, and the wider Weihnachtsbäckerei rely on ground clove for the deep, warm note that signals winter. The Apothekentradition runs in parallel: Nelkenöl as a topical Zahnschmerzen remedy is a classic of European household medicine, and the EMA HMPCEuropean Medicines Agency, Committee on Herbal Medicinal Products (HMPC) traditional-use monograph for clove oil (Caryophylli floris aetheroleum) formally recognises the traditional use for minor oral mucosa inflammation and minor toothache, with the bud (Caryophylli flos) covered by the German Commission E positive monograph. The plant therefore arrives in Austria along two routes that share the same chemistry: the culinary one through the Glühwein pot and the Lebkuchen tin, and the medicinal one through the pharmacy shelf.
Mechanism
Eugenol is the chemical signature of clove. Around seventy to ninety percent of the essential oil is eugenol, with eugenyl acetate and beta-caryophyllene as the other major components. Eugenol acts on the TRPV1 receptor, the same receptor that responds to capsaicin and to heat, and this interaction explains the local-anaesthetic, tongue-numbing quality of a chewed clove or a drop of clove oil on the gum. The same molecule has been shown in laboratory studies to inhibit COX-2 and NF-kB signalling pathways, which is the mechanistic basis for the anti-inflammatory line of research summarised by Barboza and colleagues 2018.
Two other mechanism stories run alongside eugenol. Beta-caryophyllene is a partial agonist of the CB2 cannabinoid receptor, an emerging line of pharmacological interest; it is present in small amounts in clove and in many culinary spices and is not unique to clove. Eugenol also has mild antiplatelet activity in laboratory studies, the documented basis for the anticoagulant interaction caution in the safety section. The clinical translation of either mechanism at culinary doses is uncertain; both are research-level observations rather than dosing rules. The mechanism story most relevant to the Weihnachts-Tradition is therefore the simplest: clove is a warming aromatic that the European bitter-and-aromatic digestive tradition has used for centuries, with a chemistry that is consistent with that role.
The strongest clinical research on clove sits in the topical dental space. Alqareer and colleagues in 2006 ran a split-mouth randomised study in seventy-three adult volunteers, comparing a clove gel, twenty percent benzocaine, and placebo for needle-stick pain at the injection site; the clove gel performed comparably to benzocaine and significantly better than placebo. This is the use the EMA HMPCEuropean Medicines Agency, Committee on Herbal Medicinal Products (HMPC) traditional-use monograph for clove oil (Caryophylli floris aetheroleum) recognises, with the bud (Caryophylli flos) covered by the German Commission E positive monograph, and it is the use Austrian Apothekentradition has carried for centuries. It is also a topical, dental application, and not a use Christianes Naturkraft describes; for any active toothache the right step is to see a dentist, not to rely on clove.
For the warming, digestive, and culinary uses of clove that anchor it in the Weihnachts-Tradition, the evidence is primarily traditional and mechanistic. Shan and colleagues in 2005 ranked clove highest among twenty-six spices on the ORAC antioxidant assay; ORAC is an in-vitro chemical measurement and EFSA does not recognise it as a basis for antioxidant claims in humans. Chaieb and colleagues 2007 reviewed a wide laboratory literature on the broad-spectrum antimicrobial activity of eugenol; the bench data is consistent, the translation to oral bioavailability in everyday culinary doses is not established. Barboza and colleagues 2018 reviewed mechanistic evidence that eugenol inhibits COX-2 and other inflammatory pathways in laboratory models. The honest reading: clove carries more documented pharmacology than most kitchen spices, with most of it sitting at the mechanistic-and-traditional end of the evidence axis.
Evidence
| Outcome | Class | Grade | Effect | Studies |
|---|---|---|---|---|
| Minor oral mucosa and dental complaints (topical, traditional)EMA HMPC traditional-use monograph for clove oil (Caryophylli floris aetheroleum) for relief of minor inflammations of the oral mucosa and minor toothache; the bud (Caryophylli flos) is covered by a German Commission E positive monograph for inflammation of the mouth and pharynx and dental analgesia, with an EMA HMPC public statement rather than a bud monograph. Alqareer 2006 randomised split-mouth study (n=73) found clove gel comparable to twenty percent benzocaine for topical dental pain. This is a topical traditional use; for active toothache see a dentist.Adults using traditional topical clove preparations | TraditionalTraditional use. Long-standing folk practice or EMA HMPC traditional-use monograph. | CEvidence quality grade C. Mixed or limited evidence. Small trials, signals, or traditional use under an EMA HMPC traditional-use monograph. This is an evidence rating, not a product endorsement. | Traditionally Supportive | |
| In-vitro antimicrobial activity (broad spectrum)Chaieb 2007 review of clove essential oil and eugenol activity against gram-positive, gram-negative bacteria and fungi in laboratory cultures. Consistent in-vitro pattern; translation to oral bioavailability at culinary doses in humans is not established and EFSA does not recognise antimicrobial health claims for clove.Laboratory cultures | TraditionalTraditional use. Long-standing folk practice or EMA HMPC traditional-use monograph. | CEvidence quality grade C. Mixed or limited evidence. Small trials, signals, or traditional use under an EMA HMPC traditional-use monograph. This is an evidence rating, not a product endorsement. | Laboratory Signals | |
| Traditional warming aromatic in winter culinary useCenturies-long European Weihnachts-Tradition of clove as a warming spice in Glühwein, Lebkuchen, and the broader Weihnachtsbäckerei; Austrian Apothekentradition recognises clove as a classical bitter-aromatic spice. This is cultural and traditional use, not a health-claim category.European Weihnachts-Tradition | TraditionalTraditional use. Long-standing folk practice or EMA HMPC traditional-use monograph. | CEvidence quality grade C. Mixed or limited evidence. Small trials, signals, or traditional use under an EMA HMPC traditional-use monograph. This is an evidence rating, not a product endorsement. | Traditional | |
| In-vitro anti-inflammatory mechanism (COX-2 and NF-kB)Barboza 2018 review of eugenol mechanistic activity on COX-2 and NF-kB signalling in laboratory and animal studies. Mechanistic line of research; clinical translation at culinary doses is not established.Laboratory and animal studies | EmergingEmerging research. Early small trials suggest an effect but await replication. | DEvidence quality grade D. Preliminary signal. A single small trial, pilot result, or laboratory or animal model. Clinical relevance unclear. This is an evidence rating, not a product endorsement. | Laboratory Signals |
Usage
Forms and preparation
For culinary use, whole cloves are the standard form. Two to four cloves go into a litre of mulled wine or Glühwein together with cinnamon, orange peel, and star anise, simmered gently for ten to twenty minutes and strained before serving. One or two cloves can be added to a chai or to a pot of black tea. Ground cloves are the form most often used in Lebkuchen, Spekulatius, and the broader Weihnachtsbäckerei spice mix; a quarter to half a teaspoon per batch is a typical bakery dose. For a traditional clove tea, one or two crushed cloves steeped in a cup of freshly boiled water for five to ten minutes is the household preparation. For the EMA HMPC traditional indication of minor mouth or throat irritation, a single chewed clove or a clove-bud mouthwash made by infusing one or two cloves in warm water and gargling is the classical Apothekentradition form. Clove essential oil is the most concentrated form and must be handled with care. A drop or two diluted into a carrier oil, such as olive oil, can be applied topically to the affected area; the essential oil is never to be used neat on mucous membranes, and never internally. For an active toothache the right step is to see a dentist; clove is a household first-line comfort measure, not a treatment.
Dosage
For culinary use, one to five whole cloves per dish or per pot of mulled wine is the traditional range; for ground clove, a quarter to half a teaspoon per recipe. For a clove tea, one or two crushed cloves per cup, up to two or three cups per day. For clove essential oil, only diluted topical use is appropriate; a one to five percent dilution in a carrier oil for short-term external application to the affected area. The essential oil is not to be used internally and not to be applied neat. Start at the lower end. Clove is an intensely flavoured spice, and a single bud or a pinch of ground clove is enough to carry a whole pot. If you are using a clove preparation in the EMA HMPC traditional sense for minor oral or dental complaints, treat it as a short-term household measure, not a daily long-term regime; for any complaint that persists more than a day or two, see a dentist or doctor. If you take anticoagulant medication, see the warnings below before using concentrated clove preparations.
Safety
Look-alikes
FAQs
A clove chewed for toothache, household remedy or dentist?
Both. A chewed clove or a drop of diluted clove oil on the gum has a genuine local-anaesthetic effect; eugenol binds to the TRPV1 receptor and numbs the area for a short time. This is exactly the topical use the European pharmacy tradition has carried for centuries; the EMA HMPC traditional-use monograph covers clove oil (Caryophylli floris aetheroleum), and the German Commission E positive monograph covers the bud (Caryophylli flos). It is a first-line household measure, not a substitute for dental treatment. For active toothache, see a dentist; clove can bridge the wait, but it does not heal a cavity or an abscess.
How many cloves go into Glühwein and into the Lebkuchen spice mix?
For one litre of Glühwein or punch, two to four whole cloves alongside one or two cinnamon sticks, an orange peel, and a star anise is a standard starting point; let it simmer gently for ten to twenty minutes and strain before serving. For a Lebkuchen or Magenbrot mix, ground clove belongs in the classical Christmas spice blend with cinnamon, clove, allspice, cardamom, nutmeg, and sometimes anise or fennel, with a quarter to half a teaspoon of ground clove per baking batch. Clove is intense; better to start sparingly and adjust than to overdose.
Is clove essential oil a normal household remedy or is it dangerous?
Clove essential oil is much stronger than the whole clove and requires care. At full strength it irritates mouth and throat membranes, can burn the skin, and is not for unsupervised internal use; case reports describe liver injury in children who drank clove oil. In practice that means clove oil is diluted to a one to five percent strength in a carrier oil such as olive oil and applied externally to the affected area for short-term use, never neat. It is not for children under two years. If you take anticoagulant medication, talk to a doctor or pharmacist before using it.
Are cloves safe in pregnancy?
Culinary yes, concentrated no. The glass of Glühwein is something pregnancy already leaves out, but a few cloves in Lebkuchen or in stewed apples in moderate amounts are fine and match normal culinary use. Concentrated forms, that is, clove essential oil and high-dose extracts, are not indicated in pregnancy and should not be used without medical advice. For a specific oral or dental issue, talk to your dentist, doctor, or midwife about the appropriate approach.
4 sources.
- Alqareer et al.. Alqareer et al. 2006. 2006. PMID:16530911
- Shan et al.. Shan et al. 2005. 2005. PMID:15713023
- Chaieb et al.. Chaieb et al. 2007. 2007. PMID:17380552
- Barboza et al.. Barboza et al. 2018. 2018. PMID:29655293
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