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.

First plant
Second plant
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Plant APleurisy RootAsclepias tuberosaApocynaceaeFull monograph →
Plant BElecampaneInula heleniumAsteraceaeFull monograph →

At a glance

Pleurisy Root and Elecampane: they share 6 indicated uses (arthritis / joint pain, bronchitis, cough, …); 2 pharmacological actions in common.

Pleurisy RootElecampane
Constituents23
Pharmacological actions34
Indicated uses89
Safety notes22
Cited sources1414
Indicated uses
Only Pleurisy Root
Cold & fluFever
Shared (6)
Arthritis / joint painBronchitisCoughInflammation (general)Respiratory supportSkin irritation
Only Elecampane
Cancer (anticancer research)Infection (general)Wounds
Pharmacological actions
Only Pleurisy Root
Diaphoretic
Shared (2)
Anti-inflammatoryExpectorant
Only Elecampane
Anticancer (preclinical)Antimicrobial

Evidence face-off — shared uses

ConditionPleurisy RootElecampaneVerdict
Arthritis / joint pain1/102/10Comparable evidence
Bronchitis1/101/10Comparable evidence
Cough1/101/10Comparable evidence
Inflammation (general)1/102/10Comparable evidence
Respiratory support1/101/10Comparable evidence
Skin irritation2/102/10Comparable 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

Cardiac glycosides (cardenolides such as asclepin, calactin and calotropin)[11, 12]

Heart-active compounds that make dosing and safety critical.

Glycosides
Flavonoids and amino acids[12]

Supporting constituents of the root.

Flavonoids
Sesquiterpene lactones (alantolactone, isoalantolactone, igalan, diplophyllin)[2, 12, 13, 14]

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.

Sesquiterpene lactonesSesquiterpenes
Inulin[12]

A fructan polysaccharide abundant in the root (the genus Inula gives inulin its name).

PolysaccharidesInulin
Essential oil[12]

Aromatic constituents of the root.

Essential (volatile) oil

Pharmacological Actions

Anti-inflammatory[12]

Anti-inflammatory for lung inflammation (traditional)

Diaphoretic[9, 10, 11, 12]

Diaphoretic - promotes sweating to support feverish illness

Expectorant[9, 10, 11, 12]

Traditional expectorant - helps clear phlegm in chest conditions, bronchitis and pleurisy

Anti-inflammatory[1, 2, 3, 4, 5]

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)

Anticancer (preclinical)[9, 10, 11]
Antimicrobial[6, 12, 13, 14]

Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection

Expectorant[1, 12]

Expectorant for productive cough and bronchitis (long-standing respiratory remedy)

Traditional & Indicated Uses

Arthritis / joint pain[12]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Bronchitis[10, 11, 12]Traditional · 1/10

Traditional expectorant - helps clear phlegm in chest conditions, bronchitis and pleurisy

Evidence: 1
Label: Bronchitis
Cold & flu[11, 12]Traditional · 1/10

inferred from diaphoretic action

Evidence: 1
Label: Cold & flu
Cough[11, 12]Traditional · 1/10

inferred from expectorant action

Evidence: 1
Label: Cough
Fever[11, 12]Traditional · 1/10

inferred from diaphoretic action

Evidence: 1
Label: Fever
Inflammation (general)[12]Traditional · 1/10

Anti-inflammatory for lung inflammation (traditional)

Evidence: 1
Label: Inflammation (general)
Respiratory support[9, 10, 11, 12]Traditional · 1/10

inferred from expectorant action

Evidence: 1
Label: Respiratory support
Skin irritation[7, 12]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Skin irritation
Arthritis / joint pain[2]Traditional · 2/10

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)

Evidence: 2
Label: Arthritis / joint pain
Bronchitis[12]Traditional · 1/10

Expectorant for productive cough and bronchitis (long-standing respiratory remedy)

Evidence: 1
Label: Bronchitis
Cancer (anticancer research)[9, 10, 11]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Cough[12]Traditional · 1/10

Expectorant for productive cough and bronchitis (long-standing respiratory remedy); Soothes irritated airways / chronic catarrh (traditional)

Evidence: 1
Label: Cough
Infection (general)[12, 13, 14]Traditional · 2/10

Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection

Evidence: 2
Label: Infection (general)
Inflammation (general)[2]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Inflammation (general)
Respiratory support[12]Traditional · 1/10

inferred from expectorant action

Evidence: 1
Label: Respiratory support
Skin irritation[2]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Skin irritation
Wounds[12, 13, 14]Traditional · 2/10

inferred from antimicrobial action

Evidence: 2
Label: Wounds

Safety, Cautions & Contraindications

Safety note[8, 11, 12]Caution

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.

Safety note[12]Info

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.

Safety note[12]Info

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.

Safety note[12]Caution

Large doses can cause nausea, vomiting and diarrhoea; safety in pregnancy and breastfeeding is not established, so avoid medicinal doses.

External Ids

Gbif: 3170305
Wikidata: Q311131
Gbif: 3148340
Wikidata: Q697416

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]

Height: 30-90 cm
Habit: Erect, hairy perennial herb
Leaves: Narrow, lance-shaped, alternate
Flowers: Vivid orange-red flowers in showy, flat-topped umbel-like clusters
Stem: Erect, hairy, unbranched, exuding clear (not milky) sap when cut
Root: Stout, fibrous, branching taproot
Fruit: Spindle-shaped seed pod (follicle) releasing silky-tufted seeds
Flowering Period: June-September

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]

Height: 1-2.5 m
Habit: Tall, robust, coarse-leaved perennial herb
Leaves: Large, coarse, hairy, broadly oval near the base, smaller up the stem
Flowers: Large, shaggy, bright yellow daisy-like heads with numerous narrow ray florets
Stem: Stout, branching, hairy
Root: Thick, aromatic, branching rhizome (the medicinal part)
Fruit: Small achene with a pappus
Flowering Period: July-August

Habitat

Native to dry prairies, open fields, roadsides and sandy or rocky open ground across most of eastern and central North America.[11]

Grows in damp meadows, pastures, roadsides and woodland margins on moist, rich soils; native to Europe and Western Asia and naturalised in North America.[12]

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]

Parts: Root
Season: Autumn

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]

Parts: Root and rhizome
Season: Autumn, from second-year or older plants

Traditional Uses

Pleurisy root has a Native American and Eclectic-medicine reputation, reflected in its name, as an expectorant and diaphoretic for chest complaints, bronchitis and pleurisy, used to promote sweating during feverish illness and help clear phlegm.[11, 12]

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

Decoction[11]

Dried root simmered in water as a traditional expectorant and diaphoretic remedy; given its cardiac glycoside content, only under qualified practitioner guidance.

Decoction[12]

Dried root simmered in water as a traditional expectorant and antimicrobial tea.

Dosage

All preparations[12]

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

REF-0734, REF-0738, REF-0735, REF-1944, REF-1945, REF-1946, REF-1947, REF-0626, REF-1948, REF-1949
REF-1858, REF-0538, REF-1859, REF-1860, REF-1861, REF-1862, REF-1863, REF-1864, REF-1865, REF-1866, REF-1867

Lookalikes Review

Outcome: has-lookalikes
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

Dangerous Lookalikes

Safety note[13, 14]Dangerous
Dangerous Plant: apocynum-cannabinum
Confused Part: Young shoots (and the root) gathered from the wild; toxic dogbane sends up very similar shoots in the same habitat.
Confusion Context: Butterfly weed / pleurisy root (Asclepias tuberosa) is a milkweed whose young shoots and root have been used. Its main dangerous look-alike is dogbane (Apocynum cannabinum): at the shoot stage the two are easily confused and grow in similar places. Dogbane is a high-severity poison - its milky sap contains cardiac glycosides, all parts are toxic to humans, and poisoning can cause vomiting, weakness and cardiac arrest, while the sap blisters skin. Because the young shoots look alike, the bitterness test below matters.
Distinguishing Features: Taste/bitterness (decisive): dogbane is horribly, intensely bitter - an immediate warning to spit it out; edible milkweed shoots are not. Never swallow a bitter 'milkweed' shoot., Growth habit: dogbane shoots are thinner and firmer and branch early; milkweeds do not branch at the shoot stage. An early-branching, thin, firm shoot is likely dogbane., General: both milkweeds and dogbane have milky sap, so sap alone does not distinguish them - rely on bitterness and branching, and confirm the species before eating.
Key Test: Taste a tiny piece and check the branching (then spit it out). An intensely bitter shoot, or one that is thin, firm and branches early, is dogbane - toxic, do not eat. Milky sap alone does not prove it is safe; if in any doubt, discard it.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

Not documented

References & Sources

  1. 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
  2. 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
  3. 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/
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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/
  12. 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
  13. Forager Chef 'Foraging and Cooking Milkweed'. Available at: https://foragerchef.com/guide-to-milkweed/ Traditional / reference
    https://foragerchef.com/guide-to-milkweed/
  14. 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/
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  5. 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
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  7. 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
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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.