Plant Comparison
Greater Celandine vs Common Comfrey
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
Greater Celandine and Common Comfrey: they share 7 indicated uses (arthritis / joint pain, back pain, headache, …); 2 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Greater Celandine | Common Comfrey | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 1/10 | 5/10 | Stronger for Common Comfrey |
| Back pain | 1/10 | 5/10 | Stronger for Common Comfrey |
| Headache | 1/10 | 5/10 | Stronger for Common Comfrey |
| Inflammation (general) | 1/10 | 5/10 | Stronger for Common Comfrey |
| Pain (general) | 1/10 | 8/10 | Stronger for Common Comfrey |
| Skin irritation | 1/10 | 5/10 | Stronger for Common Comfrey |
| Wounds | 1/10 | 5/10 | Stronger for Common Comfrey |
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
The biologically active and toxicologically important constituents.
The key cell-proliferative constituent underlying comfrey's wound-healing reputation.
Contribute to the soothing, demulcent texture of the leaf and root.
Contribute to antioxidant and anti-inflammatory activity.
Hepatotoxic constituents naturally present in the whole plant; the reason internal use is not recommended and processed/detoxified extracts are used for research.
Pharmacological Actions
Anti-inflammatory, antimicrobial and analgesic (preclinical)
Antispasmodic / choleretic bitter for upper-abdominal and biliary dyspepsia (indigestion, bloating, cramping) - oral use now restricted for safety
Antispasmodic / choleretic bitter for upper-abdominal and biliary dyspepsia (indigestion, bloating, cramping) - oral use now restricted for safety
Traditional & Indicated Uses
inferred from anti-inflammatory action
Antispasmodic / choleretic bitter for upper-abdominal and biliary dyspepsia (indigestion, bloating, cramping) - oral use now restricted for safety
inferred from anticancer action
Antispasmodic / choleretic bitter for upper-abdominal and biliary dyspepsia (indigestion, bloating, cramping) - oral use now restricted for safety
inferred from antimicrobial action
inferred from anti-inflammatory action
inferred from antispasmodic action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from anti-oedematous action
Safety, Cautions & Contraindications
SERIOUS: oral greater celandine can cause acute idiosyncratic liver injury (hepatocellular hepatotoxicity with jaundice). Multiple reported cases - dozens of herb-induced liver injury reports in the literature, with continuing recent case reports - led regulators to restrict or suspend oral products. Do not take internally if you have any liver disease, and stop immediately and seek care at any sign of liver problems (jaundice, dark urine, upper-abdominal pain).
Big headline: Comfrey naturally contains pyrrolizidine alkaloids (PAs), which can seriously harm the liver if taken internally (Staiger, 2012; EMA, 2015). • Do not ingest comfrey (no teas, no internal tinctures, no capsules), because PA exposure from internal use is the main safety problem (Staiger, 2012; Bach et al., 1990). • Topical use only, short-term: EU herbal guidance describes comfrey root preparations for minor bruises and sprains in adults, and recommends limited duration (commonly up to about 10 days) (EMA, 2015; EMA/HMPC, 2024). • Do not apply to broken skin (open wounds, damaged/irritated skin) and avoid eyes/mucous membranes (EMA/HMPC, 2024). • Pregnancy & breastfeeding: best avoided (not enough safety margin for medicinal use) (EMA/HMPC, 2024). • Children/adolescents: not recommended for medicinal topical use in EU monograph context (EMA/HMPC, 2024). • If you have liver disease or take medicines that stress the liver, skip comfrey completely (risk management logic based on PA concern) (Staiger, 2012; EMA, 2015). • Skin reactions: mild rash/irritation can occur; stop if it irritates (Smith and Jacobson, 2011).
Duke (2002) classifies common comfrey (Symphytum officinale) with anti-inflammatory and wound-healing properties, supported by allantoin content (promotes cell proliferation). However, comfrey also contains hepatotoxic pyrrolizidine alkaloids. Internal use is no longer recommended, and Commission E approved only external use. Duke emphasizes that pyrrolizidine alkaloids are cumulative hepatotoxins associated with veno-occlusive disease, and prolonged or internal use is contraindicated (Duke, 2002).
External Ids
Botanical Description
Branching perennial herb with soft, brittle, hairy stems that exude a distinctive bright orange-yellow latex (sap) when cut or broken. The leaves are deeply lobed, pale bluish-green beneath, giving a delicate, almost fern-like appearance. Small, four-petalled, bright yellow flowers are borne in loose umbel-like clusters.[4]
Robust, hairy perennial herb (Boraginaceae), 60-120 cm tall, with a thick, black-skinned, mucilaginous taproot. Leaves are large, broad, lance-shaped and bristly-hairy, running down the stem as raised wings (decurrent) - the leaf base's smooth, untoothed margin is a key feature distinguishing it from toxic foxglove. Drooping clusters of tubular, bell-shaped flowers are cream, pink or purple depending on variety.[11]
Habitat
Grows in shaded, nutrient-rich ground - hedgerows, walls, waste ground and woodland edges, often near old buildings; native to Europe and Western Asia and naturalised in North America.[4]
Native to Europe and western Asia, growing in damp ground - riverbanks, ditches, damp meadows and waste ground - and widely cultivated.[11]
Harvesting
The flowering aerial parts are cut in spring to summer; the fresh orange latex is collected by breaking a stem or leaf as needed for topical (wart) use. Given the documented hepatotoxicity of oral preparations, harvesting for internal use is not recommended.[4]
Leaves are cut during the growing season (before flowering is often preferred for lower pyrrolizidine-alkaloid content); root is dug in autumn or spring from mature plants.[11]
Traditional Uses
Greater celandine has a long European folk history, reflected in its name 'tetterwort', as a topical remedy for warts and skin blemishes (the fresh orange latex dabbed directly on), and internally as a bitter choleretic digestive remedy for biliary and upper-abdominal dyspepsia - though oral use is now medically restricted because of documented liver injury.[4]
Comfrey has one of the strongest traditional reputations of any European herb for wound healing and bone/tissue repair - the folk names 'knitbone' and 'boneset' reflect this - owing to its high allantoin content, which stimulates cell proliferation. Because the plant also contains hepatotoxic pyrrolizidine alkaloids, modern regulatory use is restricted to topical preparations only, for minor bruises and sprains, and internal use (teas, tinctures) is no longer recommended.[11]
Preparations
Fresh orange latex from a broken stem dabbed directly onto warts, the classic external folk use; kept well away from eyes, mucous membranes and broken skin.
Historically taken as an infusion or tincture for biliary dyspepsia, but oral use is now restricted in several jurisdictions due to hepatotoxicity risk and should only be considered under professional supervision, if at all.
The officially recognised European herbal-monograph preparation, for minor bruises and sprains, short-term use only.
Dosage
Because of a documented risk of acute liver injury, no internal dose is given here; oral use should be avoided, especially by anyone with liver disease, and any sign of jaundice, dark urine or upper-abdominal pain warrants immediate medical attention. Educational reference only, not a prescription.
EU herbal-monograph guidance describes comfrey root preparations applied topically for minor bruises and sprains in adults, for a limited duration (commonly up to about 10 days); do not apply to broken skin or near eyes/mucous membranes. Comfrey must never be taken internally (no teas, tinctures or capsules) because of its pyrrolizidine alkaloid content. Educational reference only, not a prescription.
References
Lookalikes Review
Dangerous Lookalikes
Not documented
References & Sources
- Li, X.L., Sun, Y.P., Wang, M., Wang, Z.B. and Kuang, H.X (2024) 'Alkaloids in Chelidonium majus L.: a review of its phytochemistry, pharmacology and toxicology', Frontiers in Pharmacology, 15, pp. 1440979. doi:10.3389/fphar.2024.1440979 Traditional / reference
https://doi.org/10.3389/fphar.2024.1440979 - Koriem, K.M.M., Arbid, M.S. and Asaad, G.F (2012) 'Chelidonium majus leaves methanol extract and its chelidonine alkaloid ingredient reduce cadmium-induced nephrotoxicity in rats', Journal of Natural Medicines, 67(1), pp. 159-167. doi:10.1007/s11418-012-0667-6 Preclinical
https://doi.org/10.1007/s11418-012-0667-6 - Nawrot, R (2017) 'Defense-related Proteins from Chelidonium majus L. as Important Components of its Latex', Current Protein & Peptide Science, 18(8), pp. 864-880. doi:10.2174/1389203718666170406124013 Traditional / reference
https://doi.org/10.2174/1389203718666170406124013 - Gilca, M., Gaman, L., Panait, E., Stoian, I. and Atanasiu, V (2010) 'Chelidonium majus - an integrative review: traditional knowledge versus modern findings', Forschende Komplementarmedizin. doi:10.1159/000321397 Traditional / reference
https://doi.org/10.1159/000321397 - Popovic, A., Deljanin, M., Popovic, S., Todorovic, D., Djurdjevic, P., Matic, S., Stankovic, M., Avramovic, D. and Baskic, D (2021) 'Chelidonium majus crude extract induces activation of peripheral blood mononuclear cells and enhances their cytotoxic effect toward HeLa cells', International Journal of Environmental Health Research, 32(7), pp. 1554-1566. doi:10.1080/09603123.2021.1897534 Preclinical
https://doi.org/10.1080/09603123.2021.1897534 - Shen, L., Lee, S.A., Joo, J.C., Hong, E., Cui, Z.Y., Jo, E., Park, S.J. and Jang, H.J (2022) 'Chelidonium majus induces apoptosis of human ovarian cancer cells via ATF3-mediated regulation of Foxo3a by Tip60', Journal of Microbiology and Biotechnology, 32(4), pp. 493-503. doi:10.4014/jmb.2109.09030 Preclinical
https://doi.org/10.4014/jmb.2109.09030 - Deljanin, M., Nikolic, M., Baskic, D., Todorovic, D., Djurdjevic, P., Zaric, M., Stankovic, M., Todorovic, M., Avramovic, D. and Popovic, S (2016) 'Chelidonium majus crude extract inhibits migration and induces cell cycle arrest and apoptosis in tumor cell lines', Journal of Ethnopharmacology, 190, pp. 362-371. doi:10.1016/j.jep.2016.06.056 Preclinical
https://doi.org/10.1016/j.jep.2016.06.056 - Warowicka, A., Qasem, B., Dera-Szymanowska, A., Wolun-Cholewa, M., Florczak, P., Horst, N., Napierala, M., Szymanowski, K., Popenda, L., Bartkowiak, G., Florek, E., Gozdzicka-Jozefiak, A. and Mlynarz, P (2021) 'Effect of protoberberine-rich fraction of Chelidonium majus L. on endometriosis regression', Pharmaceutics, 13(7), pp. 931. doi:10.3390/pharmaceutics13070931 Preclinical
https://doi.org/10.3390/pharmaceutics13070931 - Kadan, G., Gozler, T. and Hesse, M (1992) '(+)-Norchelidonine from Chelidonium majus', Planta Medica, 58(5), pp. 477. doi:10.1055/s-2006-961523 Preclinical
https://doi.org/10.1055/s-2006-961523 - Musidlak, O., Warowicka, A., Broniarczyk, J., Adamczyk, D., Gozdzicka-Jozefiak, A. and Nawrot, R (2022) 'The activity of Chelidonium majus L. latex and its components on HPV reveal insights into the antiviral molecular mechanism', International Journal of Molecular Sciences, 23(16), pp. 9241. doi:10.3390/ijms23169241 Preclinical
https://doi.org/10.3390/ijms23169241 - Zhang, W., You, C., Wang, C., Fan, L., Wang, Y., Su, Y., Deng, Z. and Du, S (2014) 'One new alkaloid from Chelidonium majus L', Natural Product Research, 28(21), pp. 1873-1878. doi:10.1080/14786419.2014.953497 Preclinical
https://doi.org/10.1080/14786419.2014.953497 - Capistrano I, R., Wouters, A., Lardon, F., Gravekamp, C., Apers, S. and Pieters, L (2015) 'In vitro and in vivo investigations on the antitumour activity of Chelidonium majus', Phytomedicine, 22(14), pp. 1279-1287. doi:10.1016/j.phymed.2015.10.013 Preclinical
https://doi.org/10.1016/j.phymed.2015.10.013 - Teschke, R., Frenzel, C., Glass, X., Schulze, J. and Eickhoff, A (2012) 'Greater Celandine hepatotoxicity: a clinical review', Annals of Hepatology. doi:10.1016/s1665-2681(19)31408-5 Clinical study
https://doi.org/10.1016/s1665-2681(19)31408-5 - Ciornolutchii, V., Ismaiel, A., Sabo, C.M., Al Hajjar, N., Seicean, A. and Dumitrascu, D.L (2024) 'A Hidden Cause of Hypertransaminasemia: Liver Toxicity Caused by Chelidonium Majus L. Report of Two Cases of Herb-Induced Liver Injury and Literature Review', American Journal of Therapeutics, 31(4), pp. e382--e387. doi:10.1097/MJT.0000000000001708 Clinical study
https://doi.org/10.1097/MJT.0000000000001708
- Syarifah, A.N., Suryadi, H., Hayun, H., Simamora, A. and others (2023) 'Detoxification of comfrey (Symphytum officinale L.) extract using natural deep eutectic solvent (NADES) and evaluation of its anti-inflammatory, antioxidant, and hepatoprotective properties', Frontiers in Pharmacology, 14, pp. 1012716. doi:10.3389/fphar.2023.1012716 Preclinical
https://doi.org/10.3389/fphar.2023.1012716 - Melnyk, N., Popowski, D., Strawa, J.W., Przygodzinska, K. and others (2023) 'Skin microbiota metabolism of natural products from comfrey root (Symphytum officinale L.)', Journal of Ethnopharmacology, 318(Pt B), pp. 116968. doi:10.1016/j.jep.2023.116968 Preclinical
https://doi.org/10.1016/j.jep.2023.116968 - Trifan, A., Skalicka-Wozniak, K., Granica, S., Czerwinska, M.E. and others (2020) 'Symphytum officinale L.: Liquid-liquid chromatography isolation of caffeic acid oligomers and evaluation of their influence on pro-inflammatory cytokine release in LPS-stimulated neutrophils', Journal of Ethnopharmacology, 262, pp. 113169. doi:10.1016/j.jep.2020.113169 Preclinical
https://doi.org/10.1016/j.jep.2020.113169 - Brown, A.W., Stegelmeier, B.L., Colegate, S.M., Gardner, D.R. and others (2016) 'The comparative toxicity of a reduced, crude comfrey (Symphytum officinale) alkaloid extract and the pure, comfrey-derived pyrrolizidine alkaloids, lycopsamine and intermedine in chicks (Gallus gallus domesticus)', Journal of Applied Toxicology, 36(5), pp. 716-725. doi:10.1002/jat.3205 Preclinical
https://doi.org/10.1002/jat.3205 - Trifan, A., Wolfram, E., Esslinger, N., Grubelnik, A. and others (2021) 'Globoidnan A, rabdosiin and globoidnan B as new phenolic markers in European-sourced comfrey (Symphytum officinale L.) root samples', Phytochemical Analysis, 32(4), pp. 482-494. doi:10.1002/pca.2996 Preclinical
https://doi.org/10.1002/pca.2996 - Nastic, N., Borras-Linares, I., Lozano-Sanchez, J., Svarc-Gajic, J. and others (2020) 'Comparative Assessment of Phytochemical Profiles of Comfrey (Symphytum officinale L.) Root Extracts Obtained by Different Extraction Techniques', Molecules, 25(4), pp. 837. doi:10.3390/molecules25040837 Preclinical
https://doi.org/10.3390/molecules25040837 - Frost, R., MacPherson, H. and O'Meara, S (2013) 'A critical scoping review of external uses of comfrey (Symphytum spp.)', Complementary Therapies in Medicine, 21(6), pp. 724-745. doi:10.1016/j.ctim.2013.09.009 Meta-analysis / review
https://doi.org/10.1016/j.ctim.2013.09.009 - Trifan, A., Opitz, S.E.W., Josuran, R., Grubelnik, A. and others (2018) 'Is comfrey root more than toxic pyrrolizidine alkaloids? Salvianolic acids among antioxidant polyphenols in comfrey (Symphytum officinale L.) roots', Food and Chemical Toxicology, 112, pp. 178-187. doi:10.1016/j.fct.2017.12.051 Preclinical
https://doi.org/10.1016/j.fct.2017.12.051 - Dey, D., Jingar, P., Agrawal, S., Shrivastava, V. and others (2019) 'Symphytum officinale augments osteogenesis in human bone marrow-derived mesenchymal stem cells in vitro as they differentiate into osteoblasts', Journal of Ethnopharmacology, 248, pp. 112329. doi:10.1016/j.jep.2019.112329 Preclinical
https://doi.org/10.1016/j.jep.2019.112329 - Kuchta, K. and Schmidt, M (2020) 'Safety of medicinal comfrey cream preparations (Symphytum officinale s.l.): The pyrrolizidine alkaloid lycopsamine is poorly absorbed through human skin', Regulatory Toxicology and Pharmacology, 118, pp. 104784. doi:10.1016/j.yrtph.2020.104784 Preclinical
https://doi.org/10.1016/j.yrtph.2020.104784 - European Medicines Agency (2011) 'European Union herbal monograph on Symphytum officinale L., radix'. Traditional / reference
https://scholar.google.com/scholar?q=European%20Union%20herbal%20monograph%20on%20Symphytum%20officinale%20L.%2C%20radix - Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
https://powo.science.kew.org - Staiger, C (2012) 'Comfrey: a clinical overview', 26(10), pp. 1441--1448. doi:10.1002/ptr.4612 Randomized trial
https://doi.org/10.1002/ptr.4612 - 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 - Vithayathil, M.K. and Edwards, M (2016) 'Comfrey herbal remedy causing second-degree heart block: do not be outfoxed by digitalis', BMJ Case Reports, 2016, pp. bcr2016216995. doi:10.1136/bcr-2016-216995 Clinical study
https://doi.org/10.1136/bcr-2016-216995 - Lin, C.C. and Yang, C.C. and Phua, D.H. and Deng, J.F. and Lu, L.H (2010) 'An outbreak of foxglove leaf poisoning', Journal of the Chinese Medical Association, 73(2), pp. 97-100. doi:10.1016/S1726-4901(10)70009-5 Clinical study
https://doi.org/10.1016/S1726-4901(10)70009-5 - Woodland Trust (2024) 'Foxglove (Digitalis purpurea)'. Available at: https://www.woodlandtrust.org.uk/trees-woods-and-wildlife/plants/wild-flowers/foxglove/ Traditional / reference
https://www.woodlandtrust.org.uk/trees-woods-and-wildlife/plants/wild-flowers/foxglove/
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.