Plant Comparison

Birch vs Cleavers

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 ABirchBetula pendulaBetulaceaeFull monograph →
Plant BCleaversGalium aparineRubiaceaeFull monograph →

At a glance

Birch and Cleavers: they share 8 indicated uses (cancer (anticancer research), eczema, infection (general), …); 5 pharmacological actions in common.

BirchCleavers
Constituents33
Pharmacological actions106
Indicated uses169
Safety notes21
Cited sources1615
Indicated uses
Only Birch
Acid refluxArthritis / joint painBack painBlood sugar / diabetes supportCold & fluIndigestionInflammation (general)Metabolic support
Shared (8)
Cancer (anticancer research)EczemaInfection (general)Skin irritationSwelling / fluid retentionUrinary supportUrinary tract infection (UTI)Wounds
Only Cleavers
Bruising
Pharmacological actions
Only Birch
Anti-inflammatoryAnti-rheumatic / anti-arthriticAntidiabetic (blood-sugar lowering)AntiviralGastroprotective
Shared (5)
Anticancer (preclinical)AntimicrobialAntioxidantDiureticEmollient / skin-soothing
Only Cleavers
Vulnerary (wound healing)

Evidence face-off — shared uses

ConditionBirchCleaversVerdict
Cancer (anticancer research)2/102/10Comparable evidence
Eczema1/101/10Comparable evidence
Infection (general)1/101/10Comparable evidence
Skin irritation1/101/10Comparable evidence
Swelling / fluid retention1/101/10Comparable evidence
Urinary support1/101/10Comparable evidence
Urinary tract infection (UTI)1/101/10Comparable evidence
Wounds1/101/10Comparable 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

Flavonoids (quercetin, myricetin, hyperoside)[1]

Principal diuretic and antioxidant constituents of the leaf.

FlavonoidsQuercetin
Triterpenes (betulin, betulinic acid)[1, 4]

Characteristic bark triterpenes, betulin giving birch bark its white colour; studied for anticancer and anti-inflammatory activity.

Terpenes / terpenoids
Tannins and phenolic acids[1]

Contribute to the astringent and antioxidant properties of the bark and leaf.

TanninsPhenolic acids
Iridoid glycosides (asperuloside)[6]

Characteristic Rubiaceae iridoids shared with related bedstraws, contributing to the plant's traditional activity.

Iridoid glycosidesGlycosides
Flavonoids and phenolic acids[6]

Antioxidant constituents supporting the plant's antimicrobial and wound-healing activity.

FlavonoidsPhenolic acids
Tannins

Astringent constituents contributing to the traditional topical use for skin and wounds.

Tannins

Pharmacological Actions

Anti-inflammatory[1, 4, 7, 9, 13, 14, 15]
Anti-rheumatic / anti-arthritic[4, 13, 14, 15]
Anticancer (preclinical)[7, 8, 9, 13, 14, 15]
Antidiabetic (blood-sugar lowering)[6, 13, 14, 15]
Antimicrobial[1, 13, 14, 15]
Antioxidant[1, 2, 5, 6, 7, 13, 14, 15]
Antiviral[13, 14, 15]
Diuretic[13, 14, 15]
Emollient / skin-soothing[13, 14, 15]
Gastroprotective[13, 14, 15]
Anticancer (preclinical)[8, 10]
Antimicrobial[6, 12, 13, 14]
Antioxidant[6, 9, 12, 13, 14]
Diuretic[12, 13, 14]
Emollient / skin-soothing[12, 13, 14]
Vulnerary (wound healing)[6, 11, 12, 13, 14]

Traditional & Indicated Uses

Acid reflux[13, 14, 15]Traditional · 1/10

inferred from gastroprotective action

Evidence: 1
Label: Acid reflux
Arthritis / joint pain[13, 14, 15]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Back pain[13, 14, 15]Traditional · 1/10

inferred from anti-rheumatic action

Evidence: 1
Label: Back pain
Blood sugar / diabetes support[13, 14, 15]Traditional · 1/10

inferred from antidiabetic action

Evidence: 1
Label: Blood sugar / diabetes support
Cancer (anticancer research)[8]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Cold & flu[13, 14, 15]Traditional · 1/10

inferred from antiviral action

Evidence: 1
Label: Cold & flu
Eczema[13, 14, 15]Traditional · 1/10

inferred from emollient action

Evidence: 1
Label: Eczema
Indigestion[13, 14, 15]Traditional · 1/10

inferred from gastroprotective action

Evidence: 1
Label: Indigestion
Infection (general)[13, 14, 15]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Infection (general)
Inflammation (general)[13, 14, 15]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Inflammation (general)
Metabolic support[13, 14, 15]Traditional · 1/10

inferred from antidiabetic action

Evidence: 1
Label: Metabolic support
Skin irritation[13, 14, 15]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Skin irritation
Swelling / fluid retention[13, 14, 15]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Swelling / fluid retention
Urinary support[13, 14, 15]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Urinary support
Urinary tract infection (UTI)[13, 14, 15]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Urinary tract infection (UTI)
Wounds[13, 14, 15]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Wounds
Bruising[12, 13, 14]Traditional · 1/10

inferred from vulnerary action

Evidence: 1
Label: Bruising
Cancer (anticancer research)[8, 10]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Eczema[12, 13, 14]Traditional · 1/10

inferred from emollient action

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

inferred from antimicrobial action

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

inferred from emollient action

Evidence: 1
Label: Skin irritation
Swelling / fluid retention[12, 13, 14]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Swelling / fluid retention
Urinary support[12, 13, 14]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Urinary support
Urinary tract infection (UTI)[12, 13, 14]Traditional · 1/10

inferred from diuretic action

Evidence: 1
Label: Urinary tract infection (UTI)
Wounds[12, 13, 14]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Wounds

Safety, Cautions & Contraindications

Safety note[13, 14, 15]Info

Generally considered safe when used appropriately. Side effects may include diarrhea, nausea, and allergic reactions (itching, rash, stuffy nose). Not recommended for individuals with edema caused by heart or kidney dysfunction. Ensure adequate fluid intake when using as a diuretic. Frequency of side effects is unknown.

Safety note[13, 14, 15, 16]Info

Duke (2002) provides clinical evidence (score 2) for birch leaf's diuretic activity, as well as for its use in urinary gravel, kidney stones, and rheumatic conditions — consistent with Commission E (KOM) and German Phytotherapy (PIP) approvals. It acts as an aquaretic, increasing urine volume without electrolyte loss. Antimelanomic activity has been demonstrated in experimental studies. The plant has a good safety profile and is classified as non-toxic at usual therapeutic doses (Duke, 2002).

Safety note[12, 13, 14, 15]Caution

Duke (2002) describes cleavers as a diuretic, lymph tonic, and depurative with experimental support (score 1). The plant has been used in traditional medicine for swollen lymph nodes, urinary complaints, and skin conditions. Diuretic and anti-inflammatory activities are supported experimentally. No Commission E approval. Safety rating is ++ (relatively safe), with no known significant contraindications at usual herbal doses (Duke, 2002).

External Ids

Gbif: 5331916
Powo: urn:lsid:ipni.org:names:295174-1
Wikidata: Q156895
Gbif: 2913548
Wikidata: Q161581

Botanical Description

Elegant deciduous tree with a slender trunk, distinctive smooth white bark that peels in papery horizontal strips and becomes dark and fissured near the base with age, and characteristically drooping ('pendulous') branchlets. The leaves are small, triangular to diamond-shaped, doubly toothed and long-pointed. Male and female flowers are borne in separate catkins on the same tree in spring.[1]

Height: Up to 25-30 m
Habit: Slender deciduous tree with drooping branchlets
Leaves: Small, triangular to diamond-shaped, doubly toothed, long-pointed
Flowers: Separate male and female catkins on the same tree
Stem: Slender trunk with smooth white, papery, peeling bark, dark and fissured at the base with age
Root: Shallow, wide-spreading root system
Fruit: Tiny winged seed (samara) shed from the female catkin
Flowering Period: April-May

Scrambling, sprawling annual herb covered in tiny hooked bristles on its square stems, leaves and seed capsules, allowing it to cling to clothing, fur and neighbouring plants as it climbs ('stickyweed'). The leaves are narrow and lance-shaped, borne in whorls of six to eight. Tiny white, four-petalled flowers give way to small, round, bristly-hooked twin seed capsules ('goosegrass burrs').[6]

Height: Scrambling stems to 1-2 m, supported by other vegetation
Habit: Scrambling, sprawling annual herb, climbing by hooked bristles
Leaves: Narrow, lance-shaped, in whorls of 6-8, with hooked bristles on the margins
Flowers: Tiny, white, four-petalled
Stem: Square-sectioned, weak, covered in tiny hooked bristles
Root: Shallow, fibrous root system
Fruit: Small, round, bristly-hooked twin nutlet, clinging to fur and clothing
Flowering Period: May-September

Habitat

A pioneer tree of light, well-drained, often poor or acidic soils, growing in woodland, heathland and waste ground across Europe and much of temperate Asia.[1]

A common scrambling weed of hedgerows, waste ground, gardens and field margins, climbing over other vegetation for support; native to Europe, Asia and North Africa and widely naturalised elsewhere.[6]

Harvesting

Leaves are picked in spring and early summer while young and tender; bark is collected from felled or fallen wood (living trees should not be stripped of bark, which can kill them); sap is tapped in early spring, before leaf-out, through a small hole bored in the trunk.[1]

Parts: Bark, Leaf, Sap
Season: Leaf in spring/early summer; sap in early spring before leaf-out; bark from felled wood

The whole aerial plant (leaf, stem and seed) is cut in spring to early summer, before the fruit fully hardens, and used fresh (as juice) or dried.

Parts: Leaf, Seed, Stem
Season: Spring to early summer

Traditional Uses

Birch leaf is a classic European 'aquaretic' diuretic used for urinary gravel, kidney stones and as a spring detoxifying tonic, and for rheumatic and joint complaints; the bark and its extracts have a long folk history for skin conditions, while the sap has been drunk fresh as a traditional spring tonic.[1]

Cleavers has a long European folk history as a lymphatic and diuretic 'spring tonic' herb, traditionally used to support the urinary system and lymphatic drainage, and topically as a soothing, emollient wash or poultice for skin irritation, wounds and minor swellings.[6]

Preparations

Infusion (leaf)[1]

Dried leaf infused in hot water as a traditional diuretic and 'detox' tea, classically taken as a course in spring.

Decoction (bark)[1]

Bark simmered in water or processed into extracts for topical skin use.

Fresh juice[6]

Fresh aerial parts crushed or juiced, traditionally taken as a spring tonic or applied topically to skin irritation and wounds.

Poultice/wash[6]

Crushed fresh herb or a strained infusion applied topically as a wash or poultice for skin irritation and minor wounds.

Dosage

Leaf infusion[12, 13]

The EU herbal monograph gives 2-3 g of the comminuted leaf in 150 mL of boiling water as an infusion, up to 4 times daily, in adolescents, adults and elderly, with adequate fluid intake; dry extract at 0.25-1 g 4 times daily and liquid extract at 15 mL 2-3 times daily are also listed. Traditionally used over a period of 2-4 weeks. Not recommended under 12 years. Educational reference only, not a prescription.

Not documented

References

REF-0743, REF-0744, REF-0745, REF-1692, REF-1693, REF-1694, REF-1695, REF-1696, REF-1697, REF-1698, REF-1699
REF-0818, REF-0819, REF-0820, REF-1718, REF-1719, REF-1720, REF-1721, REF-1722, REF-1723, REF-1724, REF-1725

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. Rastogi, S., Pandey, M.M. and Kumar Singh Rawat, A (2014) 'Medicinal plants of the genus Betula — traditional uses and a phytochemical-pharmacological review', Journal of Ethnopharmacology, 159, pp. 62-83. doi:10.1016/j.jep.2014.11.010 Traditional / reference
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  2. Penkov, D., Andonova, V., Delev, D. and Kostadinov, I (2018) 'Antioxidant Activity of Dry Birch (Betula pendula) Leaves Extract', Folia Medica, 60(4), pp. 571-579. doi:10.2478/folmed-2018-0035 Preclinical
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  3. Sevastre-Berghian, A.C., Ielciu, I., Bab, T., Olah, N.K. et al (2023) 'Betula pendula Leaf Extract Targets the Interplay between Brain Oxidative Stress, Inflammation, and NF-kB Pathways in Amyloid Abeta-Treated Rats', Antioxidants (Basel), 12(12), pp. 2110. doi:10.3390/antiox12122110 Preclinical
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  4. Grundemann, C., Gruber, C.W., Hertrampf, A., Zehl, M., Kopp, B. and Huber, R (2011) 'An aqueous birch leaf extract of Betula pendula inhibits the growth and cell division of inflammatory lymphocytes', Journal of Ethnopharmacology, 136(3), pp. 444-451. doi:10.1016/j.jep.2011.05.018 Preclinical
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  10. Efthimiou, I., Vlastos, D., Triantafyllidis, V., Eleftherianos, A. and Antonopoulou, M (2022) 'Investigation of the Genotoxicological Profile of Aqueous Betula pendula Extracts', Plants, 11(20), pp. 2673. doi:10.3390/plants11202673 Preclinical
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  11. Jafari Hajati, R., Payamnoor, V., Ahmadian Chashmi, N. and Ghasemi Bezdi, K (2018) 'Improved accumulation of betulin and betulinic acid in cell suspension culture of Betula pendula Roth by abiotic and biotic elicitors', Preparative Biochemistry & Biotechnology, 48(10), pp. 915-924. doi:10.1080/10826068.2018.1514514 Preclinical
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  12. European Medicines Agency (HMPC) (2015) 'European Union herbal monograph on Betula pendula Roth and/or Betula pubescens Ehrh. as well as hybrids of both species, folium'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-betula-pendula-roth-betula-pubescens-ehrh-folium_en.pdf Traditional / reference
    https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-betula-pendula-roth-betula-pubescens-ehrh-folium_en.pdf
  13. European Medicines Agency (HMPC) (2015) 'Birch leaf (Betulae folium): summary for the public'. Available at: https://www.ema.europa.eu/en/documents/herbal-summary/birch-leaf-summary-public_en.pdf Traditional / reference
    https://www.ema.europa.eu/en/documents/herbal-summary/birch-leaf-summary-public_en.pdf
  14. Oszmiański J, et al. Evaluating birch leaf tea as a functional herbal beverage. Food Res Int. 2024. https://www.sciencedirect.com/science/article/abs/pii/S0963996924005519 https://pmc.ncbi.nlm.nih.gov/articles/PMC7126499/ (2024) 'https://www.sciencedirect.com/science/article/abs/pii/S0963996924005519 https://pmc.ncbi.nlm.nih.gov/articles/PMC7126499/'. Available at: https://www.sciencedirect.com/science/article/abs/pii/S0963996924005519 Traditional / reference
    https://www.sciencedirect.com/science/article/abs/pii/S0963996924005519
  15. Rastogi S, Pandey MM, Rawat AKS. Medicinal plants of the genus Betula—Traditional uses and a phytochemical–pharmacological review. J Ethnopharmacol. 2015;159:62-83. https://pmc.ncbi.nlm.nih.gov/articles/PMC7126499/ (2015) ';159:62-83'. Available at: https://pmc.ncbi.nlm.nih.gov/articles/PMC7126499/ Traditional / reference
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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.