Plant Comparison
Pleurisy Root vs Elecampane
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.
At a glance
Pleurisy Root and Elecampane: they share 6 indicated uses (arthritis / joint pain, bronchitis, cough, …); 2 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Pleurisy Root | Elecampane | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 1/10 | 2/10 | Comparable evidence |
| Bronchitis | 1/10 | 1/10 | Comparable evidence |
| Cough | 1/10 | 1/10 | Comparable evidence |
| Inflammation (general) | 1/10 | 2/10 | Comparable evidence |
| Respiratory support | 1/10 | 1/10 | Comparable evidence |
| Skin irritation | 2/10 | 2/10 | Comparable 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
The antimicrobial and anti-inflammatory principles of the root; the eudesmane core and the alpha,beta-methylene-lactone ring are essential for the antimicrobial activity.
A fructan polysaccharide abundant in the root (the genus Inula gives inulin its name).
Pharmacological Actions
Anti-inflammatory - sesquiterpene lactones (alantolactone, isoalantolactone) inhibit NF-kB and MAPK signalling and pro-inflammatory cytokines; total sesquiterpene lactones eased arthritis in animal models (potential in rheumatoid arthritis)
Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection
Traditional & Indicated Uses
inferred from anti-inflammatory action
Traditional expectorant - helps clear phlegm in chest conditions, bronchitis and pleurisy
Anti-inflammatory for lung inflammation (traditional)
inferred from expectorant action
Anti-inflammatory - sesquiterpene lactones (alantolactone, isoalantolactone) inhibit NF-kB and MAPK signalling and pro-inflammatory cytokines; total sesquiterpene lactones eased arthritis in animal models (potential in rheumatoid arthritis)
Expectorant for productive cough and bronchitis (long-standing respiratory remedy)
inferred from anticancer action
Expectorant for productive cough and bronchitis (long-standing respiratory remedy); Soothes irritated airways / chronic catarrh (traditional)
Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection
inferred from anti-inflammatory action
inferred from expectorant action
inferred from anti-inflammatory action
Safety, Cautions & Contraindications
Contains cardiac glycosides: do NOT use in pregnancy, breastfeeding or infancy, in anyone with a heart condition, or alongside cardiac glycoside medicines (e.g. digoxin). The plant's cardenolide-rich latex is directly toxic - a documented case caused corneal injury through Na/K-ATPase inhibition.
Large doses are emetic and purgative (cause vomiting and diarrhoea). There is very little modern safety or efficacy data, so use only under the guidance of a qualified practitioner.
The sesquiterpene lactones (especially alantolactone) are known skin sensitisers and can cause allergic contact dermatitis; people sensitive to the daisy family (Asteraceae) should be cautious.
Large doses can cause nausea, vomiting and diarrhoea; safety in pregnancy and breastfeeding is not established, so avoid medicinal doses.
External Ids
Botanical Description
Erect perennial herb with hairy, unbranched stems and narrow, lance-shaped, alternate leaves (unlike most milkweeds, its sap is clear rather than milky). Vivid orange-red flowers are borne in showy, flat-topped umbel-like clusters at the stem tips, making it a prized butterfly and pollinator plant. The stout, fibrous, branching root is the medicinal part.[11]
Tall, robust perennial herb with large, coarse, hairy leaves - broadly oval near the base and progressively smaller up the stem - arising from a thick, aromatic rhizome. Large, shaggy, bright yellow daisy-like flower heads with numerous narrow ray florets are borne at the top of stout, branching stems.[12]
Habitat
Harvesting
The root is dug in autumn after the plant has finished flowering and seeding, then cleaned and dried; given its cardiac glycoside content and near-absence of modern safety data, harvesting and use should only be undertaken with expert guidance.[11]
The root and rhizome are dug in autumn of the second or later year, when sesquiterpene lactone and inulin content is highest, then cleaned, sliced and dried.[12]
Traditional Uses
Elecampane root has a long European tradition, reflected in the old name 'elf dock', as a warming expectorant remedy for productive cough, bronchitis and chronic respiratory catarrh, and topically and internally as an antimicrobial for skin and wound infections.[12]
Preparations
Dosage
Because the root contains cardiac glycosides and modern safety/efficacy data are very limited, no general dose is given here; use only under the guidance of a qualified practitioner, and never in pregnancy, breastfeeding, infancy, or with a heart condition or cardiac glycoside medicines. Educational reference only, not a prescription.
Not documented
References
Lookalikes Review
Dangerous Lookalikes
Not documented
References & Sources
- Warashina, T. and Miyase, T (2017) 'New 8,12;8,20-diepoxy-8,14-secopregnane hexa- and hepta-glycosides from the roots of Asclepias tuberosa', Journal of Natural Medicines, 72(1), pp. 347-356. doi:10.1007/s11418-017-1155-9 Preclinical
https://doi.org/10.1007/s11418-017-1155-9 - Abe, F. and Yamauchi, T (2000) 'An androstane bioside and 3'-thiazolidinone derivatives of doubly-linked cardenolide glycosides from the roots of Asclepias tuberosa', Chemical & Pharmaceutical Bulletin, 48(7), pp. 991-993. doi:10.1248/cpb.48.991 Preclinical
https://doi.org/10.1248/cpb.48.991 - Lockwood, T.L (1848) 'Asclepias Tuberosa, Butterfly-Weed, Milk-Weed, Pleurisy Root, White Root', The Medical Examiner (Philadelphia), 4(42), pp. 367-368. Available at: https://pubmed.ncbi.nlm.nih.gov/38120955/ Traditional / reference
https://pubmed.ncbi.nlm.nih.gov/38120955/ - Abe, F. and Yamauchi, T (2000) 'Pregnane glycosides from the roots of Asclepias tuberosa', Chemical & Pharmaceutical Bulletin, 48(7), pp. 1017-1022. doi:10.1248/cpb.48.1017 Preclinical
https://doi.org/10.1248/cpb.48.1017 - Warashina, T. and Noro, T (2009) '8,14-Secopregnane glycosides from the aerial parts of Asclepias tuberosa', Phytochemistry, 70(10), pp. 1294-1304. doi:10.1016/j.phytochem.2009.07.033 Preclinical
https://doi.org/10.1016/j.phytochem.2009.07.033 - Warashina, T. and Noro, T (2010) '8,12;8,20-Diepoxy-8,14-secopregnane glycosides from the aerial parts of Asclepias tuberosa', Chemical & Pharmaceutical Bulletin, 58(2), pp. 172-179. doi:10.1248/cpb.58.172 Preclinical
https://doi.org/10.1248/cpb.58.172 - Warashina, T., Umehara, K., Miyase, T. and Noro, T (2011) '8,12;8,20-diepoxy-8,14-secopregnane glycosides from roots of Asclepias tuberosa and their effect on proliferation of human skin fibroblasts', Phytochemistry, 72(14-15), pp. 1865-1875. doi:10.1016/j.phytochem.2011.05.012 Preclinical
https://doi.org/10.1016/j.phytochem.2011.05.012 - Mikkelsen, L.H., Hamoudi, H., Gul, C.A. and Heegaard, S (2017) 'Corneal Toxicity Following Exposure to Asclepias Tuberosa', The Open Ophthalmology Journal, pp. 1--4. doi:10.2174/1874364101711010001 Preclinical
https://doi.org/10.2174/1874364101711010001 - Lockwood, T.L (1848) 'Asclepias Tuberosa, Butterfly-Weed, Milk-Weed, Pleurisy Root, White Root', Medical Examiner (Philadelphia), 4(42), pp. 367-368. Traditional / reference
https://scholar.google.com/scholar?q=Asclepias%20Tuberosa%2C%20Butterfly-Weed%2C%20Milk-Weed%2C%20Pleurisy%20Root%2C%20White%20Root - Lockwood, T.T (1848) 'Asclepias Tuberosa, Butter-Fly-Weed, Milk Weed, Pleurisy Root, White Root', Buffalo Medical Journal and Monthly Review, 3(10), pp. 600-602. Traditional / reference
https://scholar.google.com/scholar?q=Asclepias%20Tuberosa%2C%20Butter-Fly-Weed%2C%20Milk%20Weed%2C%20Pleurisy%20Root%2C%20White%20Root - The Naturopathic Herbalist (n.d.) 'Asclepias tuberosa'. Available at: https://thenaturopathicherbalist.com/2015/09/06/asclepius-tuberosa/ Traditional / reference
https://thenaturopathicherbalist.com/2015/09/06/asclepius-tuberosa/ - Herbs2000 (n.d.) 'Pleurisy Root (Asclepias tuberosa)'. Available at: https://www.herbs2000.com/herbs/herbs_pleurisy_root.htm Traditional / reference
https://www.herbs2000.com/herbs/herbs_pleurisy_root.htm - Forager Chef 'Foraging and Cooking Milkweed'. Available at: https://foragerchef.com/guide-to-milkweed/ Traditional / reference
https://foragerchef.com/guide-to-milkweed/ - North Carolina Extension Gardener Plant Toolbox 'Apocynum cannabinum (Dogbane)'. Available at: https://plants.ces.ncsu.edu/plants/apocynum-cannabinum/ Traditional / reference
https://plants.ces.ncsu.edu/plants/apocynum-cannabinum/
- Gierlikowska, B., Gierlikowski, W., Bekier, K., Skalicka-Wozniak, K., Czerwinska, M.E. and Kiss, A.K (2019) 'Inula helenium and Grindelia squarrosa as a source of compounds with anti-inflammatory activity in human neutrophils and cultured human respiratory epithelium', Journal of Ethnopharmacology, 249, pp. 112311. doi:10.1016/j.jep.2019.112311 Preclinical
https://doi.org/10.1016/j.jep.2019.112311 - Gao, S. and Wang, Q. and Tian, X.H. and Li, H.L. and Shen, Y.H. and Xu, X.K. and Wu, G.Z. and Hu, Z.L. and Zhang, W.D (2016) 'Total sesquiterpene lactones prepared from Inula helenium L. has potentials in prevention and therapy of rheumatoid arthritis', Journal of Ethnopharmacology, pp. 39--46. doi:10.1016/j.jep.2016.12.020 Preclinical
https://doi.org/10.1016/j.jep.2016.12.020 - Wang, Q., Gao, S., Wu, G., Yang, N., Zu, X., Li, W., Xie, N., Zhang, R., Li, C., Hu, Z. and Zhang, W (2018) 'Total sesquiterpene lactones isolated from Inula helenium L. attenuates 2,4-dinitrochlorobenzene-induced atopic dermatitis-like skin lesions in mice', Phytomedicine, 46, pp. 78-84. doi:10.1016/j.phymed.2018.04.036 Preclinical
https://doi.org/10.1016/j.phymed.2018.04.036 - Dao, T.T.P., Song, K., Kim, J.Y. and Kim, Y.S (2020) 'Igalan from Inula helenium (L.) suppresses the atopic dermatitis-like response in stimulated HaCaT keratinocytes via JAK/STAT3 signaling', Inflammation Research, 69(3), pp. 309-319. doi:10.1007/s00011-020-01322-4 Preclinical
https://doi.org/10.1007/s00011-020-01322-4 - He, X., Zhao, W., Shao, B., Zhang, B., Liu, T., Sun, C., Huang, H., Wu, J., Liang, J. and Ma, X (2020) 'Natural soluble epoxide hydrolase inhibitors from Inula helenium and their interactions with soluble epoxide hydrolase', International Journal of Biological Macromolecules, 161, pp. 1465-1474. doi:10.1016/j.ijbiomac.2020.04.227 Preclinical
https://doi.org/10.1016/j.ijbiomac.2020.04.227 - Buza, V., Niculae, M., Hanganu, D., Pall, E., Burtescu, R.F., Olah, N., Matei-Latiu, M., Vlasiuc, I., Iozon, I., Szakacs, A.R., Ielciu, I. and Stefanut, L.C (2022) 'Biological Activities and Chemical Profile of Gentiana asclepiadea and Inula helenium Ethanolic Extracts', Molecules, 27(11), pp. 3560. doi:10.3390/molecules27113560 Preclinical
https://doi.org/10.3390/molecules27113560 - Zheng, X., Wu, Z., Xu, J., Zhang, X., Tu, Y., Lei, J., Yuan, R., Cheng, H., Wang, Q. and Yu, J (2021) 'Bioactive sesquiterpenes from Inula helenium', Bioorganic Chemistry, 114, pp. 105066. doi:10.1016/j.bioorg.2021.105066 Preclinical
https://doi.org/10.1016/j.bioorg.2021.105066 - Nder, A.E (2021) 'Efficacy of methanol-water extract of Inula helenium root against oxidative DNA damage', Journal of Traditional Chinese Medicine, 41(2), pp. 293-300. Preclinical
https://scholar.google.com/scholar?q=Efficacy%20of%20methanol-water%20extract%20of%20Inula%20helenium%20root%20against%20oxidative%20DNA%20damage - Chun, J., Song, K. and Kim, Y.S (2018) 'Sesquiterpene lactones-enriched fraction of Inula helenium L. induces apoptosis through inhibition of signal transducers and activators of transcription 3 signaling pathway in MDA-MB-231 breast cancer cells', Phytotherapy Research, 32(12), pp. 2501-2509. doi:10.1002/ptr.6189 Preclinical
https://doi.org/10.1002/ptr.6189 - Li, Y., Ni, Z., Zhu, M., Dong, M., Wang, S., Shi, Q., Zhang, M., Wang, Y., Huo, C., Kiyota, H. and Cong, B (2012) 'Antitumour activities of sesquiterpene lactones from Inula helenium and Inula japonica', Zeitschrift fur Naturforschung C, 67(7-8), pp. 375-380. doi:10.1515/znc-2012-7-804 Preclinical
https://doi.org/10.1515/znc-2012-7-804 - Yan, Y.Y., Zhang, Q., Zhang, B., Yang, B. and Lin, N.M (2019) 'Active ingredients of Inula helenium L. exhibits similar anti-cancer effects as isoalantolactone in pancreatic cancer cells', Natural Product Research, 34(17), pp. 2539-2544. doi:10.1080/14786419.2018.1543676 Preclinical
https://doi.org/10.1080/14786419.2018.1543676 - Kenny, C.R., Stojakowska, A., Furey, A. and Lucey, B (2022) 'From Monographs to Chromatograms: The Antimicrobial Potential of Inula helenium L. (Elecampane) Naturalised in Ireland', Molecules. doi:10.3390/molecules27041406 Traditional / reference
https://doi.org/10.3390/molecules27041406 - Stojanovic-Radic, Z. and Comic, Lj. and Radulovic, N. and Blagojevic, P. and Denic, M. and Miltojevic, A. and Rajkovic, J. and Mihajilov-Krstev, T (2012) 'Antistaphylococcal activity of Inula helenium L. root essential oil: eudesmane sesquiterpene lactones induce cell membrane damage', European Journal of Clinical Microbiology & Infectious Diseases, 31(6), pp. 1015--1025. doi:10.1007/s10096-011-1400-1 Preclinical
https://doi.org/10.1007/s10096-011-1400-1 - Cantrell, C.L. and Abate, L. and Fronczek, F.R. and Franzblau, S.G. and Quijano, L. and Fischer, N.H (1999) 'Antimycobacterial eudesmanolides from Inula helenium and Rudbeckia subtomentosa', Planta Medica, 65(4), pp. 351--355. doi:10.1055/s-1999-14001 Preclinical
https://doi.org/10.1055/s-1999-14001
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.