Plant Comparison

Astragalus vs Ribwort Plantain

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 AAstragalusAstragalus membranaceusFabaceaeFull monograph →
Plant BRibwort PlantainPlantago lanceolataPlantaginaceaeFull monograph →

At a glance

Astragalus and Ribwort Plantain: they share 6 indicated uses (arthritis / joint pain, cold & flu, immune support, …); 2 pharmacological actions in common.

AstragalusRibwort Plantain
Constituents33
Pharmacological actions66
Indicated uses1011
Safety notes32
Cited sources1813
Indicated uses
Only Astragalus
Cancer (anticancer research)Fatigue / low energyKidney supportStress
Shared (6)
Arthritis / joint painCold & fluImmune supportInfection (general)Inflammation (general)Skin irritation
Only Ribwort Plantain
BronchitisBruisingCoughSore throatWounds
Pharmacological actions
Only Astragalus
AdaptogenAnticancer (preclinical)AntioxidantNephroprotective (kidney support)
Shared (2)
Anti-inflammatoryImmunomodulator / immune support
Only Ribwort Plantain
AntimicrobialAntiviralDemulcent (soothing mucilage)Vulnerary (wound healing)

Evidence face-off — shared uses

ConditionAstragalusRibwort PlantainVerdict
Arthritis / joint pain1/101/10Comparable evidence
Cold & flu2/101/10Comparable evidence
Immune support2/101/10Comparable evidence
Infection (general)2/102/10Comparable evidence
Inflammation (general)1/101/10Comparable evidence
Skin irritation1/101/10Comparable 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

Astragalus polysaccharides (APS)[11]

Principal immunomodulatory constituents.

Polysaccharides
Cycloartane triterpenoid saponins (astragaloside IV)[5]

Major bioactive saponin with cardio-, neuro-, hepato- and renoprotective effects.

Saponins
Isoflavonoids (calycosin, formononetin)[5]

Antioxidant flavonoid constituents of the root.

Flavonoids
Iridoid glycosides (aucubin, catalpol)[11]

Anti-inflammatory and antimicrobial constituents.

Iridoid glycosidesGlycosides
Mucilage polysaccharides (~2-3%)[11]

Coat and protect inflamed mucous membranes and reduce cough-receptor sensitivity.

PolysaccharidesMucilage
Phenylethanoids (acteoside/verbascoside, plantamajoside) and flavonoids (apigenin, luteolin)[11]

Antioxidant and anti-inflammatory constituents.

Verbascoside (acteoside)FlavonoidsApigeninLuteolin

Pharmacological Actions

Adaptogen[5, 10]

Adaptogenic tonic for fatigue and low vitality (traditional 'Qi' tonic)

Anti-inflammatory[2, 5, 7]

Antioxidant and anti-inflammatory

Anticancer (preclinical)[2, 5, 11, 15, 16, 17]

Astragalus membranaceus and its constituents (astragaloside IV, cycloastragenol, Astragalus polysaccharide) inhibit tumour growth, invasion and metastasis and enhance antitumour immunity across lung, colorectal and gastrointestinal cancers (preclinical, incl. in vivo).

Antioxidant[4, 5, 9]

Antioxidant and anti-inflammatory

Immunomodulator / immune support[2, 4, 5, 6, 11, 12, 13]

Immune support / immunomodulation (activates macrophages, NK cells, T and B lymphocytes)

Nephroprotective (kidney support)[5, 18]

Renoprotective (kidney support) - as an adjunct in chronic kidney disease, reduced proteinuria and raised haemoglobin and serum albumin across trials (Cochrane review; study quality low)

Anti-inflammatory[9, 11, 13]

Anti-inflammatory for temporary mild inflammation of the mouth and throat (sore throat); in vitro the extract inhibits nitric oxide production and inducible NOS in macrophages, supporting its traditional respiratory anti-inflammatory use

Antimicrobial[1, 6, 11, 12]

Antibacterial, antiviral and immunostimulant (in vitro)

Antiviral[11, 12]

Antibacterial, antiviral and immunostimulant (in vitro)

Demulcent (soothing mucilage)[11, 12]

Demulcent for catarrh of the respiratory tract and dry, irritating cough / bronchitis (mucilage soothes and protects irritated airways)

Immunomodulator / immune support[11, 12]

Antibacterial, antiviral and immunostimulant (in vitro)

Vulnerary (wound healing)[7, 8, 11, 12]

Vulnerary for minor wounds and insect bites (topical)

Traditional & Indicated Uses

Arthritis / joint pain[5]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Cancer (anticancer research)[2, 5, 11, 15, 16, 17]Traditional · 2/10

Astragalus membranaceus protects against gastrointestinal cancers; astragaloside IV inhibits lung cancer metastasis via macrophage repolarization, cycloastragenol boosts CD8+ T-cell antitumour immunity (with anti-PD-1 synergy), and Astragalus polysaccharide suppresses inflammation-induced colorectal cancer (preclinical).

Evidence: 2
Label: Cancer (anticancer research)
Cold & flu[11]Traditional · 2/10

Supports resistance to colds and respiratory infection (immune)

Evidence: 2
Label: Cold & flu
Fatigue / low energy[5]Traditional · 1/10

Adaptogenic tonic for fatigue and low vitality (traditional 'Qi' tonic)

Evidence: 1
Label: Fatigue / low energy
Immune support[5, 11]Traditional · 2/10

Immune support / immunomodulation (activates macrophages, NK cells, T and B lymphocytes); Supports resistance to colds and respiratory infection (immune)

Evidence: 2
Label: Immune support
Infection (general)[11]Traditional · 2/10

Supports resistance to colds and respiratory infection (immune)

Evidence: 2
Label: Infection (general)
Inflammation (general)[5]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Inflammation (general)
Kidney support[5, 18]Good · 7/10

Renoprotective (kidney support) - as an adjunct in chronic kidney disease, reduced proteinuria and raised haemoglobin and serum albumin across trials (Cochrane review; study quality low)

Evidence: 7
Label: Kidney support
Skin irritation[5]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Skin irritation
Stress[5]Traditional · 1/10

inferred from adaptogen action

Evidence: 1
Label: Stress
Arthritis / joint pain[11, 13]Traditional · 1/10

inferred from anti-inflammatory action

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

Demulcent for catarrh of the respiratory tract and dry, irritating cough / bronchitis (mucilage soothes and protects irritated airways)

Evidence: 1
Label: Bronchitis
Bruising[11, 12]Traditional · 1/10

inferred from vulnerary action

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

inferred from immunomodulator action

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

Demulcent for catarrh of the respiratory tract and dry, irritating cough / bronchitis (mucilage soothes and protects irritated airways)

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

inferred from immunomodulator action

Evidence: 1
Label: Immune support
Infection (general)[1, 6, 11, 12]Traditional · 2/10

inferred from antimicrobial action

Evidence: 2
Label: Infection (general)
Inflammation (general)[9, 11, 13]Traditional · 1/10

Anti-inflammatory for temporary mild inflammation of the mouth and throat (sore throat); in vitro the extract inhibits nitric oxide production and inducible NOS in macrophages, supporting its traditional respiratory anti-inflammatory use

Evidence: 1
Label: Inflammation (general)
Skin irritation[11, 12]Traditional · 1/10

inferred from demulcent action

Evidence: 1
Label: Skin irritation
Sore throat[11, 13]Traditional · 1/10

Anti-inflammatory for temporary mild inflammation of the mouth and throat (sore throat); in vitro the extract inhibits nitric oxide production and inducible NOS in macrophages, supporting its traditional respiratory anti-inflammatory use

Evidence: 1
Label: Sore throat
Wounds[7, 8, 11, 12]Traditional · 2/10

Vulnerary for minor wounds and insect bites (topical)

Evidence: 2
Label: Wounds

Safety, Cautions & Contraindications

Safety note[11]Info

Astragalus stimulates immune activity; on theoretical grounds it should be used cautiously in autoimmune disease and with immunosuppressant medicines (for example after organ transplant) - discuss with a clinician.

Safety note[5]Info

Generally well tolerated; high-quality long-term human safety and toxicity data remain limited.

Safety note[5]Caution

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

Safety note[11]Info

Generally very well tolerated. A cough or throat irritation that persists beyond about a week, or is accompanied by fever or breathlessness, needs medical assessment.

Safety note[11]Caution

Use in pregnancy and breastfeeding is not recommended in the absence of adequate data.

External Ids

Gbif: 2933951
Powo: urn:lsid:ipni.org:names:478610-1
Wikidata: Q15532251
Gbif: 8208358
Wikidata: Q157408

Botanical Description

Erect perennial herb with a long, fibrous, pale yellow taproot. The leaves are pinnately compound with numerous small, oval leaflets, giving a soft, ferny appearance. Small, pale yellow, pea-like flowers are borne in loose axillary clusters (racemes), followed by membranous, inflated seed pods that give the species its name.[5]

Height: 40-100 cm
Habit: Erect perennial herb
Leaves: Pinnately compound with numerous small, oval leaflets
Flowers: Small, pale yellow, pea-like flowers in loose axillary racemes
Stem: Erect, softly hairy
Root: Long, fibrous, pale yellow taproot (the medicinal part, huang qi)
Fruit: Membranous, inflated seed pod
Flowering Period: June-July

Perennial herb (Plantaginaceae) forming a low rosette of narrow, lance-shaped leaves with prominent parallel ribs (hence 'ribwort'). Slender, furrowed, leafless flowering stalks rise from the rosette bearing a dense, short, dark brown-black ovoid to cylindrical flower spike ringed by a 'collar' of protruding cream-white stamens.[11]

Height: Low rosette; flowering stalks 10-45 cm
Habit: Low rosette-forming perennial herb
Leaves: Narrow, lance-shaped, prominently 3-5-ribbed, in a basal rosette
Flowers: Dense, short, dark brown-black ovoid to cylindrical spike with a ring of cream-white stamens
Stem: Slender, furrowed, leafless flowering stalk
Root: Fibrous perennial rootstock
Fruit: Small capsule with 1-2 seeds
Flowering Period: May-September

Habitat

Native to the grasslands, sunny slopes and forest margins of northern and north-eastern China, Mongolia and parts of Korea; widely cultivated as a medicinal crop across East Asia.[5]

Native throughout Europe and temperate Asia and naturalised worldwide; common in grassland, meadows, lawns, roadsides and waste ground, tolerating trampling and a wide range of soils.[11]

Harvesting

The root is dug from plants at least four years old, typically in spring or autumn, then cleaned and dried, often sliced into the characteristic pale, fibrous 'coin' slices used in traditional decoctions.[5]

Parts: Root
Season: Spring or autumn, from four-year-old (or older) plants

Leaves and aerial parts are gathered during the growing season, ideally before or during flowering, and dried quickly.[11]

Parts: Leaf (aerial parts)
Season: Growing season, before or during flowering

Traditional Uses

Astragalus root (huang qi) is one of the most widely used tonic herbs in traditional Chinese medicine, classified as a 'Qi tonic' for fatigue, low vitality and reduced resistance to colds and infections, and used to support immune, cardiovascular and kidney health.[5, 11]

Ribwort plantain has an official European herbal-monograph tradition for the temporary relief of dry cough and irritation of the mouth and throat, and for minor skin wounds, reflecting its long folk use as a demulcent respiratory remedy and wound herb. Modern research confirms mucilage-driven demulcent action alongside antimicrobial and anti-inflammatory activity.[11, 12]

Preparations

Decoction[5]

Dried, sliced root simmered in water, often alongside other tonic herbs, as the classic traditional Chinese medicine preparation.

Standardised extract[5, 11]

Concentrated extract standardised to polysaccharide or astragaloside IV content, taken as capsules or tablets.

Infusion (tea)[11]

Dried leaf steeped in hot water for cough and sore throat.

Fresh pressed juice / syrup[12]

Fresh leaf juice, traditionally made into a cough syrup, often combined with honey.

Poultice[12]

Crushed fresh leaf applied to minor wounds and insect bites.

Dosage

Decoction[14]

The WHO monograph on Radix Astragali gives doses of 3-9 g per day. Traditional Chinese medicine references often cite a considerably higher 9-30 g of dried root per day; WHO's figure is the conservative regulatory-tier one and is stated here in preference. Educational reference only, not a prescription.

Standardised extract[11]

Clinical studies commonly use extracts providing the equivalent of several grams of dried root daily, in divided doses. Educational reference only, not a prescription.

Infusion (tea)[11, 12]

EMA/ESCOP herbal-monograph guidance suggests roughly 2-4 g dried leaf per cup as an infusion, up to three times daily, or an equivalent liquid extract. Educational reference only, not a prescription.

References

REF-0739, REF-0736, REF-0737, REF-2256, REF-0402, REF-2257, REF-2258, REF-2259, REF-2260, REF-2261, REF-0401, REF-2262, REF-2263
REF-0960, REF-0961, REF-0962, REF-0963, REF-0964, REF-0965, REF-0966, REF-0967, REF-0968, REF-0969

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. Xu, B., Huang, J.P., Peng, G., Cao, W., Liu, Z. et al (2024) 'Total biosynthesis of the medicinal triterpenoid saponin astragalosides', Nature Plants, 10(11), pp. 1826-1837. doi:10.1038/s41477-024-01827-4 Preclinical
    https://doi.org/10.1038/s41477-024-01827-4
  2. Auyeung, K.K., Han, Q.B. and Ko, J.K (2016) 'Astragalus membranaceus: A Review of its Protection Against Inflammation and Gastrointestinal Cancers', The American Journal of Chinese Medicine, 44(1), pp. 1-22. doi:10.1142/S0192415X16500014 Traditional / reference
    https://doi.org/10.1142/S0192415X16500014
  3. Zhang, Y., Ji, W., Qin, H., Chen, Z., Zhou, Y. et al (2024) 'Astragalus polysaccharides alleviate DSS-induced ulcerative colitis in mice by restoring SCFA production and regulating Th17/Treg cell homeostasis in a microbiota-dependent manner', Carbohydrate Polymers, 349, pp. 122829. doi:10.1016/j.carbpol.2024.122829 Preclinical
    https://doi.org/10.1016/j.carbpol.2024.122829
  4. Fu, J., Wang, Z., Huang, L., Zheng, S., Wang, D., Chen, S., Zhang, H. and Yang, S (2014) 'Review of the botanical characteristics, phytochemistry, and pharmacology of Astragalus membranaceus (Huangqi)', Phytotherapy Research, 28(9), pp. 1275-1283. doi:10.1002/ptr.5188 Meta-analysis / review
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  5. Zhang, J., Wu, C., Gao, L., Du, G. and Qin, X (2019) 'Astragaloside IV derived from Astragalus membranaceus: A research review on the pharmacological effects', Advances in Pharmacology. doi:10.1016/bs.apha.2019.08.002 Traditional / reference
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  6. Dong, M., Li, J., Yang, D., Li, M. and Wei, J (2023) 'Biosynthesis and pharmacological activities of flavonoids, triterpene saponins and polysaccharides derived from Astragalus membranaceus', Molecules, 28(13), pp. 5018. doi:10.3390/molecules28135018 Meta-analysis / review
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  7. Chen, G., Jiang, N., Zheng, J., Hu, H., Yang, H., Lin, A., Hu, B. and Liu, H (2023) 'Structural characterization and anti-inflammatory activity of polysaccharides from Astragalus membranaceus', International Journal of Biological Macromolecules, 241, pp. 124386. doi:10.1016/j.ijbiomac.2023.124386 Preclinical
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  8. Zheng, Q., Zhuang, Z., Wang, Z., Deng, L., Jin, W., Huang, Z., Zheng, G. and Wang, Y (2020) 'Clinical and preclinical systematic review of Astragalus membranaceus for viral myocarditis', Oxidative Medicine and Cellular Longevity, 2020, pp. 1560353. doi:10.1155/2020/1560353 Meta-analysis / review
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  9. Dai, Y., Wang, Y., Kang, Q., Wu, Y., Liu, Y., Su, Y., Wang, X., Xiu, M. and He, J (2024) 'The protective effect and bioactive compounds of Astragalus membranaceus against neurodegenerative disorders via alleviating oxidative stress in Drosophila', FASEB Journal, 38(13), pp. e23727. doi:10.1096/fj.202400390R Preclinical
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  10. Xu, L., Xu, X., Hou, X., Wang, F., Gao, S. and Zhang, H (2019) 'Adjuvant therapy with Astragalus membranaceus for post-stroke fatigue: a systematic review', Metabolic Brain Disease, 35(1), pp. 83-93. doi:10.1007/s11011-019-00483-4 Meta-analysis / review
    https://doi.org/10.1007/s11011-019-00483-4
  11. Li, C.X., Liu, Y., Zhang, Y.Z., Li, J.C. and Lai, J (2022) 'Astragalus polysaccharide: a review of its immunomodulatory effect', Archives of Pharmacal Research. doi:10.1007/s12272-022-01393-3 Preclinical
    https://doi.org/10.1007/s12272-022-01393-3
  12. Jin, M., Zhao, K., Huang, Q. and Shang, P (2014) 'Structural features and biological activities of the polysaccharides from Astragalus membranaceus', International Journal of Biological Macromolecules, 64, pp. 257-266. doi:10.1016/j.ijbiomac.2013.12.002 Preclinical
    https://doi.org/10.1016/j.ijbiomac.2013.12.002
  13. Liu, Y. and Lv, W (2019) 'Research progress in Astragalus membranaceus and its active components on immune responses in liver fibrosis', Chinese Journal of Integrative Medicine, 26(10), pp. 794-800. doi:10.1007/s11655-019-3039-1 Meta-analysis / review
    https://doi.org/10.1007/s11655-019-3039-1
  14. World Health Organization (1999) 'Radix Astragali'. Available at: https://iris.who.int/items/6418d8af-5200-4e6b-9bf5-004f3aa62a37 Traditional / reference
    https://iris.who.int/items/6418d8af-5200-4e6b-9bf5-004f3aa62a37
  15. Xu, F. and Cui, W.-Q. and Wei, Y. and Cui, J. and Qiu, J. and Hu, L.-L. and Gong, W.-Y. and Dong, J.-C. and Liu, B.-J (2018) 'Astragaloside IV inhibits lung cancer progression and metastasis by modulating macrophage polarization through AMPK signaling', Journal of Experimental & Clinical Cancer Research, 37(1), pp. 207. doi:10.1186/s13046-018-0878-0 Preclinical
    https://doi.org/10.1186/s13046-018-0878-0
  16. Deng, G. and Zhou, L. and Wang, B. and Sun, X. and Zhang, Q. and Chen, H. and Wan, N. and Ye, H. and Wu, X. and Sun, D. and Sun, Y. and Cheng, H (2022) 'Targeting cathepsin B by cycloastragenol enhances antitumor immunity of CD8 T cells via inhibiting MHC-I degradation', Journal for ImmunoTherapy of Cancer, 10(10), pp. e004874. doi:10.1136/jitc-2022-004874 Preclinical
    https://doi.org/10.1136/jitc-2022-004874
  17. Li, Q. and Zhang, C. and Xu, G. and Shang, X. and Nan, X. and Li, Y. and Liu, J. and Hong, Y. and Wang, Q. and Peng, G (2024) 'Astragalus polysaccharide ameliorates CD8 T cell dysfunction through STAT3/Gal-3/LAG3 pathway in inflammation-induced colorectal cancer', Biomedicine & Pharmacotherapy, 171, pp. 116172. doi:10.1016/j.biopha.2024.116172 Preclinical
    https://doi.org/10.1016/j.biopha.2024.116172
  18. Zhang, H.W., Lin, Z.X., Xu, C., Leung, C. and Chan, L.S (2014) 'Astragalus (a traditional Chinese medicine) for treating chronic kidney disease', Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD008369.pub2 Meta-analysis / review
    https://doi.org/10.1002/14651858.CD008369.pub2
  1. Laanet, P.R., Bragina, O., Joul, P. and Vaher, M (2024) 'Plantago lanceolata and Plantago major Exhibit Antioxidant and Borrelia burgdorferi Inhibiting Activities', International Journal of Molecular Sciences, 25(13), pp. 7112. doi:10.3390/ijms25137112 Preclinical
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  5. Reza, M.M., Redoy, M.R.A., Rahman, M.A., Ety, S. and others (2021) 'Response of plantain (Plantago lanceolata L.) supplementation on nutritional, endo-parasitic, and endocrine status in lambs', Tropical Animal Health and Production, 53(1), pp. 82. doi:10.1007/s11250-020-02514-0 Preclinical
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  7. Kovac, I., Durkac, J., Holly, M., Jakubcova, K. and others (2015) 'Plantago lanceolata L. water extract induces transition of fibroblasts into myofibroblasts and increases tensile strength of healing skin wounds', Journal of Pharmacy and Pharmacology, 67(1), pp. 117-125. doi:10.1111/jphp.12316 Preclinical
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  13. Vigo, E., Cepeda, A., Gualillo, O. and Perez-Fernandez, R (2005) 'In-vitro anti-inflammatory activity of Pinus sylvestris and Plantago lanceolata extracts: effect on inducible NOS, COX-1, COX-2 and their products in J774A.1 murine macrophages', Journal of Pharmacy and Pharmacology, 57(3), pp. 383--391. doi:10.1211/0022357055605 Traditional / reference
    https://doi.org/10.1211/0022357055605

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.