Synopsis

Source of validity: Traditional
Rating (out of 5): 1

The blackboard tree (Alstonia scholaris), also known as the devil tree, has a longstanding presence in traditional medicine systems such as Ayurveda and Traditional Chinese Medicine (TCM). In these traditions, various plant parts, especially the bark, have been used for ailments such as respiratory disorders, fever, and sometimes neurological complaints, including headaches. However, the specific use of blackboard tree extracts for migraine is primarily based on traditional practice rather than rigorous scientific validation. Historical texts indicate its use for general pain relief and as an antipyretic, but references specifically to migraine are scarce and often anecdotal. Modern scientific studies on Alstonia scholaris have identified alkaloids and other compounds with anti-inflammatory and analgesic activities, suggesting potential mechanisms that could theoretically alleviate headache symptoms. Nevertheless, controlled clinical trials investigating its efficacy specifically for migraine are lacking. Most available studies have focused on other uses, such as antimalarial, anti-asthmatic, or anti-inflammatory properties in animal models. Thus, while traditional systems sometimes recommend the blackboard tree for headaches, including migraine, there is minimal direct scientific evidence to support its effectiveness for this condition, and safety data are limited. As such, its use for migraine is best described as traditional, with a low level of supporting evidence.

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