Milk thistle (Silybum marianum (L.) Gaertn.) is a versatile crop that has adapted to the broadly different soil and environmental conditions throughout all continents. To date, the fruits (“seeds”) of the plant are the only reliable source of silymarin, which, given its recognized therapeutic effects and its many present and potential uses, has led to a significant re-discovery and enhancement of the crop in recent years. Overall, although many studies have been carried out globally on the bioactivity, phytochemistry, and genetics of milk thistle, few and discontinuous research activity has been conducted on its basic agronomy as well as on the farm opportunities offered by the cultivation of this species. However, the multiple potential uses of the plant and its reduced need for external inputs suggest that milk thistle can perfectly fit among the most interesting alternative crops, even for marginal environments. The growing interest in natural medicine, the increasing popularity of herbal dietary supplements, and the multiple possibilities for livestock feeding are all arguments supporting the idea that in many rural areas, this crop could represent a significant tool for enhancing and stabilizing farm income. However, several issues still have to be addressed. The species retains some morphological and physiological traits belonging to non-domesticated plants, which make the application of some common agronomic practices challenging. Furthermore, the lack of reliable field data devoted to the definition of suitable cropping protocols represents a major constraint on the spread of this crop among farmers. This review has therefore focused on updating information on the main morphological and phytochemical traits of the crop and its agronomic characteristics and novel uses. Several gaps in technical knowledge have been addressed, and further goals for experimental activity have been outlined in order to guide farmers eager to cope with the cultivation of such a challenging and resource-rich crop.

The current farming systems strongly depend on chemical fertilizers (CF), which are widely applied to increase crop yield worldwide. However, although CF enhance crop yield in the short term, their excessive and long-term application can have adverse effects on environmental and human health. One of the most important goals of sustainable agriculture is substituting CF with organic manures. Organic manures can be used as a low-cost and safe alternative for CF. They contain essential nutrients for crop growth, improve soil conditions and nutrient availability, increase plant growth, and ultimately enhance yield. The application of organic manures to medicinal plants (MP) is more critical than to other plants, because organic manures not only enhance the growth and productivity of MP but also modify quality of their products. In this review, the effect of different types of organic manures on the biomass, content and chemical compositions of essential oil and antioxidant activity of various MP has been investigated. The included information was gathered from scientific databases such as Science Direct, Google Scholar, PubMed, and Scopus. Many of the collected studies showed that organic manures increase biomass and improve the quality of these plants. The findings of this review indicate that broiler litter (BL) and compost (C) are highly recommended as organic manures to promote biomass. Moreover, C, sheep manure, and vermicompost (VC) are suggested as the optimal organic manures for enhancing the essential oil content. Organic manures significantly changed the aroma profile of the essential oils and in many cases, they enhanced major chemical compositions. The usage of VC raised the content of the linalool of studied MP. Most of the organic manures, especially BL, VC, farmyard manure, and poultry manure increased the antioxidant activity of these plants. Hence, the utilization of organic manures can be recommended for productivity enhancement and quality improvement of MP.