Plant Comparison

Pleurisy Root vs Scots Pine

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 APleurisy RootAsclepias tuberosaApocynaceaeFull monograph →
Plant BScots PinePinus sylvestrisPinaceaeFull monograph →

At a glance

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

Pleurisy RootScots Pine
Constituents23
Pharmacological actions36
Indicated uses812
Safety notes22
Cited sources1417
Indicated uses
Only Pleurisy Root
Cold & fluFever
Shared (6)
Arthritis / joint painBronchitisCoughInflammation (general)Respiratory supportSkin irritation
Only Scots Pine
Cancer (anticancer research)Infection (general)Swelling / fluid retentionUrinary supportUrinary tract infection (UTI)Wounds
Pharmacological actions
Only Pleurisy Root
Diaphoretic
Shared (2)
Anti-inflammatoryExpectorant
Only Scots Pine
Anticancer (preclinical)AntimicrobialAntioxidantDiuretic

Evidence face-off — shared uses

ConditionPleurisy RootScots PineVerdict
Arthritis / joint pain1/102/10Comparable evidence
Bronchitis1/102/10Comparable evidence
Cough1/102/10Comparable evidence
Inflammation (general)1/102/10Comparable evidence
Respiratory support1/102/10Comparable 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
Essential oil (alpha-pinene, beta-pinene, limonene)[3, 4]

The needle oil is dominated by monoterpene hydrocarbons, chiefly alpha-pinene, giving the characteristic resinous scent and much of its antimicrobial activity.

Essential (volatile) oilTerpenes / terpenoids
Resin acids (diterpene resin acids)[10]

The resinous sap/pitch, traditionally used topically for wounds and skin complaints.

Terpenes / terpenoids
Vitamin C and flavonoids (needles)

The needle is traditionally valued as a source of vitamin C, particularly in winter.

Flavonoids

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[2, 10, 11, 12, 13]
Anticancer (preclinical)[7]
Antimicrobial[1, 8, 9, 11, 12, 13]
Antioxidant[5, 11, 12, 13]
Diuretic[11, 12, 13]
Expectorant[11, 12, 13]

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[11, 12, 13]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Arthritis / joint pain
Bronchitis[11, 12, 13]Traditional · 2/10

inferred from expectorant action

Evidence: 2
Label: Bronchitis
Cancer (anticancer research)[7]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Cough[11, 12, 13]Traditional · 2/10

inferred from expectorant action

Evidence: 2
Label: Cough
Infection (general)[11, 12, 13]Traditional · 2/10

inferred from antimicrobial action

Evidence: 2
Label: Infection (general)
Inflammation (general)[11, 12, 13]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Inflammation (general)
Respiratory support[2, 11, 12, 13]Traditional · 2/10
Evidence: 2
Label: Respiratory support
Skin irritation[10, 11, 12, 13]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Skin irritation
Swelling / fluid retention[11, 12, 13]Traditional · 2/10

inferred from diuretic action

Evidence: 2
Label: Swelling / fluid retention
Urinary support[11, 12, 13]Traditional · 2/10

inferred from diuretic action

Evidence: 2
Label: Urinary support
Urinary tract infection (UTI)[11, 12, 13]Traditional · 2/10

inferred from diuretic action

Evidence: 2
Label: Urinary tract infection (UTI)
Wounds[10, 11, 12, 13]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[11, 12, 13]Caution

Generally safe in normal amounts. Pine essential oil should not be ingested; topical use only in diluted form. May irritate airways in high concentrations. Allergic reactions to pine pollen and resin are common. Turpentine products are irritant and potentially toxic if ingested.

Safety note[11, 12, 13, 14]Caution

Duke (2002) rates Scotch pine as + and notes antiseptic, antibacterial (score 1), and bronchospasmolytic activities. Commission E (KOM) and PhEur (PIP) approve pine needle preparations for topical use in rheumatic and neuralgic conditions and for inhalations in upper respiratory catarrh. Duke cautions that pine needle oil should not be inhaled by patients with severe asthma, whooping cough, or laryngospasm. Pine bud preparations are traditionally used for bronchitis and sinus congestion. Dose: 100–200 mg essential oil in ointment or cream for topical use (Duke, 2002).

External Ids

Gbif: 3170305
Wikidata: Q311131
Gbif: 5285637
Wikidata: Q133128

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

Evergreen coniferous tree (Pinaceae), 15-35 m tall, with a long, straight trunk at maturity, distinctive orange-red flaking bark in the upper crown and grey-brown fissured bark at the base. Needles are blue-green, borne in pairs (fascicles of two) with a papery basal sheath. Small yellow male cones release pollen in spring; female cones are woody and mature over two years.[11]

Height: 15-35 m
Habit: Evergreen coniferous tree
Leaves: Needles blue-green, in pairs, with a papery basal sheath
Flowers: Small yellow male cones (pollen); separate woody female cones
Stem: Long, straight trunk; orange-red flaking bark in the upper crown, grey-brown fissured bark at the base
Root: Deep, wide-spreading root system
Fruit: Woody cone, maturing over two years
Flowering Period: May (pollen release)

Habitat

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

Native across northern and central Europe and Siberia - the most widely distributed pine species in the world - forming extensive boreal and montane forests on poor, sandy or peaty, acidic soils; a pioneer species tolerant of dry, nutrient-poor ground.[11]

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

Young shoots ('candles') and needles are gathered in spring; bark is stripped from felled or cultivated trees; resin/sap is tapped from the trunk. Needle-bearing twigs can be cut for tea and for steam distillation of the essential oil year-round.[11]

Parts: Bark, Leaf (needles), Sap, Young sprouts
Season: Young shoots/needles in spring; bark and sap variable

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]

Scots pine has a long northern European tradition as a source of resinous, aromatic preparations for respiratory complaints (coughs, bronchitis, catarrh) and topical rheumatic/muscular remedies, and pine-needle tea has traditionally been valued as a vitamin-C-rich winter tonic. Modern research on the needle essential oil supports antimicrobial, anti-inflammatory and expectorant activity.[11, 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.

Needle infusion (tea)[11]

Fresh or dried young needles steeped in hot water - the traditional vitamin-C-rich tonic tea. Only use needles from a certainly identified pine, never yew (see dangerous look-alikes).

Essential oil (inhalation/topical)[12]

Steam-distilled from the needles; used diluted in ointments, chest rubs or steam inhalation for respiratory complaints.

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.

Essential oil (topical)[11, 12, 13]

Duke (2002): about 100-200 mg essential oil in an ointment or cream for topical use. Do not ingest the essential oil; avoid inhalation in severe asthma, whooping cough or laryngospasm. Educational reference only, not a prescription.

References

REF-0734, REF-0738, REF-0735, REF-1944, REF-1945, REF-1946, REF-1947, REF-0626, REF-1948, REF-1949
REF-1233, REF-1234, REF-1235, REF-1236, REF-1237, REF-1238, REF-1239, REF-1240, REF-1241, REF-1242

Lookalikes Review

Outcome: has-lookalikes
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07
Outcome: has-lookalikes
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
Safety note[15, 16, 17]Fatal
Dangerous Plant: taxus-baccata
Confused Part: Evergreen needles and twigs gathered to brew pine-needle tea; yew's flat evergreen needles and red berry-like arils are mistaken for edible conifer.
Confusion Context: Pine needles (from Scots pine, Pinus sylvestris) are foraged to brew a vitamin-C-rich tea. Yew (Taxus baccata), one of the most poisonous trees in Europe, is a common evergreen in gardens, churchyards and hedges, and its flat evergreen needles are mistaken for edible conifer needles. The Missouri Poison Center explicitly warns to beware of a toxic pine look-alike, the yew tree or English yew (Taxus species), which holds cardiotoxic taxine alkaloids in all parts except the red flesh of the aril. Eating even a few yew leaves - or brewing them as 'pine' tea - can cause fatal heart-rhythm disturbances, seizures and cardiac arrest, with no antidote. Because pine-needle tea is popular and yew is widespread, this is a potentially fatal confusion.
Distinguishing Features: Needle attachment (decisive): pine needles grow in bundles (Scots pine in pairs of two) wrapped at the base by a papery sheath. Yew needles grow SINGLY, attached directly to the twig in two flat rows. Bundled needles = pine; single flat needles in two rows = yew., Fruit: pines bear woody cones. Yew bears no cones - instead soft red, berry-like arils each holding a single seed. A red berry-like fruit means yew, not pine., Smell: crushed pine needles smell strongly resinous and piney. Yew needles have little or no pine scent.
Key Test: Look at how the needles attach. Pine needles come in bundles (Scots pine in pairs) with a papery sheath at the base, and the tree bears woody cones and a strong piney scent. Yew needles are single, soft and flat in two rows, the tree bears red berry-like arils instead of cones and has little scent - yew is deadly, so never brew it. If the needles are single rather than bundled, or you see red berries, do not use it.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

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
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  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
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  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
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  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/
  1. Jurado, P., Uruen, C., Martinez, S., Lain, E. and others (2023) 'Essential oils of Pinus sylvestris, Citrus limon and Origanum vulgare exhibit high bactericidal and anti-biofilm activities against Neisseria gonorrhoeae and Streptococcus suis', Biomedicine & Pharmacotherapy, 168, pp. 115703. doi:10.1016/j.biopha.2023.115703 Preclinical
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  2. Csikos, E., Cseko, K., Kemeny, A., Draskoczi, L. and others (2022) 'Pinus sylvestris L. and Syzygium aromaticum (L.) Merr. & L. M. Perry Essential Oils Inhibit Endotoxin-Induced Airway Hyperreactivity despite Aggravated Inflammatory Mechanisms in Mice', Molecules, 27(12), pp. 3868. doi:10.3390/molecules27123868 Preclinical
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  3. Allenspach, M., Valder, C., Flamm, D., Grisoni, F. and others (2020) 'Verification of Chromatographic Profile of Primary Essential Oil of Pinus sylvestris L. Combined with Chemometric Analysis', Molecules, 25(13), pp. 2973. doi:10.3390/molecules25132973 Preclinical
    https://doi.org/10.3390/molecules25132973
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    https://doi.org/10.1038/s41598-021-96356-x
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  6. Judzentiene, A., Stikliene, A. and Kupcinskiene, E (2007) 'Changes in the essential oil composition in the needles of Scots pine (Pinus sylvestris L.) under anthropogenic stress', The Scientific World Journal, 7(Suppl 1), pp. 141-150. doi:10.1100/tsw.2007.36 Preclinical
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  7. Hoai, N.T., Duc, H.V., Thao, D.T., Orav, A. and others (2015) 'Selectivity of Pinus sylvestris extract and essential oil to estrogen-insensitive breast cancer cells', Pharmacognosy Magazine, 11(Suppl 2), pp. S290-S295. doi:10.4103/0973-1296.166052 Preclinical
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  8. Fayemiwo, K.A., Adeleke, M.A., Okoro, O.P., Awojide, S.H. and others (2014) 'Larvicidal efficacies and chemical composition of essential oils of Pinus sylvestris and Syzygium aromaticum against mosquitoes', Asian Pacific Journal of Tropical Biomedicine, 4(1), pp. 30-34. doi:10.1016/S2221-1691(14)60204-5 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.