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.
At a glance
Birch and Cleavers: they share 8 indicated uses (cancer (anticancer research), eczema, infection (general), …); 5 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Birch | Cleavers | Verdict |
|---|---|---|---|
| Cancer (anticancer research) | 2/10 | 2/10 | Comparable evidence |
| Eczema | 1/10 | 1/10 | Comparable evidence |
| Infection (general) | 1/10 | 1/10 | Comparable evidence |
| Skin irritation | 1/10 | 1/10 | Comparable evidence |
| Swelling / fluid retention | 1/10 | 1/10 | Comparable evidence |
| Urinary support | 1/10 | 1/10 | Comparable evidence |
| Urinary tract infection (UTI) | 1/10 | 1/10 | Comparable evidence |
| Wounds | 1/10 | 1/10 | Comparable 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
Principal diuretic and antioxidant constituents of the leaf.
Characteristic bark triterpenes, betulin giving birch bark its white colour; studied for anticancer and anti-inflammatory activity.
Contribute to the astringent and antioxidant properties of the bark and leaf.
Characteristic Rubiaceae iridoids shared with related bedstraws, contributing to the plant's traditional activity.
Antioxidant constituents supporting the plant's antimicrobial and wound-healing activity.
Astringent constituents contributing to the traditional topical use for skin and wounds.
Pharmacological Actions
Traditional & Indicated Uses
inferred from gastroprotective action
inferred from anti-inflammatory action
inferred from anti-rheumatic action
inferred from antidiabetic action
inferred from anticancer action
inferred from gastroprotective action
inferred from antimicrobial action
inferred from anti-inflammatory action
inferred from antidiabetic action
inferred from anti-inflammatory action
inferred from diuretic action
inferred from diuretic action
inferred from diuretic action
inferred from anticancer action
inferred from antimicrobial action
inferred from emollient action
inferred from diuretic action
inferred from diuretic action
inferred from diuretic action
Safety, Cautions & Contraindications
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.
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).
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
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]
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]
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]
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.
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
Dosage
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
Lookalikes Review
References & Sources
- 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
https://doi.org/10.1016/j.jep.2014.11.010 - 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
https://doi.org/10.2478/folmed-2018-0035 - 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
https://doi.org/10.3390/antiox12122110 - 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
https://doi.org/10.1016/j.jep.2011.05.018 - Azman, N.A.M., Skowyra, M., Muhammad, K., Gallego, M.G. and Almajano, M.P (2017) 'Evaluation of the antioxidant activity of Betula pendula leaves extract and its effects on model foods', Pharmaceutical Biology, 55(1), pp. 912-919. doi:10.1080/13880209.2017.1282528 Preclinical
https://doi.org/10.1080/13880209.2017.1282528 - Bljajic, K., Sostaric, N., Petlevski, R., Vujic, L., Brajkovic, A. and Fumic, B (2016) 'Effect of Betula pendula Leaf Extract on alpha-Glucosidase and Glutathione Level in Glucose-Induced Oxidative Stress', Evidence-Based Complementary and Alternative Medicine, 2016, pp. 8429398. doi:10.1155/2016/8429398 Preclinical
https://doi.org/10.1155/2016/8429398 - Ou-Yang, T., Zhang, Y., Luo, H.Z., Liu, Y. and Ma, S.C (2023) 'Novel compounds discovery approach based on UPLC-QTOF-MS/MS chemical profile reveals birch bark extract anti-inflammatory, -oxidative, and -proliferative effects', Journal of Ethnopharmacology, 309, pp. 116148. doi:10.1016/j.jep.2023.116148 Preclinical
https://doi.org/10.1016/j.jep.2023.116148 - Szoka, L., Nazaruk, J., Stocki, M. and Isidorov, V (2021) 'Santin and cirsimaritin from Betula pubescens and Betula pendula buds induce apoptosis in human digestive system cancer cells', Journal of Cellular and Molecular Medicine, 25(23), pp. 11085-11096. doi:10.1111/jcmm.17031 Preclinical
https://doi.org/10.1111/jcmm.17031 - Isidorov, V., Szoka, L. and Nazaruk, J (2018) 'Cytotoxicity of white birch bud extracts: Perspectives for therapy of tumours', PLoS One, 13(8), pp. e0201949. doi:10.1371/journal.pone.0201949 Preclinical
https://doi.org/10.1371/journal.pone.0201949 - 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
https://doi.org/10.3390/plants11202673 - 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
https://doi.org/10.1080/10826068.2018.1514514 - 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 - 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 - 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 - 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
https://pmc.ncbi.nlm.nih.gov/articles/PMC7126499/ - 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
- Laanet, P.R., Saar-Reismaa, P., Jõul, P., Bragina, O. and Vaher, M (2023) 'Phytochemical Screening and Antioxidant Activity of Selected Estonian Galium Species', Molecules, 28(6), pp. 2867. doi:10.3390/molecules28062867 Preclinical
https://doi.org/10.3390/molecules28062867 - Antoniak, K., Studzińska-Sroka, E., Szymański, M., Dudek-Makuch, M. et al (2023) 'Antiangiogenic, Anti-Inflammatory and Antioxidant Properties of Bidens tripartita Herb, Galium verum Herb and Rumex hydrolapathum Root', Molecules, 28(13), pp. 4966. doi:10.3390/molecules28134966 Preclinical
https://doi.org/10.3390/molecules28134966 - Razzivina, V., Vasiljeva, A., Kronberga, A., Skudrins, G. et al (2024) 'Phenolic Content and Anti-Inflammatory Activity of Cultivated and Wild-Type Galium odoratum Extracts in Murine Bone Marrow-Derived Macrophages', Antioxidants (Basel), 13(12), pp. 1447. doi:10.3390/antiox13121447 Preclinical
https://doi.org/10.3390/antiox13121447 - Sahin, B., Karabulut, S., Filiz, A.K., Ozkaraca, M., Gezer, A. and Akpulat, H.A (2022) 'Galium aparine L. protects against acetaminophen-induced hepatotoxicity in rats', Chemico-Biological Interactions, 366, pp. 110119. doi:10.1016/j.cbi.2022.110119 Preclinical
https://doi.org/10.1016/j.cbi.2022.110119 - Lee, S.Y., Park, S.Y. and Park, H.J (2024) 'Immuno-Enhancing Effects of Galium aparine L. in Cyclophosphamide-Induced Immunosuppressed Animal Models', Nutrients, 16(5), pp. 597. doi:10.3390/nu16050597 Preclinical
https://doi.org/10.3390/nu16050597 - Beirami, A.D., Akhtari, N., Noroozi, R., Hatamabadi, D., Hasan, S.M.F. and Ayatollahi, S.A (2024) 'Bringing back Galium aparine L. from forgotten corners of traditional wound treatment procedures: an antimicrobial, antioxidant, and in-vitro wound healing assay along with HPTLC fingerprinting study', BMC Complementary Medicine and Therapies, 24(1), pp. 279. doi:10.1186/s12906-024-04355-y Preclinical
https://doi.org/10.1186/s12906-024-04355-y - Ilina, T., Kashpur, N., Granica, S., Bazylko, A., Shinkovenko, I. and Kovalyova, A (2019) 'Phytochemical Profiles and In Vitro Immunomodulatory Activity of Ethanolic Extracts from Galium aparine L', Plants, 8(12), pp. 541. doi:10.3390/plants8120541 Preclinical
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https://doi.org/10.1016/j.saa.2012.09.056 - Shi, G., Liu, J., Zhao, W., Liu, Y. and Tian, X (2016) 'Separation and purification and in vitro anti-proliferative activity of leukemia cell K562 of Galium aparine L. petroleum ether phase', Saudi Pharmaceutical Journal, 24(3), pp. 241-247. doi:10.1016/j.jsps.2016.04.005 Preclinical
https://doi.org/10.1016/j.jsps.2016.04.005 - Quinlan, F.J (1883) 'Galium Aparine as a Remedy for Chronic Ulcers', British Medical Journal, 1(1172), pp. 1173-1174. doi:10.1136/bmj.1.1172.1173 Traditional / reference
https://doi.org/10.1136/bmj.1.1172.1173 - British Herbal Medicine Association (1983) 'British Herbal Pharmacopoeia'. Traditional / reference
https://scholar.google.com/scholar?q=British%20Herbal%20Pharmacopoeia - Hoffmann, D (2003) 'Medical Herbalism: The Science and Practice of Herbal Medicine'. Traditional / reference
https://scholar.google.com/scholar?q=Medical%20Herbalism%3A%20The%20Science%20and%20Practice%20of%20Herbal%20Medicine - Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
https://powo.science.kew.org - Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. 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.