Plant Comparison

Wormwood vs Bistort

A side-by-side comparison of two medicinal plants — every documented constituent, action, use, safety note and cited source, assembled automatically from the Omnia Sana database.

First plant
Second plant
Show:
Plant AWormwoodArtemisia absinthiumAsteraceaeFull monograph →
Plant BBistortBistorta officinalisPolygonaceaeFull monograph →

At a glance

Wormwood and Bistort: they share 6 indicated uses (arthritis / joint pain, cancer (anticancer research), infection (general), …); 3 pharmacological actions in common.

WormwoodBistort
Constituents33
Pharmacological actions77
Indicated uses1210
Safety notes23
Cited sources1714
Indicated uses
Only Wormwood
BloatingBlood sugar / diabetes supportIndigestionMenstrual crampsMetabolic supportMuscle spasm
Shared (6)
Arthritis / joint painCancer (anticancer research)Infection (general)Inflammation (general)Skin irritationWounds
Only Bistort
BruisingDiarrhoeaHeavy menstrual bleedingSore throat
Pharmacological actions
Only Wormwood
Antidiabetic (blood-sugar lowering)AntioxidantAntispasmodicDigestive aid
Shared (3)
Anti-inflammatoryAnticancer (preclinical)Antimicrobial
Only Bistort
AntidiarrhoealAstringentStyptic / haemostaticVulnerary (wound healing)

Evidence face-off — shared uses

ConditionWormwoodBistortVerdict
Arthritis / joint pain1/101/10Comparable evidence
Cancer (anticancer research)2/102/10Comparable evidence
Infection (general)1/101/10Comparable evidence
Inflammation (general)1/101/10Comparable evidence
Skin irritation1/101/10Comparable evidence
Wounds1/101/10Comparable evidence

Evidence scores (1–10) are computed from the tier of each cited source. “Comparable” means the two scores are within one point. Follow a score to its detailed sources.

Key Constituents

Sesquiterpene lactones (absinthin, artabsin)[1, 4]

Intensely bitter sesquiterpene lactones responsible for the classic digestive-bitter action.

Sesquiterpene lactonesSesquiterpenes
Essential oil (thujone, other monoterpenes)[1]

Volatile oil containing thujone (alpha- and beta-isomers), the neurotoxic ketone that limits safe internal use, along with other monoterpenes.

Essential (volatile) oilTerpenes / terpenoids
Flavonoids and phenolic acids[3]

Antioxidant constituents contributing to the plant's antioxidant activity.

FlavonoidsPhenolic acids
Tannins (15-36% of the rhizome: oligomeric proanthocyanidins, gallotannins, catechins)[13, 14]

Very high tannin content is the basis of the strong astringency.

ProanthocyanidinsTanninsCatechins
Phenolic acids and flavonoids[14]

Contribute to antioxidant and antibacterial activity.

Phenolic acidsFlavonoids
Starch and oxalic acid[13]

Other rhizome constituents.

Starch

Pharmacological Actions

Anti-inflammatory[10, 13, 14]
Anticancer (preclinical)[1, 15, 16]

Artemisia absinthium (wormwood) total flavonoids and its constituent alpha/beta-thujone induce ROS- and caspase-mediated apoptosis in cervical and choriocarcinoma cancer cells (preclinical).

Antidiabetic (blood-sugar lowering)[5, 6, 7, 13, 14]
Antimicrobial[1, 9, 13, 14]
Antioxidant[1, 3, 5, 6, 10, 13, 14]
Antispasmodic[13, 14]

Antispasmodic (cramp easing)

Digestive aid[4, 8, 13, 14]
Anti-inflammatory[4, 13, 14]

Anti-inflammatory gargle / mouthwash for inflammation of the mouth and throat (sore throat)

Anticancer (preclinical)[10, 11]

Bistorta officinalis (Polygonum bistorta) rhizome extract, rich in gallotannins and phenolic acids, shows cytotoxic and pro-apoptotic activity against hepatocellular and other cancer cells (preclinical).

Antidiarrhoeal[4, 13, 14]

Astringent for mild diarrhoea (tannins tighten the gut lining and reduce excess secretion)

Antimicrobial[2, 12, 14]

Antibacterial (topical) - GC-MS-characterised extracts showed antibacterial activity

Astringent[7, 13, 14]

Astringent for mild diarrhoea (tannins tighten the gut lining and reduce excess secretion)

Styptic / haemostatic[13, 14]

Vulnerary and styptic for minor wounds (topical)

Vulnerary (wound healing)[13, 14]

Vulnerary and styptic for minor wounds (topical)

Traditional & Indicated Uses

Arthritis / joint pain[13, 14]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Bloating[13, 14]Traditional · 1/10

inferred from digestive action

Evidence: 1
Label: Bloating
Blood sugar / diabetes support[13, 14]Traditional · 1/10

inferred from antidiabetic action

Evidence: 1
Label: Blood sugar / diabetes support
Cancer (anticancer research)[1, 15, 16]Traditional · 2/10

Artemisia absinthium (wormwood) total flavonoids (cynaroside, astragalin) inhibit HeLa cervical cancer cells via ROS-mediated apoptosis, and its terpenoid alpha,beta-thujone induces caspase-dependent apoptosis in choriocarcinoma cells and sensitizes them to paclitaxel (preclinical).

Evidence: 2
Label: Cancer (anticancer research)
Indigestion[13, 14]Traditional · 1/10

inferred from digestive action

Evidence: 1
Label: Indigestion
Infection (general)[13, 14]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Infection (general)
Inflammation (general)[13, 14]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Inflammation (general)
Menstrual cramps[13, 14]Traditional · 1/10

inferred from antispasmodic action

Evidence: 1
Label: Menstrual cramps
Metabolic support[13, 14]Traditional · 1/10

inferred from antidiabetic action

Evidence: 1
Label: Metabolic support
Muscle spasm[13, 14]Traditional · 1/10

inferred from antispasmodic action

Evidence: 1
Label: Muscle spasm
Skin irritation[13, 14]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Skin irritation
Wounds[13, 14]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Wounds
Arthritis / joint pain[13, 14]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Bruising[13, 14]Traditional · 1/10

inferred from vulnerary action

Evidence: 1
Label: Bruising
Cancer (anticancer research)[10, 11]Traditional · 2/10

Polygonum bistorta (Bistorta officinalis) methanol-water and aqueous extracts inhibit hepatocellular carcinoma cells via ROS-induced ER stress and apoptosis (delaying xenograft tumour growth), with phenolic constituents driving the cytotoxicity (preclinical).

Evidence: 2
Label: Cancer (anticancer research)
Diarrhoea[13, 14]Traditional · 1/10

Astringent for mild diarrhoea (tannins tighten the gut lining and reduce excess secretion)

Evidence: 1
Label: Diarrhoea
Heavy menstrual bleeding[13, 14]Traditional · 1/10

inferred from styptic action

Evidence: 1
Label: Heavy menstrual bleeding
Infection (general)[12, 14]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Infection (general)
Inflammation (general)[13, 14]Traditional · 1/10

Anti-inflammatory gargle / mouthwash for inflammation of the mouth and throat (sore throat)

Evidence: 1
Label: Inflammation (general)
Skin irritation[13, 14]Traditional · 1/10

inferred from astringent action

Evidence: 1
Label: Skin irritation
Sore throat[13, 14]Traditional · 1/10

Anti-inflammatory gargle / mouthwash for inflammation of the mouth and throat (sore throat)

Evidence: 1
Label: Sore throat
Wounds[13, 14]Traditional · 1/10

Vulnerary and styptic for minor wounds (topical)

Evidence: 1
Label: Wounds

Safety, Cautions & Contraindications

Safety note[13, 14]Caution

CAUTION: Contains thujone, which is neurotoxic in significant amounts. Internal use should be limited in duration and dose — short-term use only (under 4 weeks). Contraindicated in pregnancy (powerful uterine stimulant). Avoid in epilepsy, renal disease, and in children. The small amounts present in properly prepared bitter tinctures and vermouth are generally considered safe. The thujone content of absinthe was historically exaggerated.

Safety note[13, 14, 17]Caution

Duke (2002) rates wormwood as + (use with caution) and provides clinical evidence (score 2) for use as an aperitif and bitter digestive tonic, consistent with Commission E approval for dyspeptic complaints and loss of appetite. The plant contains absinthin and artabsin (bitter sesquiterpene lactones) responsible for digestive stimulation, and also thujone — a neurotoxic ketone that is the active agent responsible for 'absinthism' (historical neurological syndrome linked to absinthe consumption). Duke strongly cautions that thujone content limits safe long-term use, and wormwood should not be taken internally for more than 4 weeks at a time. Strictly contraindicated in pregnancy (abortifacient, neurotoxic) and epilepsy (Duke, 2002).

Safety note[13]Info

Very tannin-rich: high or prolonged intake may cause stomach upset or constipation and can reduce the absorption of iron and some medicines taken at the same time.

Safety note[13]Info

Traditional use only; diarrhoea persisting beyond a few days, or mouth/throat inflammation that does not settle, needs medical assessment.

Safety note[13]Caution

Safety in pregnancy and breastfeeding is not established; avoid medicinal doses.

External Ids

Gbif: 3121319
Wikidata: Q25686
Gbif: 7925535
Wikidata: Q112917

Botanical Description

Aromatic, silvery-grey perennial herb with finely divided, silky-hairy leaves and numerous small, pale yellow, drooping, globe-shaped flower heads borne in loose branched panicles. The whole plant has a characteristic intensely bitter taste and a pungent, sage-like aroma.[4]

Height: 60-120 cm
Habit: Erect, silvery-grey, aromatic perennial herb
Leaves: Finely divided (2-3-pinnatisect), silky-hairy, silvery-grey
Flowers: Small, pale yellow, drooping, globe-shaped flower heads in loose branched panicles
Stem: Erect, ridged, silvery-hairy, woody at the base
Root: Woody rootstock
Fruit: Small achene without pappus
Flowering Period: July-September

Perennial herb rising from a thick, twisted, S- or snake-shaped rhizome (giving the names 'bistort' and 'snakeroot'), blackish outside and pink inside. The basal leaves are broadly oval to lance-shaped on long stalks; stem leaves are smaller and stalkless. A single dense, cylindrical spike of small, pale pink flowers is borne atop each unbranched flowering stem.[14]

Height: 30-80 cm
Habit: Erect perennial herb from a twisted rhizome
Leaves: Basal leaves broadly oval to lance-shaped, long-stalked; stem leaves smaller, stalkless
Flowers: Dense, cylindrical spike of small pale pink flowers atop an unbranched stem
Stem: Erect, unbranched, one flower spike per stem
Root: Thick, twisted, S-shaped (snake-like) rhizome, blackish outside, pink inside
Fruit: Small, glossy, three-angled achene
Flowering Period: May-August

Habitat

Grows on dry, sunny, stony or waste ground, roadsides and field margins; native to Europe, North Africa and temperate Asia, and naturalised in North America.[4]

Grows in damp meadows, pastures, streamsides and mountain grassland on moist, often calcareous soils; native to Europe and temperate Asia, favouring cooler upland regions.[14]

Harvesting

The flowering aerial parts (leaf, stem and flower) are cut as flowering begins, in mid- to late summer, and dried in a warm, shaded, airy place.[4]

Parts: Flower, Leaf, Stem
Season: Mid- to late summer, at the start of flowering

The rhizome is dug in autumn or early spring, when tannin content is highest, cleaned and dried; aerial parts are gathered in summer while flowering.[14]

Parts: Rhizome (root) and aerial parts
Season: Rhizome in autumn or early spring; aerial parts in summer flowering

Traditional Uses

Wormwood is one of the classic bitter digestive herbs of European tradition, used to stimulate appetite and bile flow for dyspeptic complaints, and historically as a vermifuge (its common name reflects traditional use against intestinal worms) and in the production of absinthe and vermouth.[1, 4]

Bistort rhizome, one of the most tannin-rich temperate herbs, has a long European folk history as a powerful astringent for mild diarrhoea, as a gargle for sore throat and mouth inflammation, and topically as a vulnerary and styptic for minor wounds and bleeding; young leaves have also traditionally been eaten as a spring pot-herb ('Easter-ledge pudding').[13, 14]

Preparations

Infusion[1]

Dried flowering herb infused briefly in hot water as a very bitter digestive tea, taken before meals to stimulate appetite.

Decoction (rhizome)[14]

Dried rhizome simmered in water as a strongly astringent traditional remedy for diarrhoea, or used as a gargle/mouthwash for sore throat.

Poultice/wash[13]

Crushed rhizome or aerial parts applied externally, or used as a wash, for minor wounds and bleeding.

Dosage

Short-term use only[13]

Because of its thujone content, traditional herbal references limit internal use to small bitter doses (around 0.5-1 g dried herb per cup) for no more than about 4 weeks at a time. Educational reference only, not a prescription.

Not documented

References

REF-0728, REF-0729, REF-0730, REF-1770, REF-1771, REF-1772, REF-1773, REF-1774, REF-1775, REF-1776, REF-1777, REF-1778
REF-0746, REF-0747, REF-0748, REF-2116, REF-2117, REF-2118, REF-2119, REF-2120, REF-2121, REF-2122, REF-2123, REF-0627

Lookalikes Review

Outcome: none-known
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07
Outcome: none-known
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

References & Sources

  1. Batiha, G.E.S., Olatunde, A., El-Mleeh, A., Hetta, H.F., Al-Rejaie, S. et al (2020) 'Bioactive Compounds, Pharmacological Actions, and Pharmacokinetics of Wormwood (Artemisia absinthium)', Antibiotics (Basel), 9(6), pp. 353. doi:10.3390/antibiotics9060353 Traditional / reference
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  2. Wubuli, A., Abdulla, R., Zhao, J., Wu, T. and Aisa, H.A (2024) 'Exploring anti-inflammatory and antioxidant-related quality markers of Artemisia absinthium L. based on spectrum-effect relationship', Phytochemical Analysis, 35(5), pp. 1152-1173. doi:10.1002/pca.3350 Preclinical
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  3. Rashidi, R., Akaberi, M., Gholoobi, A., Ghazavi, H. and Forouzanfar, F (2023) 'Artemisia absinthium Extract Attenuates the Quinolinic Acid-Induced Cell Injury in OLN-93 Cells', Current Drug Discovery Technologies, 20(4), pp. e300323215213. doi:10.2174/1570163820666230330105331 Preclinical
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  4. Szopa, A., Pajor, J., Klin, P., Rzepiela, A., Elansary, H.O., Al-Mana, F.A., Mattar, M.A. and Ekiert, H (2020) 'Artemisia absinthium L. - Importance in the History of Medicine, the Latest Advances in Phytochemistry and Therapeutical, Cosmetological and Culinary Uses', Plants, 9(9), pp. 1063. doi:10.3390/plants9091063 Meta-analysis / review
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  6. Bagheri, F., Amri, J., Salehi, M., Karami, H., Alimoradian, A. and Latifi, S.A (2020) 'Effect of Artemisia absinthium ethanolic extract on oxidative stress markers and the TLR4, S100A4, Bax and Bcl-2 genes expression in the kidney of STZ-induced diabetic rats', Hormone Molecular Biology and Clinical Investigation, 41(4), pp. 20200028. doi:10.1515/hmbci-2020-0028 Preclinical
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  7. Al-Malki, A.L (2018) 'Shikimic acid from Artemisia absinthium inhibits protein glycation in diabetic rats', International Journal of Biological Macromolecules, 122, pp. 1212-1216. doi:10.1016/j.ijbiomac.2018.09.072 Preclinical
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  8. Boeing, T., de Souza, J., Vilhena da Silva, R.C., Mariano, L.N.B., Mota da Silva, L., Gerhardt, G.M., Cretton, S., Klein-Junior, L.C. and de Souza, P (2023) 'Gastroprotective effect of Artemisia absinthium L.: A medicinal plant used in the treatment of digestive disorders', Journal of Ethnopharmacology, 312, pp. 116488. doi:10.1016/j.jep.2023.116488 Preclinical
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  9. Liu, Z., Li, X., Jin, Y., Nan, T., Zhao, Y., Huang, L. and Yuan, Y (2023) 'New Evidence for Artemisia absinthium as an Alternative to Classical Antibiotics: Chemical Analysis of Phenolic Compounds, Screening for Antimicrobial Activity', International Journal of Molecular Sciences, 24(15), pp. 12044. doi:10.3390/ijms241512044 Preclinical
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  10. Moaca, E., Pavel, I.Z., Danciu, C., Crainiceanu, Z., Minda, D., Ardelean, F., Antal, D.S., Ghiulai, R., Cioca, A., Derban, M., Simu, S., Chioibas, R., Szuhanek, C. and Dehelean, C (2019) 'Romanian Wormwood (Artemisia absinthium L.): Physicochemical and Nutraceutical Screening', Molecules, 24(17), pp. 3087. doi:10.3390/molecules24173087 Preclinical
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  11. Turak, A., Shi, S., Jiang, Y. and Tu, P (2014) 'Dimeric guaianolides from Artemisia absinthium', Phytochemistry, 105, pp. 109-114. doi:10.1016/j.phytochem.2014.06.016 Preclinical
    https://doi.org/10.1016/j.phytochem.2014.06.016
  12. Correa-Ferreira, M.L., Noleto, G.R. and Oliveira Petkowicz, C.L (2013) 'Artemisia absinthium and Artemisia vulgaris: a comparative study of infusion polysaccharides', Carbohydrate Polymers, 102, pp. 738-745. doi:10.1016/j.carbpol.2013.10.096 Preclinical
    https://doi.org/10.1016/j.carbpol.2013.10.096
  13. Grieve, M (1931) 'A Modern Herbal'. Traditional / reference
    https://scholar.google.com/scholar?q=A%20Modern%20Herbal
  14. Hoffmann, D (2003) 'Medical Herbalism'. Traditional / reference
    https://scholar.google.com/scholar?q=Medical%20Herbalism
  15. Lee, J.-Y. and Park, H. and Lim, W. and Song, G (2020) 'alpha,beta-Thujone suppresses human placental choriocarcinoma cells via metabolic disruption', Reproduction, 159(6), pp. 745-756. doi:10.1530/REP-20-0018 Preclinical
    https://doi.org/10.1530/REP-20-0018
  16. He, M. and Yasin, K. and Yu, S. and Li, J. and Xia, L (2023) 'Total Flavonoids in Artemisia absinthium L. and Evaluation of Its Anticancer Activity', International Journal of Molecular Sciences, 24(22), pp. 16348. doi:10.3390/ijms242216348 Preclinical
    https://doi.org/10.3390/ijms242216348
  17. Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
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  1. Pawłowska, K.A., Hałasa, R., Dudek, M.K., Majdan, M. et al (2020) 'Antibacterial and anti-inflammatory activity of bistort (Bistorta officinalis) aqueous extract and its major components: justification of the usage of the medicinal plant material as a traditional topical agent', Journal of Ethnopharmacology, 260, pp. 113077. doi:10.1016/j.jep.2020.113077 Preclinical
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  2. Jovanović, M., Morić, I., Nikolić, B., Pavić, A. et al (2020) 'Anti-Virulence Potential and In Vivo Toxicity of Persicaria maculosa and Bistorta officinalis Extracts', Molecules, 25(8), pp. 1811. doi:10.3390/molecules25081811 Preclinical
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  3. Duwiejua, M., Zeitlin, I.J., Waterman, P.G. and Gray, A.I (1994) 'Anti-inflammatory activity of Polygonum bistorta, Guaiacum officinale and Hamamelis virginiana in rats', Journal of Pharmacy and Pharmacology, 46(4), pp. 286-290. doi:10.1111/j.2042-7158.1994.tb03795.x Preclinical
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  8. Yang, W., Qian, Z., Wu, M., Gao, J., Huang, Q., Zou, Y. and Tang, D (2023) 'Online microextraction coupled with HPLC-ABTS for rapid analysis of antioxidants from the root of Polygonum bistorta', Evidence-Based Complementary and Alternative Medicine, 2023, pp. 7496848. doi:10.1155/2023/7496848 Preclinical
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  9. Bauer, I., Rimbach, G., Nevermann, S., Neuhauser, C., Schwarzinger, B., Schwarzinger, C., Weghuber, J. and Luersen, K (2023) 'In-vitro antidiabetic activity of a Bistorta officinalis Delarbre root extract can not be confirmed in the in-vivo models hen's egg test and Drosophila melanogaster', Journal of Physiology and Pharmacology, 74(1). doi:10.26402/jpp.2023.1.04 Preclinical
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  11. Liu, Y., Weng, Y., Lin, H., Tang, S., Chen, C., Liang, C., Ku, C. and Lin, J (2017) 'Aqueous extract of Polygonum bistorta modulates proteostasis by ROS-induced ER stress in human hepatoma cells', Scientific Reports, 7, pp. 41437. doi:10.1038/srep41437 Preclinical
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  12. Khan, S., Arshad, S., Masood, I., Arif, A., Abbas, S., Qureshi, A.W., Parveen, A. and Seemab Ameen, Z (2023) 'GC-MS Analysis of Persicaria bistorta: Uncovering the Molecular Basis of Its Traditional Medicinal Use', Applied Biochemistry and Biotechnology, 196(4), pp. 2270--2288. doi:10.1007/s12010-023-04580-0 Traditional / reference
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  13. WebMD (n.d.) 'Bistort: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews'. Available at: https://www.webmd.com/vitamins/ai/ingredientmono-75/bistort Traditional / reference
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  14. (2020) 'Antibacterial and anti-inflammatory activity of bistort (Bistorta officinalis) aqueous extract and its major components - justification of the usage of the medicinal plant material as a traditional topical agent', Journal of Ethnopharmacology. doi:10.1016/j.jep.2020.113077 Traditional / reference
    https://doi.org/10.1016/j.jep.2020.113077

Generated automatically from the Omnia Sana plant database and its cited sources. For educational purposes only — not medical advice. Always consult a qualified practitioner before using medicinal plants.