Educational information, not medical advice — ask your doctor or midwife.
Agarwood is the dark, scented wood that forms inside Aquilaria trees. The tree makes resin after injury or mould attack. Healthy wood is pale, light and has almost no smell.
It is best known as incense and as the perfume oil called oud. In several Asian medicine systems the powdered wood was also used for the stomach, for wheeze and for calm.
Here is the honest verdict. Human evidence for any health use is very thin, and most research is lab or animal work. Long use in tradition is not proof that it works, and it is not proof that it is safe.
No one has shown in people how agarwood works, or whether it works at all.
In mice, breathing agarwood oil vapour lowered activity and looked calming. Animal studies also show slower gut movement. That fits the old use for vomiting, but mice are not people.
In cell and test-tube studies, agarwood extracts damp down some inflammation signals. Whether that happens inside a human body is not established.
Burning raises a separate issue. Incense smoke carries fine particles and irritant gases. Those are known to irritate human airways, whatever the wood itself may or may not do.
You will meet agarwood in a few very different forms:
- Wood chips and powder, burned as incense. - Incense sticks and cones, often blended with other woods. - Oud essential oil, sold for perfume and for the skin, not for swallowing.
- Powdered wood inside traditional Chinese formulas, where it is one herb among several. - Agarwood leaf tea, mostly from Aquilaria crassna, sold in Asia as a daily drink. - Beads and carvings, worn rather than taken.
Fakes and blends are common. Much of the "oud" sold cheaply is synthetic or heavily cut with other oils.
Agarwood has one of the longest trade and ritual records of any scented wood.
Chinese medicine knew it as chen xiang and used it for the stomach, for hiccups and for wheeze. Ayurvedic and Unani texts listed it as agaru for digestion and pain. Tibetan medicine used it in calming blends.
In Japan it became the heart of kodo, the formal practice of appreciating incense. Arab and Indian perfumery prized it as oud for centuries.
These records describe what practitioners did. They were not written as safety testing, and they do not stand in for it.
Stop and get medical help the same day if you have wheeze, chest tightness or shortness of breath after burning it.
See a doctor if a skin rash spreads, blisters or does not settle after a few days.
Get checked promptly for vomiting that lasts more than two days, severe stomach pain, black stools or blood in vomit. These need a doctor, not an herb.
Most Aquilaria species are listed on CITES Appendix II, so international trade needs permits. Wild-cut agarwood is often illegal and poorly traced.
In the UK, US and EU it is sold as incense, a perfume material or a food supplement. It is not approved as a medicine for any condition.
Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.
What it is typically used for, usual dose, cautions, and the study behind it where real trial data exists.
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