Omnia SanaPlant Comparison
Wild Yam vs Willow Bark
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
Wild Yam and Willow Bark: they share 6 indicated uses (arthritis / joint pain, back pain, headache, …); 2 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Wild Yam | Willow Bark | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 2/10 | 7/10 | Stronger for Willow Bark |
| Back pain | 2/10 | 9/10 | Stronger for Willow Bark |
| Headache | 2/10 | 1/10 | Comparable evidence |
| Inflammation (general) | 2/10 | 8/10 | Stronger for Willow Bark |
| Pain (general) | 2/10 | 9/10 | Stronger for Willow Bark |
| Skin irritation | 2/10 | 8/10 | Stronger for Willow Bark |
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
Diosgenin is an industrial precursor for making steroid hormones in the laboratory, but it is NOT converted into hormones in the human body. Oral bioavailability of diosgenin is low; in animal studies orally administered diosgenin restored skin thickness in ovariectomised mice and lowered blood lipids.
Metabolised in the body to salicylic acid - the 'natural aspirin' that gives the analgesic, anti-inflammatory and antipyretic effects.
Pharmacological Actions
Antispasmodic / analgesic for menstrual cramps and muscle spasm (antinociceptive in animal models)
Anti-inflammatory for joint and inflammatory pain
Antispasmodic / analgesic for menstrual cramps and muscle spasm (antinociceptive in animal models)
Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks
Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks
Antipyretic (reduces fever)
Traditional & Indicated Uses
inferred from anti-inflammatory action
inferred from anticancer action
inferred from anti-inflammatory action
Traditional support for menopausal symptoms (see safety note - it does NOT act as a natural progesterone) - a placebo-controlled crossover RCT of topical wild yam cream found little effect on menopausal symptoms, lipids or hormones
Antispasmodic / analgesic for menstrual cramps and muscle spasm (antinociceptive in animal models)
Antispasmodic / analgesic for menstrual cramps and muscle spasm (antinociceptive in animal models)
Anti-inflammatory for joint and inflammatory pain
inferred from anti-inflammatory action
Relief of joint pain, osteoarthritis and rheumatic complaints
Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks
inferred from anti-inflammatory action
Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks; Relief of joint pain, osteoarthritis and rheumatic complaints
Safety, Cautions & Contraindications
IMPORTANT myth-bust: wild yam / diosgenin is NOT converted into progesterone or DHEA in the body, so it does not work as a 'natural progesterone' - claims to that effect are incorrect. Consistent with this, a randomized placebo-controlled crossover trial of topical wild yam cream found no significant change in symptoms, serum/salivary progesterone, oestradiol, FSH or lipids.
Generally well tolerated orally (no acute or subchronic toxicity in animal studies); large doses may cause nausea or vomiting. Avoid medicinal doses in pregnancy and breastfeeding and in hormone-sensitive conditions as a precaution.
Because it works like aspirin, avoid willow bark if you are allergic to aspirin or salicylates, and do NOT give it to children or teenagers with a viral illness (risk of Reye's syndrome). Use caution in asthma (salicylate sensitivity).
Avoid with anticoagulant/antiplatelet medicines (bleeding risk) and in active peptic ulcer; avoid in pregnancy (especially the third trimester) and breastfeeding.
External Ids
Botanical Description
Twining, herbaceous perennial vine with heart-shaped leaves arising from a knotty, woody, cinnamon-brown rhizome ('root'). Small, inconspicuous greenish-yellow flowers are borne on separate male and female plants, followed on female plants by small three-winged seed capsules.[10]
Large deciduous tree (Salicaceae), 10-25 m tall (occasionally taller), fast-growing with a broad crown. Leaves are narrow and lance-shaped, silvery-white and silky-hairy beneath, giving the tree a shimmering appearance in the wind. Tiny flowers are borne in catkins appearing with the leaves in spring; the species is dioecious. The fruit is a small capsule releasing cottony-tufted seeds.[12]
Habitat
Native to woodland edges, thickets and fence rows of eastern North America, growing over shrubs and fences in moist, rich soil.[10]
Native to Europe, western and central Asia and North Africa, growing on damp ground along riverbanks, floodplains and wet meadows; widely planted and naturalised elsewhere.[12]
Harvesting
The knotty rhizome is dug in autumn once the aerial vine has died back, then cleaned and dried.
Bark is stripped from young branches (2-3-year-old growth is preferred, as salicin content is highest in younger bark) in spring, when the rising sap makes the bark peel most easily, then dried.[12]
Traditional Uses
Wild yam root has a Native American and Eclectic-medicine history as an antispasmodic remedy for colic, menstrual cramps and rheumatic joint pain (reflected in the old names 'colic root' and 'rheumatism root'); despite a persistent modern myth, its diosgenin content is not converted into progesterone or other hormones in the human body.[10]
Willow bark has one of the longest documented histories of any medicinal plant, used since antiquity (recorded by Hippocrates) as a remedy for pain and fever. Its salicin content, chemically related to aspirin, gives it official European herbal-monograph recognition for mild joint pain, headache and feverish colds, with modern clinical trials supporting benefit for low back pain.[11, 12]
Preparations
References
Lookalikes Review
Dosage
Not documented
Clinical trials for back pain have used around 240 mg salicin/day of standardised extract. Educational reference only, not a prescription; avoid if allergic to aspirin/salicylates, in children/teenagers with a viral illness (Reye's syndrome risk), or alongside anticoagulants.
References & Sources
- Depypere, H.T. and Comhaire, F.H (2013) 'Herbal preparations for the menopause: beyond isoflavones and black cohosh', Maturitas, 77(2), pp. 191-194. doi:10.1016/j.maturitas.2013.11.001 Traditional / reference
https://doi.org/10.1016/j.maturitas.2013.11.001 - Cai, B., Zhang, Y., Wang, Z., Xu, D. et al (2020) 'Therapeutic Potential of Diosgenin and Its Major Derivatives against Neurological Diseases: Recent Advances', Oxidative Medicine and Cellular Longevity, 2020, pp. 3153082. doi:10.1155/2020/3153082 Traditional / reference
https://doi.org/10.1155/2020/3153082 - Raj, P.S., Bergfeld, W.F., Belsito, D.V., Cohen, D.E. et al (2023) 'Safety Assessment of Dioscorea Villosa (Wild Yam) Root Extract as Used in Cosmetics', International Journal of Toxicology, 42(3_suppl), pp. 29S-31S. doi:10.1177/10915818231204230 Traditional / reference
https://doi.org/10.1177/10915818231204230 - Dong, S., Nikolic, D., Simmler, C., Qiu, F., van Breemen, R.B., Soejarto, D.D., Pauli, G.F. and Chen, S (2012) 'Diarylheptanoids from Dioscorea villosa (wild yam)', Journal of Natural Products, 75(12), pp. 2168-2177. doi:10.1021/np300603z Preclinical
https://doi.org/10.1021/np300603z - Dong, S., Cai, G., Napolitano, J.G., Nikolic, D., Lankin, D.C., McAlpine, J.B., van Breemen, R.B., Soejarto, D.D., Pauli, G.F. and Chen, S (2013) 'Lipidated steroid saponins from Dioscorea villosa (wild yam)', Fitoterapia, 91, pp. 113-124. doi:10.1016/j.fitote.2013.07.018 Preclinical
https://doi.org/10.1016/j.fitote.2013.07.018 - Wojcikowski, K., Wohlmuth, H., Johnson, D.W. and Gobe, G (2008) 'Dioscorea villosa (wild yam) induces chronic kidney injury via pro-fibrotic pathways', Food and Chemical Toxicology, 46(9), pp. 3122-3131. doi:10.1016/j.fct.2008.06.090 Preclinical
https://doi.org/10.1016/j.fct.2008.06.090 - Mazzio, E., Almalki, A., Darling-Reed, S.F. and Soliman, K.F.A (2021) 'Effects of wild yam root (Dioscorea villosa) extract on the gene expression profile of triple-negative breast cancer cells', Cancer Genomics & Proteomics, 18(6), pp. 735-755. doi:10.21873/cgp.20294 Preclinical
https://doi.org/10.21873/cgp.20294 - Ali, Z., Smillie, T.J. and Khan, I.A (2013) 'Cholestane steroid glycosides from the rhizomes of Dioscorea villosa (wild yam)', Carbohydrate Research, 370, pp. 86-91. doi:10.1016/j.carres.2012.12.022 Preclinical
https://doi.org/10.1016/j.carres.2012.12.022 - Manda, V.K., Avula, B., Ali, Z., Wong, Y., Smillie, T.J., Khan, I.A. and Khan, S.I (2013) 'Characterization of in vitro ADME properties of diosgenin and dioscin from Dioscorea villosa', Planta Medica, 79(15), pp. 1421-1428. doi:10.1055/s-0033-1350699 Preclinical
https://doi.org/10.1055/s-0033-1350699 - Lima, C.M., Lima, A.K., Melo, M.G.D., Serafini, M.R., Oliveira, D.L., de Almeida, E.B., Barreto, R.S.S., Nogueira, P.C., Moraes, V.R.S., Oliveira, E.R.A., de Albuquerque, R.L.C., Quintans-Junior, L.J. and Araujo, A.A.S (2013) 'Bioassay-guided evaluation of Dioscorea villosa - an acute and subchronic toxicity, antinociceptive and anti-inflammatory approach', BMC Complementary and Alternative Medicine. doi:10.1186/1472-6882-13-195 Preclinical
https://doi.org/10.1186/1472-6882-13-195 - Avula, B., Wang, Y., Wang, M., Ali, Z., Smillie, T.J., Zweigenbaum, J. and Khan, I.A (2014) 'Characterization of steroidal saponins from Dioscorea villosa and D. cayenensis using ultrahigh performance liquid chromatography/electrospray ionization quadrupole time-of-flight mass spectrometry', Planta Medica, 80(4), pp. 321-329. doi:10.1055/s-0033-1360330 Preclinical
https://doi.org/10.1055/s-0033-1360330 - Siddiqui, M.A., Ali, Z., Chittiboyina, A.G. and Khan, I.A (2018) 'Hepatoprotective effect of steroidal glycosides from Dioscorea villosa on hydrogen peroxide-induced hepatotoxicity in HepG2 cells', Frontiers in Pharmacology, 9, pp. 797. doi:10.3389/fphar.2018.00797 Preclinical
https://doi.org/10.3389/fphar.2018.00797 - Hayes, P.Y., Lambert, L.K., Lehmann, R., Penman, K., Kitching, W. and De Voss, J.J (2007) 'Complete 1H and 13C assignments of the four major saponins from Dioscorea villosa (wild yam)', Magnetic Resonance in Chemistry, 45(11), pp. 1001-1005. doi:10.1002/mrc.2071 Preclinical
https://doi.org/10.1002/mrc.2071 - Okawara, M. and Tokudome, Y. and Todo, H. and Sugibayashi, K. and Hashimoto, F (2013) 'Enhancement of diosgenin distribution in the skin by cyclodextrin complexation following oral administration', Biological & Pharmaceutical Bulletin, 36(1), pp. 36--40. doi:10.1248/bpb.b12-00467 Preclinical
https://doi.org/10.1248/bpb.b12-00467 - Komesaroff, P.A., Black, C.V., Cable, V. and Sudhir, K (2001) 'Effects of wild yam extract on menopausal symptoms, lipids and sex hormones in healthy menopausal women', Climacteric, 4(2), pp. 144--150. doi:10.1080/cmt.4.2.144.150 Randomized trial
https://doi.org/10.1080/cmt.4.2.144.150
- Shara, M. and Stohs, S.J (2015) 'Efficacy and Safety of White Willow Bark (Salix alba) Extracts', Phytotherapy Research, 29(8), pp. 1112-1116. doi:10.1002/ptr.5377 Meta-analysis / review
https://doi.org/10.1002/ptr.5377 - Maistro, E.L., Terrazzas, P.M., Perazzo, F.F., Gaivao, I.O.M. and others (2020) 'Salix alba (white willow) medicinal plant presents genotoxic effects in human cultured leukocytes', Journal of Toxicology and Environmental Health, Part A, 82(23-24), pp. 1223-1234. doi:10.1080/15287394.2019.1711476 Preclinical
https://doi.org/10.1080/15287394.2019.1711476 - Matyjaszczyk, E. and Schumann, R. (EU-FORA) (2018) 'Risk assessment of white willow (Salix alba) in food', EFSA Journal, 16(Suppl 1), pp. e16081. doi:10.2903/j.efsa.2018.e16081 Meta-analysis / review
https://doi.org/10.2903/j.efsa.2018.e16081 - Phillips, H.N., Sharpe, K.T., Endres, M.I. and Heins, B.J (2021) 'Effects of oral white willow bark (Salix alba) and intravenous flunixin meglumine on prostaglandin E2 in healthy dairy calves', JDS Communications, 3(1), pp. 49-54. doi:10.3168/jdsc.2021-0138 Preclinical
https://doi.org/10.3168/jdsc.2021-0138 - Kong, C.S., Kim, K.H., Choi, J.S., Kim, J.E. and others (2014) 'Salicin, an extract from white willow bark, inhibits angiogenesis by blocking the ROS-ERK pathways', Phytotherapy Research, 28(8), pp. 1246-1251. doi:10.1002/ptr.5126 Preclinical
https://doi.org/10.1002/ptr.5126 - Noleto-Dias, C., Ward, J.L., Bellisai, A., Lomax, C. and Beale, M.H (2018) 'Salicin-7-sulfate: A new salicinoid from willow and implications for herbal medicine', Fitoterapia, 127, pp. 166-172. doi:10.1016/j.fitote.2018.02.009 Preclinical
https://doi.org/10.1016/j.fitote.2018.02.009 - Wolfle, U., Haarhaus, B., Kersten, A., Fiebich, B. and others (2015) 'Salicin from Willow Bark can Modulate Neurite Outgrowth in Human Neuroblastoma SH-SY5Y Cells', Phytotherapy Research, 29(10), pp. 1494-1500. doi:10.1002/ptr.5400 Preclinical
https://doi.org/10.1002/ptr.5400 - Gagnier, J.J., van Tulder, M., Berman, B. and Bombardier, C (2006) 'Herbal medicine for low back pain (Cochrane review)', Cochrane Database of Systematic Reviews, (2), pp. CD004504. doi:10.1002/14651858.CD004504.pub3 Meta-analysis / review
https://doi.org/10.1002/14651858.CD004504.pub3 - Oltean, H., Robbins, C., van Tulder, M.W., Berman, B.M. and others (2014) 'Herbal medicine for low-back pain (Cochrane review update)', Cochrane Database of Systematic Reviews, 2014(12), pp. CD004504. doi:10.1002/14651858.CD004504.pub4 Meta-analysis / review
https://doi.org/10.1002/14651858.CD004504.pub4 - Amel Zabihi, N., Mahmoudabady, M., Soukhtanloo, M., Hayatdavoudi, P. and others (2018) 'Salix alba attenuated oxidative stress in the heart and kidney of hypercholesterolemic rabbits', Avicenna Journal of Phytomedicine, 8(1), pp. 63-72. Preclinical
https://scholar.google.com/scholar?q=Salix%20alba%20attenuated%20oxidative%20stress%20in%20the%20heart%20and%20kidney%20of%20hypercholesterolemic%20rabbits - Vlachojannis, J.E., Cameron, M. and Chrubasik, S (2009) 'A systematic review on the effectiveness of willow bark for musculoskeletal pain', Phytotherapy Research. doi:10.1002/ptr.2747 Meta-analysis / review
https://doi.org/10.1002/ptr.2747 - European Medicines Agency (HMPC) (n.d.) 'European Union herbal monograph on Salix [various species], cortex (Salicis cortex)'. Available at: https://www.ema.europa.eu/en/medicines/herbal/salicis-cortex Traditional / reference
https://www.ema.europa.eu/en/medicines/herbal/salicis-cortex - Chrubasik, S., Eisenberg, E., Balan, E., Weinberger, T., Luzzati, R. and Conradt, C (2000) 'Treatment of low back pain exacerbations with willow bark extract: a randomized double-blind study', The American Journal of Medicine, 109(1), pp. 9--14. doi:10.1016/S0002-9343(00)00442-3 Randomized trial
https://doi.org/10.1016/S0002-9343(00)00442-3
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.