Jamu
Indonesia's Living Herbal Heritage
Evidence grade 2 of 5, Thin. Read how the Atlas grades evidence.
Jamu sits in a favorable middle: built largely on ingredients with real evidence, within a framework that is traditional. Its staple components, turmeric, ginger, and other culinary spices, have meaningful research support for anti-inflammatory and digestive effects (turmeric and ginger appear elsewhere in this library as validated-leaning entries), so a turmeric-ginger-tamarind tonic is a plausible, low-risk functional drink. What is not established is the broader traditional framework (hot/cold balancing, color-organ links) or specific disease claims for particular jamu blends, which are largely untested in rigorous trials. The honest read: a cultural herbal system whose best-known ingredients are genuinely supported, whose daily-tonic use is reasonable and low-risk, and whose more specific therapeutic claims and theoretical model remain unproven. Indonesia is actively working to modernize and standardize jamu and bring more of it under scientific study.
Reference only. Not medical advice.
What can go wrong
Fresh jamu made from culinary spices is generally low-risk and is consumed daily by millions. The most serious, documented hazard is not the herbs but adulteration: Indonesia's food and drug authority BPOM has repeatedly seized commercial jamu products illegally spiked with hidden pharmaceutical drugs, including the anti-inflammatory phenylbutazone (which can cause agranulocytosis and has been tied to necrotising fasciitis in reported cases), diclofenac, the steroid dexamethasone, the withdrawn weight-loss drug sibutramine, and sildenafil, which carry risks to the liver, kidneys, blood, hormones, and heart when taken unknowingly and unsupervised. Because these are undeclared, a product cannot be judged safe by appearance, and unverifiable registration numbers are a warning sign. Freshly carried tonics can also be microbially contaminated. Concentrated herbal preparations can interact with medications affecting blood clotting or blood sugar. Anyone who is pregnant or breastfeeding, has liver, kidney, or blood conditions, or takes prescription medicines should talk with a qualified healthcare provider before regular use, and jamu should complement rather than replace care for serious illness.
Jamu is Indonesia's living herbal-tonic tradition, practiced in Java since at least the eighth century and inscribed by UNESCO as Intangible Cultural Heritage in December 2023 under the name Jamu Wellness Culture. It is built from rhizomes and spices, turmeric, ginger, tamarind, and galangal foremost, ground fresh and drunk daily, and it is carried through neighborhoods by the mbok jamu gendong, the women herbalists who have kept its tens of thousands of recipes alive. Its ingredients are its strength: turmeric and ginger have genuine trial support for joint pain and nausea, so a fresh tonic is a plausible, low-risk functional drink. The framework around them, the hot and cold balancing logic and specific disease claims for particular blends, is traditional and largely untested. The most consequential caution is not the herbs at all but a manufacturing crime layered on top of them, since Indonesia's food and drug authority has repeatedly found commercial jamu products illegally spiked with hidden pharmaceutical drugs.
Indonesia's daily herbal-tonic tradition, UNESCO-recognized, built on genuinely evidence-backed spices like turmeric and ginger within a traditional hot/cold framework.
What people take it for
These are the reasons people give for taking it. They are not effects it has been shown to have.
How it is supposed to work
Jamu's core ingredients have real, studied pharmacology, turmeric (curcumin) and ginger are anti-inflammatory and aid digestion, tamarind and others have their own actions, so many jamu tonics deliver genuine bioactive compounds. The hot/cold balancing framework and color/shape-organ associations are traditional explanatory models, not biomedical mechanisms. As a daily tonic culture, jamu also functions much like other functional-food traditions.
What people get wrong
Often saidJamu is unproven folk belief with no real basis.
ActuallyIts signature ingredients carry genuine research support. A meta-analysis of 16 RCTs in 1,810 knee osteoarthritis patients found turmeric extract reduced pain and improved function comparably to NSAIDs (PubMed 33511486), and a meta-analysis of 12 RCTs in 1,278 pregnant women found ginger improved nausea versus placebo (PMC3995184). What stays untested is the broader hot and cold framework and specific disease claims for whole blends.
Often saidIf a jamu product is sold commercially and registered, it is pure herbs and automatically safe.
ActuallyRegistration is not a guarantee of purity, and adulteration is a documented, recurring problem. Indonesia's drug authority BPOM reported 206 natural-medicine and supplement products containing undeclared pharmaceutical chemicals across 2025 testing, including phenylbutazone, diclofenac, dexamethasone, sibutramine, and sildenafil illegally added to speed up effects (pom.go.id). Some products also carried registration numbers that could not be verified in the official BPOM database.
Often saidBecause jamu is natural, any adulteration would be harmless or minor.
ActuallyThe hidden drugs found in some jamu products are the dangerous part. A documented case series ties adulterated jamu containing phenylbutazone to agranulocytosis, a collapse of the white blood cells, and a separate report links a phenylbutazone-and-dipyrone jamu to life-threatening necrotising fasciitis requiring urgent surgery (Clin Infect Dis 2005; J Orthop Surg 2009).
Who profits, and who pushes back
UNESCO & Indonesian heritage bodies
Recognized Jamu Wellness Culture as Intangible Cultural Heritage in 2023, honoring the skills and values of this centuries-old herbal tradition.
Phytochemistry research
Supports real anti-inflammatory and digestive activity for jamu staples like turmeric and ginger, while the broader traditional framework remains untested.
Mbok jamu & makers
Carry and transmit jamu through generations of (largely women) herbalists, preparing fresh tonics as an everyday part of Indonesian life.
Drug-safety regulators
Warn that some commercial traditional-medicine products have been adulterated with hidden pharmaceuticals, making sourcing and quality important.
Where the research comes from
Most of the published research on this comes from one place. 90% of it is from Java, Indonesia. Findings that no unrelated group has reproduced are weaker than the study count makes them look.
| Place | Share of published research |
|---|---|
| Java, Indonesia | 90% |
| Bali & wider Indonesia | 80% |
| SE Asia | 60% |
| Global (cafés, diaspora) | 55% |
How we got here
Jamu is a Javanese tradition with deep roots on the island of Java. Bas-reliefs at the ninth-century Borobudur temple depict people grinding with stone mortar and pestle and healers tending clients, and a long cylindrical stone mortar recovered from the Liyangan site on the slopes of Mount Sundoro dates the practice to the Mataram kingdom era, roughly the eighth to tenth century. During the Majapahit period the Madhawapura inscription names a distinct profession, the acaraki, herb mixers who prepared these remedies. Knowledge passed largely by mouth among women and was later written into Javanese manuscripts, including a Mataram-era medicine book from around 1700 holding some 3,000 recipes and the 1814 Serat Centhini. European physicians in the colonial Indies, Jacobus Bontius in Batavia and Rumphius in Ambon, recorded local herbs. Jamu industrialized through the twentieth century, surged during the pandemic as an immunity tonic, and in December 2023 was inscribed on UNESCO's Representative List as Jamu Wellness Culture.
- 8th-10th c.Herbal grinding tools at the Liyangan site (Mataram era); jamu-like practice depicted in Borobudur reliefs in Central Java
- 14th c.Majapahit-period Madhawapura inscription names the acaraki, professional herb mixers
- c. 1700A Mataram Sultanate medicine book records around 3,000 jamu recipes
- 1814The Javanese literary work Serat Centhini documents numerous jamu concoctions
- 2005Clinical Infectious Diseases publishes a UK case of agranulocytosis traced to jamu adulterated with phenylbutazone
- 2012Indonesian Ministry of Health survey records more than 15,000 jamu recipes across the archipelago
- Dec 2023UNESCO inscribes Jamu Wellness Culture on the Representative List of Intangible Cultural Heritage
- 2025BPOM reports 206 natural-medicine and supplement products found to contain undeclared pharmaceutical chemicals during the year's testing
How it is understood
Jamu is Indonesia's living tradition of herbal medicine, practiced since at least the 8th-10th century (depicted in carvings at Borobudur) and woven into daily life. It is made from roots, bark, flowers, seeds, leaves, and fruits, turmeric, ginger, tamarind, galangal, and lemongrass at its core, ground fresh with mortar and pestle and drunk as a tonic, often bitter, sweetened with honey or palm sugar. Its guiding idea is balance: hot conditions treated with "cold" remedies and vice versa, a hot/cold framework that echoes humoral systems worldwide, sometimes extended to associations between the colors and shapes of plants and the organs they support. Jamu is famously carried by the mbok jamu gendong, women herbalists who walk from home to home with bottles in a basket on their back, and its tens of thousands of recipes (a 2012 survey recorded over 15,000) are typically passed from mother to daughter. In December 2023, UNESCO recognized "Jamu Wellness Culture" as Intangible Cultural Heritage.
At a glance
- Origin
- Java, Indonesia (8th-10th c.)
- Core
- Turmeric, ginger, tamarind, galangal
- Recipes
- 15,000+ recorded (2012 survey)
- Status
- UNESCO Intangible Cultural Heritage (2023)
What this entry does not yet cover
What follows is unfinished work on our side, not a finding about Jamu. A short entry is not a safe entry.
- Cost and market. We have not documented what it sells for or who sells it.
- Supply chain. We have not mapped where it is made.
- Who uses it. We have not documented the user groups.
- What could change. No forward-looking summary yet.
- How it compares. We have not set it against the alternatives.
- Children and teenagers. We have not checked what is known about younger people.
Sources
BPOM found 206 natural-medicine and supplement products containing undeclared drug chemicals (BKO) across 2025 testing; recurring finds of sildenafil, dexamethasone, paracetamol, sibutramine, diclofenac; health-risk warning
BPOM press release: illegal traditional medicines contain undeclared pharmaceutical chemicals only for use under medical supervision; risks to kidney, liver, blood pressure, heart
Case of agranulocytosis and Citrobacter infection from jamu deliberately adulterated with phenylbutazone; 75-year-old woman, 8 sachets over 6 weeks, recovered after G-CSF
Paul et al., Clinical Infectious Diseases 40(12):1859-1860, Oxford Academic
Necrotising fasciitis from Jamu Pegal Linu adulterated with toxic phenylbutazone and dipyrone; severe neutropenia and sepsis, urgent debridement
Doshi et al., Journal of Orthopaedic Surgery (Hong Kong) 17(2):223-6, PubMed
Turmeric extract reduces knee OA pain (SMD -0.82) and improves function (SMD -0.75) versus placebo, similar efficacy to NSAIDs with 12% fewer adverse events; 16 RCTs, 1,810 patients
Wang et al., systematic review and meta-analysis of turmeric for knee OA, PubMed
Curcumin/Curcuma longa reduces arthritis pain comparably to NSAIDs across 29 RCTs and 2,396 participants; conclusions tempered by low RCT quality
Curcumin and Curcuma longa extract in arthritis, systematic review and meta-analysis, PMC
Ginger improves pregnancy-associated nausea versus placebo (MD 1.20) though not vomiting; reassuring safety; 12 RCTs, 1,278 women
Viljoen et al., ginger for pregnancy nausea meta-analysis, Nutrition Journal, PMC
UNESCO inscribed 'Jamu Wellness Culture' on the Representative List of Intangible Cultural Heritage in 2023; practised in Indonesia since the eighth century; most makers are women; hot and cold balancing principle
UNESCO Intangible Cultural Heritage, Jamu Wellness Culture (file 01972)
History of jamu in Java: Borobudur reliefs, Liyangan stone mortar (Mataram era 8th-10th c.), Madhawapura inscription naming acaraki herbalists, c.1700 Mataram medicine book with 3,000 recipes, Serat Centhini (1814), 2012 Ministry of Health survey of 15,000+ recipes
Jamu, Wikipedia (with cited primary and archaeological sources)
Antirheumatic jamu samples adulterated with phenylbutazone: 3 of 5 positive by TLC, concentrations 2.184-4.783% by UV-Vis; forbidden pharmaceutical compounds in antirheumatic jamu
Analysis of forbidden pharmaceutical compounds in antirheumatic jamu (ResearchGate record)
Risk-characterisation review of jamu constituents documents adulteration with active pharmaceutical ingredients (sildenafil, phenylbutazone, sibutramine, others) as a key safety concern
Freshly carried jamu gendong and its raw materials found heavily contaminated with bacteria, yeasts, and molds, though major pathogens mostly absent