Plant Comparison

Bistort 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
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Plant ABistortBistorta officinalisPolygonaceaeFull monograph →
Plant BCleaversGalium aparineRubiaceaeFull monograph →

At a glance

Bistort and Cleavers: they share 5 indicated uses (bruising, cancer (anticancer research), infection (general), …); 3 pharmacological actions in common.

BistortCleavers
Constituents33
Pharmacological actions76
Indicated uses109
Safety notes31
Cited sources1415
Indicated uses
Only Bistort
Arthritis / joint painDiarrhoeaHeavy menstrual bleedingInflammation (general)Sore throat
Shared (5)
BruisingCancer (anticancer research)Infection (general)Skin irritationWounds
Only Cleavers
EczemaSwelling / fluid retentionUrinary supportUrinary tract infection (UTI)
Pharmacological actions
Only Bistort
Anti-inflammatoryAntidiarrhoealAstringentStyptic / haemostatic
Shared (3)
Anticancer (preclinical)AntimicrobialVulnerary (wound healing)
Only Cleavers
AntioxidantDiureticEmollient / skin-soothing

Evidence face-off — shared uses

ConditionBistortCleaversVerdict
Bruising1/101/10Comparable evidence
Cancer (anticancer research)2/102/10Comparable evidence
Infection (general)1/101/10Comparable evidence
Skin irritation1/101/10Comparable 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

Tannins (15-36% of the rhizome: oligomeric proanthocyanidins, gallotannins, catechins)[13, 14]

Very high tannin content is the basis of the strong astringency.

ProanthocyanidinsTanninsCatechins
Phenolic acids and flavonoids[14]

Contribute to antioxidant and antibacterial activity.

Phenolic acidsFlavonoids
Starch and oxalic acid[13]

Other rhizome constituents.

Starch
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[4, 13, 14]

Anti-inflammatory gargle / mouthwash for inflammation of the mouth and throat (sore throat)

Anticancer (preclinical)[10, 11]

Bistorta officinalis (Polygonum bistorta) rhizome extract, rich in gallotannins and phenolic acids, shows cytotoxic and pro-apoptotic activity against hepatocellular and other cancer cells (preclinical).

Antidiarrhoeal[4, 13, 14]

Astringent for mild diarrhoea (tannins tighten the gut lining and reduce excess secretion)

Antimicrobial[2, 12, 14]

Antibacterial (topical) - GC-MS-characterised extracts showed antibacterial activity

Astringent[7, 13, 14]

Astringent for mild diarrhoea (tannins tighten the gut lining and reduce excess secretion)

Styptic / haemostatic[13, 14]

Vulnerary and styptic for minor wounds (topical)

Vulnerary (wound healing)[13, 14]

Vulnerary and styptic for minor wounds (topical)

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

Arthritis / joint pain[13, 14]Traditional · 1/10

inferred from anti-inflammatory action

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

inferred from vulnerary action

Evidence: 1
Label: Bruising
Cancer (anticancer research)[10, 11]Traditional · 2/10

Polygonum bistorta (Bistorta officinalis) methanol-water and aqueous extracts inhibit hepatocellular carcinoma cells via ROS-induced ER stress and apoptosis (delaying xenograft tumour growth), with phenolic constituents driving the cytotoxicity (preclinical).

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

Astringent for mild diarrhoea (tannins tighten the gut lining and reduce excess secretion)

Evidence: 1
Label: Diarrhoea
Heavy menstrual bleeding[13, 14]Traditional · 1/10

inferred from styptic action

Evidence: 1
Label: Heavy menstrual bleeding
Infection (general)[12, 14]Traditional · 1/10

inferred from antimicrobial action

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

Anti-inflammatory gargle / mouthwash for inflammation of the mouth and throat (sore throat)

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

inferred from astringent action

Evidence: 1
Label: Skin irritation
Sore throat[13, 14]Traditional · 1/10

Anti-inflammatory gargle / mouthwash for inflammation of the mouth and throat (sore throat)

Evidence: 1
Label: Sore throat
Wounds[13, 14]Traditional · 1/10

Vulnerary and styptic for minor wounds (topical)

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]Info

Very tannin-rich: high or prolonged intake may cause stomach upset or constipation and can reduce the absorption of iron and some medicines taken at the same time.

Safety note[13]Info

Traditional use only; diarrhoea persisting beyond a few days, or mouth/throat inflammation that does not settle, needs medical assessment.

Safety note[13]Caution

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

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: 7925535
Wikidata: Q112917
Gbif: 2913548
Wikidata: Q161581

Botanical Description

Perennial herb rising from a thick, twisted, S- or snake-shaped rhizome (giving the names 'bistort' and 'snakeroot'), blackish outside and pink inside. The basal leaves are broadly oval to lance-shaped on long stalks; stem leaves are smaller and stalkless. A single dense, cylindrical spike of small, pale pink flowers is borne atop each unbranched flowering stem.[14]

Height: 30-80 cm
Habit: Erect perennial herb from a twisted rhizome
Leaves: Basal leaves broadly oval to lance-shaped, long-stalked; stem leaves smaller, stalkless
Flowers: Dense, cylindrical spike of small pale pink flowers atop an unbranched stem
Stem: Erect, unbranched, one flower spike per stem
Root: Thick, twisted, S-shaped (snake-like) rhizome, blackish outside, pink inside
Fruit: Small, glossy, three-angled achene
Flowering Period: May-August

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

Grows in damp meadows, pastures, streamsides and mountain grassland on moist, often calcareous soils; native to Europe and temperate Asia, favouring cooler upland regions.[14]

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

The rhizome is dug in autumn or early spring, when tannin content is highest, cleaned and dried; aerial parts are gathered in summer while flowering.[14]

Parts: Rhizome (root) and aerial parts
Season: Rhizome in autumn or early spring; aerial parts in summer flowering

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

Bistort rhizome, one of the most tannin-rich temperate herbs, has a long European folk history as a powerful astringent for mild diarrhoea, as a gargle for sore throat and mouth inflammation, and topically as a vulnerary and styptic for minor wounds and bleeding; young leaves have also traditionally been eaten as a spring pot-herb ('Easter-ledge pudding').[13, 14]

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

Decoction (rhizome)[14]

Dried rhizome simmered in water as a strongly astringent traditional remedy for diarrhoea, or used as a gargle/mouthwash for sore throat.

Poultice/wash[13]

Crushed rhizome or aerial parts applied externally, or used as a wash, for minor wounds and bleeding.

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.

References

REF-0746, REF-0747, REF-0748, REF-2116, REF-2117, REF-2118, REF-2119, REF-2120, REF-2121, REF-2122, REF-2123, REF-0627
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. Pawłowska, K.A., Hałasa, R., Dudek, M.K., Majdan, M. et al (2020) 'Antibacterial and anti-inflammatory activity of bistort (Bistorta officinalis) aqueous extract and its major components: justification of the usage of the medicinal plant material as a traditional topical agent', Journal of Ethnopharmacology, 260, pp. 113077. doi:10.1016/j.jep.2020.113077 Preclinical
    https://doi.org/10.1016/j.jep.2020.113077
  2. Jovanović, M., Morić, I., Nikolić, B., Pavić, A. et al (2020) 'Anti-Virulence Potential and In Vivo Toxicity of Persicaria maculosa and Bistorta officinalis Extracts', Molecules, 25(8), pp. 1811. doi:10.3390/molecules25081811 Preclinical
    https://doi.org/10.3390/molecules25081811
  3. Duwiejua, M., Zeitlin, I.J., Waterman, P.G. and Gray, A.I (1994) 'Anti-inflammatory activity of Polygonum bistorta, Guaiacum officinale and Hamamelis virginiana in rats', Journal of Pharmacy and Pharmacology, 46(4), pp. 286-290. doi:10.1111/j.2042-7158.1994.tb03795.x Preclinical
    https://doi.org/10.1111/j.2042-7158.1994.tb03795.x
  4. Esmaealzadeh, N., Abdolghaffari, A., Baeeri, M., Hasanpour, M., Iranshahi, M., Santarcangelo, C., Gholami, M. and Bahramsoltani, R (2024) 'Protective effect of freeze-dried extract of Persicaria bistorta Samp. on acetic acid-induced colitis model in rats: involvement of nitric oxide and opioid system', Inflammopharmacology, 32(6), pp. 3845-3861. doi:10.1007/s10787-024-01518-8 Preclinical
    https://doi.org/10.1007/s10787-024-01518-8
  5. Klimczak, U., Wozniak, M., Tomczyk, M. and Granica, S (2017) 'Chemical composition of edible aerial parts of meadow bistort (Persicaria bistorta (L.) Samp.)', Food Chemistry, 230, pp. 281-290. doi:10.1016/j.foodchem.2017.02.128 Preclinical
    https://doi.org/10.1016/j.foodchem.2017.02.128
  6. Manoharan, K.P., Benny, T.K.H. and Yang, D (2005) 'Cycloartane type triterpenoids from the rhizomes of Polygonum bistorta', Phytochemistry, 66(19), pp. 2304-2308. doi:10.1016/j.phytochem.2005.07.008 Preclinical
    https://doi.org/10.1016/j.phytochem.2005.07.008
  7. Liu, X., Hua, H., Liu, J., Chen, F. and Wu, L (2006) 'A new tannin-related compound from the rhizome of Polygonum bistorta L', Journal of Asian Natural Products Research, 8(4), pp. 299-302. doi:10.1080/10286020500034956 Preclinical
    https://doi.org/10.1080/10286020500034956
  8. Yang, W., Qian, Z., Wu, M., Gao, J., Huang, Q., Zou, Y. and Tang, D (2023) 'Online microextraction coupled with HPLC-ABTS for rapid analysis of antioxidants from the root of Polygonum bistorta', Evidence-Based Complementary and Alternative Medicine, 2023, pp. 7496848. doi:10.1155/2023/7496848 Preclinical
    https://doi.org/10.1155/2023/7496848
  9. Bauer, I., Rimbach, G., Nevermann, S., Neuhauser, C., Schwarzinger, B., Schwarzinger, C., Weghuber, J. and Luersen, K (2023) 'In-vitro antidiabetic activity of a Bistorta officinalis Delarbre root extract can not be confirmed in the in-vivo models hen's egg test and Drosophila melanogaster', Journal of Physiology and Pharmacology, 74(1). doi:10.26402/jpp.2023.1.04 Preclinical
    https://doi.org/10.26402/jpp.2023.1.04
  10. Intisar, A., Zhang, L., Luo, H., Kiazolu, J.B., Zhang, R. and Zhang, W (2012) 'Anticancer constituents and cytotoxic activity of methanol-water extract of Polygonum bistorta L', African Journal of Traditional, Complementary and Alternative Medicines, 10(1), pp. 53-59. doi:10.4314/ajtcam.v10i1.9 Preclinical
    https://doi.org/10.4314/ajtcam.v10i1.9
  11. Liu, Y., Weng, Y., Lin, H., Tang, S., Chen, C., Liang, C., Ku, C. and Lin, J (2017) 'Aqueous extract of Polygonum bistorta modulates proteostasis by ROS-induced ER stress in human hepatoma cells', Scientific Reports, 7, pp. 41437. doi:10.1038/srep41437 Preclinical
    https://doi.org/10.1038/srep41437
  12. Khan, S., Arshad, S., Masood, I., Arif, A., Abbas, S., Qureshi, A.W., Parveen, A. and Seemab Ameen, Z (2023) 'GC-MS Analysis of Persicaria bistorta: Uncovering the Molecular Basis of Its Traditional Medicinal Use', Applied Biochemistry and Biotechnology, 196(4), pp. 2270--2288. doi:10.1007/s12010-023-04580-0 Traditional / reference
    https://doi.org/10.1007/s12010-023-04580-0
  13. WebMD (n.d.) 'Bistort: Overview, Uses, Side Effects, Precautions, Interactions, Dosing and Reviews'. Available at: https://www.webmd.com/vitamins/ai/ingredientmono-75/bistort Traditional / reference
    https://www.webmd.com/vitamins/ai/ingredientmono-75/bistort
  14. (2020) 'Antibacterial and anti-inflammatory activity of bistort (Bistorta officinalis) aqueous extract and its major components - justification of the usage of the medicinal plant material as a traditional topical agent', Journal of Ethnopharmacology. doi:10.1016/j.jep.2020.113077 Traditional / reference
    https://doi.org/10.1016/j.jep.2020.113077
  1. 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
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  2. 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
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  3. 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
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  4. 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
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  5. 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
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  7. 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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  8. Atmaca, H., Bozkurt, E., Cittan, M. and Dilek Tepe, H (2016) 'Effects of Galium aparine extract on the cell viability, cell cycle and cell death in breast cancer cell lines', Journal of Ethnopharmacology, 186, pp. 305-310. doi:10.1016/j.jep.2016.04.007 Preclinical
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  11. 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
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  12. British Herbal Medicine Association (1983) 'British Herbal Pharmacopoeia'. Traditional / reference
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  13. Hoffmann, D (2003) 'Medical Herbalism: The Science and Practice of Herbal Medicine'. Traditional / reference
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  14. Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org 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.