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Perilla

Low histamine

Perilla is a fresh herb-like leaf with no known histamine content or histamine-raising properties.

No, perilla is a low-histamine food. It is a fresh aromatic leaf, similar in use to shiso, that you eat fresh, so it does not carry much histamine and is generally a safe herb for people with histamine intolerance.

Why perilla is rated low

Perilla is a leafy herb used fresh, as a wrap, garnish, or flavoring, and fresh herbs have no aging or fermenting step for histamine-forming bacteria to act on. You use it in small, fresh amounts right off the plant or the bunch, which keeps it firmly in the low range. Its strong minty, anise-like flavor comes from its aromatic oils, not from any process that would raise histamine.

What changes your risk

  • Freshness — Use perilla leaves while they are bright, whole, and fragrant. Blackened, slimy, or wilted leaves are past their best and worth discarding.
  • Storage — Treat it like a delicate herb: keep it cold, loosely wrapped, and slightly humid, and use it within a few days. It does not keep long, so buy it close to when you will use it.
  • Fresh vs preserved — Fresh perilla is low. Pickled, brined, or fermented perilla leaves, which are common in Korean and Japanese cooking, are a different, higher-histamine food and should not be treated the same.
  • Portion — It is used as an accent rather than a bulk vegetable, so the amounts are naturally small, which keeps its contribution low either way.
  • What it is served with — Perilla often accompanies grilled and cured meats and soy-based dips. The leaf is the safe part; the aged, cured, or fermented companions are what to watch.

What else is safe

If you enjoy perilla, other fresh herbs are also low and safe: basil, mint, cilantro, parsley, chives, and Thai basil can all bring aromatic freshness. For a wrap-style leaf, fresh lettuce is an easy low swap. The versions to avoid are the pickled or fermented perilla leaves sold in jars, and be cautious with the soy sauce, doenjang, and fermented dips that usually come alongside it, since those are the higher-histamine parts of the plate.

How to enjoy it

Buy fresh, unblemished leaves and use them soon, since perilla wilts quickly. Rinse gently, pat dry, and add it fresh at the end as a wrap, garnish, or chopped herb so its aroma stays bright. To keep a dish low, use fresh perilla with freshly cooked meat or rice rather than pairing it with fermented sauces and pickles.

Common questions

Is perilla the same as shiso?

They are closely related aromatic leaves used the same way, and both are low histamine when fresh. Fresh perilla and fresh shiso are treated the same for histamine purposes.

Are pickled perilla leaves low histamine?

No. Pickled, brined, or fermented perilla leaves are a different food and run higher. Stick to fresh perilla if you are keeping histamine low.

Can I use perilla as a lettuce wrap substitute?

Yes, fresh perilla leaves make a low-histamine wrap. Just be mindful of what goes inside, since cured meats and fermented dips are the higher-histamine parts.

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Learn more

Foods With High Histamine Levels Why Freshness Matters More Than Food Lists Why Leftovers Can Trigger Histamine Symptoms What Are Histamine Liberators?

For educational purposes only. Not medical advice. Consult a healthcare professional for personal guidance.

References

  1. SIGHI Food Compatibility List — SIGHI (2026)
  2. Histamine and histamine intolerance — Maintz & Novak (2007)
  3. Histamine Intolerance: The Current State of the Art — Comas-Basté et al. (2020)
  4. Low-Histamine Diets: Is the Exclusion of Foods Justified by Their Histamine Content? — Sánchez-Pérez et al. (2021)
  5. Histamine Intolerance: Symptoms, Diagnosis, and Beyond — Jochum (2024)
  6. Guideline on management of suspected adverse reactions to ingested histamine — Reese et al. (2021)