Plant Comparison

Pleurisy Root vs Japanese Rose

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 BJapanese RoseRosa rugosaRosaceaeFull monograph →

At a glance

Pleurisy Root and Japanese Rose: they share 4 indicated uses (arthritis / joint pain, cold & flu, inflammation (general), …); 1 pharmacological action in common.

Pleurisy RootJapanese Rose
Constituents24
Pharmacological actions34
Indicated uses87
Safety notes22
Cited sources1414
Indicated uses
Only Pleurisy Root
BronchitisCoughFeverRespiratory support
Shared (4)
Arthritis / joint painCold & fluInflammation (general)Skin irritation
Only Japanese Rose
Cancer (anticancer research)Cardiovascular / heart healthImmune support
Pharmacological actions
Only Pleurisy Root
DiaphoreticExpectorant
Shared (1)
Anti-inflammatory
Only Japanese Rose
Anticancer (preclinical)AntioxidantImmunomodulator / immune support

Evidence face-off — shared uses

ConditionPleurisy RootJapanese RoseVerdict
Arthritis / joint pain1/107/10Stronger for Japanese Rose
Cold & flu1/107/10Stronger for Japanese Rose
Inflammation (general)1/107/10Stronger for Japanese Rose
Skin irritation2/107/10Stronger for Japanese Rose

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
Flavonoids (quercetin, kaempferol glycosides)[2]

The dominant bioactive class, driving much of the antioxidant and anti-inflammatory activity.

FlavonoidsQuercetinKaempferol
Polysaccharides[1]

Studied for immunomodulatory, hepatoprotective and gut-microbiota-modulating effects.

Polysaccharides
Vitamin C and carotenoids (hips)[2]

Concentrated in the hips, underpinning their traditional food-tonic use.

Carotenoids
Oleamide and other root compounds[8]

Isolated from the root and studied for antioxidant/neuroprotective activity.

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, 7, 11, 12, 13]
Anticancer (preclinical)[6, 10]
Antioxidant[1, 2, 5, 8, 9, 11, 12, 13]
Immunomodulator / immune support[6, 9, 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]Good · 7/10

inferred from anti-inflammatory action

Evidence: 7
Label: Arthritis / joint pain
Cancer (anticancer research)[6, 10]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Cardiovascular / heart health[4, 11, 12, 13]Good · 7/10
Evidence: 7
Label: Cardiovascular / heart health
Cold & flu[11, 12, 13]Good · 7/10

inferred from immunomodulator action

Evidence: 7
Label: Cold & flu
Immune support[11, 12, 13]Good · 7/10
Evidence: 7
Label: Immune support
Inflammation (general)[11, 12, 13]Good · 7/10

inferred from anti-inflammatory action

Evidence: 7
Label: Inflammation (general)
Skin irritation[3, 7, 11, 12, 13]Good · 7/10

inferred from anti-inflammatory action

Evidence: 7
Label: Skin irritation

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 as a food plant. Rose hips should be used after removing the achenes (seeds and inner hairs), which can cause irritation. Allergic reactions are rare. No significant drug interactions documented.

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

Duke (2002) does not include a dedicated entry for Japanese rose (Rosa rugosa) in the Handbook of Medicinal Herbs, Second Edition.

External Ids

Gbif: 3170305
Wikidata: Q311131
Gbif: 3003979
Wikidata: Q634975

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

Dense, thicket-forming deciduous shrub (Rosaceae), 1-1.5 m tall (occasionally to 2 m), with stems densely covered in numerous straight, bristly thorns. Leaves are pinnate with 5-9 deeply veined, glossy, leathery leaflets. Large, fragrant, deep pink to white, five-petalled flowers are followed by large, tomato-red, flattened-globose hips.[2]

Height: 1-1.5 m (occasionally to 2 m)
Habit: Dense, thicket-forming deciduous shrub
Leaves: Pinnate, 5-9 deeply veined, glossy, leathery leaflets
Flowers: Large, fragrant, deep pink to white, five-petalled
Stem: Densely covered in numerous straight, bristly thorns
Root: Woody, suckering root system
Fruit: Large, tomato-red, flattened-globose hips
Flowering Period: June-September

Habitat

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

Native to coastal eastern Asia (Japan, Korea, China, far-eastern Russia), typically growing on sand dunes and coastal scrub. Widely planted and naturalised as an ornamental and hedging shrub, notably tolerant of salt spray, wind and poor sandy soils, in temperate coastal regions worldwide.[2]

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

Flowers/petals are picked as they open in summer; hips are picked in autumn once fully coloured and slightly softened.[2]

Parts: Flower, Fruit, Petals
Season: Flower in summer; hips in autumn

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]

Rosa rugosa has a long East Asian tradition - particularly in Traditional Chinese Medicine, where the flower is known as 'Mei Gui Hua' - as a mood-regulating, digestive and menstrual-cycle-supporting remedy, and the vitamin-C-rich hips are used as a food tonic. Modern research on its flavonoid- and polysaccharide-rich extracts supports broad antioxidant, anti-inflammatory, hepatoprotective and immunomodulatory activity.[2]

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.

Flower tea/infusion[2]

Dried petals or flower buds steeped in hot water - the classic Traditional Chinese Medicine preparation.

Standardised extract[1, 2]

Concentrated flavonoid/polysaccharide extract used in research.

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.

Flower infusion[2]

Traditional guidance suggests roughly 3-6 g dried flower per cup as an infusion, or hip tea/syrup at similar strength, taken once or twice daily. 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-1005, REF-1006, REF-1007, REF-1008, REF-1009, REF-1010, REF-1011, REF-1012, REF-1013, REF-1014

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/
  1. Zhang, Z., Hu, W., Yu, A., Bai, M. and others (2024) 'Physicochemical properties, health benefits, and applications of the polysaccharides from Rosa rugosa Thunb.: A review', International Journal of Biological Macromolecules, 282(Pt 3), pp. 136975. doi:10.1016/j.ijbiomac.2024.136975 Traditional / reference
    https://doi.org/10.1016/j.ijbiomac.2024.136975
  2. Dong, X., Li, Y., Yang, K., Zhang, L. and others (2024) 'Total flavonoids from Rosa rugosa Thunb.: A comprehensive review of its extraction and purification process, chemical composition, biological effect and applications', Naunyn-Schmiedeberg's Archives of Pharmacology, 398(3), pp. 2343-2363. doi:10.1007/s00210-024-03504-x Traditional / reference
    https://doi.org/10.1007/s00210-024-03504-x
  3. Kim, J., Lee, S., Park, H. and others (2024) 'Hair Growth Effect and the Mechanisms of Rosa rugosa Extract in DHT-Induced Alopecia Mice Model', International Journal of Molecular Sciences, 25(21), pp. 11362. doi:10.3390/ijms252111362 Preclinical
    https://doi.org/10.3390/ijms252111362
  4. Baiyisaiti, A., Liu, Y., Zhang, J. and Yang, R (2019) 'Rosa rugosa flavonoids exhibited PPAR-alpha agonist-like effects on genetic severe hypertriglyceridemia of mice', Journal of Ethnopharmacology, 240, pp. 111952. doi:10.1016/j.jep.2019.111952 Preclinical
    https://doi.org/10.1016/j.jep.2019.111952
  5. Lei, L., Zhu, Y., Gao, W., Du, X. and others (2023) 'Ethanol Extract of Rosa rugosa Ameliorates Acetaminophen-Induced Liver Injury via Upregulating Sirt1 and Subsequent Potentiation of LKB1/AMPK/Nrf2 Cascade in Hepatocytes', Molecules, 28(21), pp. 7307. doi:10.3390/molecules28217307 Preclinical
    https://doi.org/10.3390/molecules28217307
  6. Dai, C., Zheng, X., Zhu, J., Zhang, H. and others (2025) 'Polysaccharides derived from Rosa rugosa cv. Plena ameliorate colorectal cancer by regulating intestinal microbiota composition and lipid metabolism pathway', NPJ Science of Food, 9(1), pp. 176. doi:10.1038/s41538-025-00544-2 Preclinical
    https://doi.org/10.1038/s41538-025-00544-2
  7. Chen, M., Peng, Y., Zhu, R., Luo, X. and others (2025) 'Therapeutic potential of Rosa rugosa polysaccharide and its nanofiber membrane in psoriasis via PI3K-AKT/mTOR pathway inhibition', International Journal of Biological Macromolecules, 320(Pt 2), pp. 145724. doi:10.1016/j.ijbiomac.2025.145724 Preclinical
    https://doi.org/10.1016/j.ijbiomac.2025.145724
  8. Park, C.K., Choi, S.J., Kim, C.R., Shin, H.R. and others (2025) 'Ethanolic Extract of Rosa rugosa Roots and Its Bioactive Compound, Oleamide, Prevented Amyloid beta-Induced Oxidative Stress and Improved Behavioral Tests in Mice', International Journal of Molecular Sciences, 26(9), pp. 4214. doi:10.3390/ijms26094214 Preclinical
    https://doi.org/10.3390/ijms26094214
  9. Ashraf, S., Ashraf, M.Z., Miao, B. and Zhao, X (2025) 'Optimizing Extraction Methods for Bioactive Polysaccharides from Rosa rugosa and Rosa damascena', Foods, 14(18), pp. 3211. doi:10.3390/foods14183211 Traditional / reference
    https://doi.org/10.3390/foods14183211
  10. Liu, X., Liu, H., Zhang, Y. and others (2022) 'Rosa rugosa polysaccharide induces autophagy-mediated apoptosis in human cervical cancer cells via the PI3K/AKT/mTOR pathway', International Journal of Biological Macromolecules, 212, pp. 257-274. doi:10.1016/j.ijbiomac.2022.05.023 Preclinical
    https://doi.org/10.1016/j.ijbiomac.2022.05.023
  11. Chrubasik, C., Roufogalis, B.D., Müller-Ladner, U. and Chrubasik, S (2008) 'A systematic review on the Rosa canina effect and efficacy profiles', 22(6), pp. 725--733. doi:10.1002/ptr.2400 Meta-analysis / review
    https://doi.org/10.1002/ptr.2400
  12. Grieve, M (1931) 'A Modern Herbal'. Traditional / reference
    https://scholar.google.com/scholar?q=A%20Modern%20Herbal
  13. Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
    https://powo.science.kew.org
  14. Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
    https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition

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.