Plant Comparison

Field Horsetail vs Elecampane

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 AField HorsetailEquisetum arvenseEquisetaceaeFull monograph →
Plant BElecampaneInula heleniumAsteraceaeFull monograph →

At a glance

Field Horsetail and Elecampane: they share 6 indicated uses (arthritis / joint pain, cancer (anticancer research), infection (general), …); 3 pharmacological actions in common.

Field HorsetailElecampane
Constituents33
Pharmacological actions64
Indicated uses119
Safety notes22
Cited sources1914
Indicated uses
Only Field Horsetail
Back painBruisingSwelling / fluid retentionUrinary supportUrinary tract infection (UTI)
Shared (6)
Arthritis / joint painCancer (anticancer research)Infection (general)Inflammation (general)Skin irritationWounds
Only Elecampane
BronchitisCoughRespiratory support
Pharmacological actions
Only Field Horsetail
Anti-rheumatic / anti-arthriticDiureticVulnerary (wound healing)
Shared (3)
Anti-inflammatoryAnticancer (preclinical)Antimicrobial
Only Elecampane
Expectorant

Evidence face-off — shared uses

ConditionField HorsetailElecampaneVerdict
Arthritis / joint pain5/102/10Stronger for Field Horsetail
Cancer (anticancer research)2/102/10Comparable evidence
Infection (general)5/102/10Stronger for Field Horsetail
Inflammation (general)5/102/10Stronger for Field Horsetail
Skin irritation5/102/10Stronger for Field Horsetail
Wounds5/102/10Stronger for Field Horsetail

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

Silica (silicic acid)[11]

Field horsetail is exceptionally rich in silica, concentrated in the stem, and is a signature source of this mineral in Western herbal medicine.

Silica
Flavonoids[11]

Antioxidant flavonoids contributing to the plant's anti-inflammatory activity.

Flavonoids
Thiaminase[11]

An enzyme that degrades vitamin B1 (thiamine); the basis of the caution against prolonged or excessive use.

Sesquiterpene lactones (alantolactone, isoalantolactone, igalan, diplophyllin)[2, 12, 13, 14]

The antimicrobial and anti-inflammatory principles of the root; the eudesmane core and the alpha,beta-methylene-lactone ring are essential for the antimicrobial activity.

Sesquiterpene lactonesSesquiterpenes
Inulin[12]

A fructan polysaccharide abundant in the root (the genus Inula gives inulin its name).

PolysaccharidesInulin
Essential oil[12]

Aromatic constituents of the root.

Essential (volatile) oil

Pharmacological Actions

Anti-inflammatory[2, 3, 5, 11, 12, 13, 14, 15]
Anti-rheumatic / anti-arthritic[2, 11, 12, 13, 14, 15]
Anticancer (preclinical)[4]
Antimicrobial[11, 12, 13, 14, 15]
Diuretic[11, 12, 13, 14, 15]
Vulnerary (wound healing)[11, 12, 13, 14, 15]
Anti-inflammatory[1, 2, 3, 4, 5]

Anti-inflammatory - sesquiterpene lactones (alantolactone, isoalantolactone) inhibit NF-kB and MAPK signalling and pro-inflammatory cytokines; total sesquiterpene lactones eased arthritis in animal models (potential in rheumatoid arthritis)

Anticancer (preclinical)[9, 10, 11]
Antimicrobial[6, 12, 13, 14]

Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection

Expectorant[1, 12]

Expectorant for productive cough and bronchitis (long-standing respiratory remedy)

Traditional & Indicated Uses

Arthritis / joint pain[2, 11, 12, 13, 14, 15]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Arthritis / joint pain
Back pain[11, 12, 13, 14, 15]Moderate · 5/10

inferred from anti-rheumatic action

Evidence: 5
Label: Back pain
Bruising[11, 12, 13, 14, 15]Moderate · 5/10

inferred from vulnerary action

Evidence: 5
Label: Bruising
Cancer (anticancer research)[4]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Infection (general)[11, 12, 13, 14, 15]Moderate · 5/10

inferred from antimicrobial action

Evidence: 5
Label: Infection (general)
Inflammation (general)[3, 11, 12, 13, 14, 15]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Inflammation (general)
Skin irritation[11, 12, 13, 14, 15]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Skin irritation
Swelling / fluid retention[11, 12, 13, 14, 15]Moderate · 5/10

inferred from diuretic action

Evidence: 5
Label: Swelling / fluid retention
Urinary support[11, 12, 13, 14, 15]Moderate · 5/10

inferred from diuretic action

Evidence: 5
Label: Urinary support
Urinary tract infection (UTI)[11, 12, 13, 14, 15]Moderate · 5/10

inferred from diuretic action

Evidence: 5
Label: Urinary tract infection (UTI)
Wounds[11, 12, 13, 14, 15]Moderate · 5/10

inferred from antimicrobial action

Evidence: 5
Label: Wounds
Arthritis / joint pain[2]Traditional · 2/10

Anti-inflammatory - sesquiterpene lactones (alantolactone, isoalantolactone) inhibit NF-kB and MAPK signalling and pro-inflammatory cytokines; total sesquiterpene lactones eased arthritis in animal models (potential in rheumatoid arthritis)

Evidence: 2
Label: Arthritis / joint pain
Bronchitis[12]Traditional · 1/10

Expectorant for productive cough and bronchitis (long-standing respiratory remedy)

Evidence: 1
Label: Bronchitis
Cancer (anticancer research)[9, 10, 11]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Cough[12]Traditional · 1/10

Expectorant for productive cough and bronchitis (long-standing respiratory remedy); Soothes irritated airways / chronic catarrh (traditional)

Evidence: 1
Label: Cough
Infection (general)[12, 13, 14]Traditional · 2/10

Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection

Evidence: 2
Label: Infection (general)
Inflammation (general)[2]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Inflammation (general)
Respiratory support[12]Traditional · 1/10

inferred from expectorant action

Evidence: 1
Label: Respiratory support
Skin irritation[2]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Skin irritation
Wounds[12, 13, 14]Traditional · 2/10

inferred from antimicrobial action

Evidence: 2
Label: Wounds

Safety, Cautions & Contraindications

Safety note[11, 12, 13, 14, 15]Caution

Field horsetail contains thiaminase, an enzyme that degrades thiamine (vitamin B1); prolonged or excessive use can cause thiamine deficiency — symptoms include neurological problems and weight loss. This risk is greatest with repeated large doses or prolonged use. The plant also contains nicotine at low levels and silica compounds. Not recommended for children or during pregnancy and breastfeeding. People with impaired kidney function should avoid use, as diuretic effects may worsen fluid and electrolyte imbalance. Caution with concurrent diuretic medications. The EMA herbal monograph recognises traditional use at appropriate short-term doses in adults only (European Medicines Agency, 2016; Sandhu et al., 2010).

Safety note[11, 12, 13, 14, 15, 16]Caution

Duke (2002) rates horsetail as + (moderate caution) and notes clinical evidence (score 2) for its diuretic and wound-healing (vulnerary) activities, consistent with Commission E approval. High silica content may strengthen connective tissue, hair, and nails. Dose: 6 g dried herb daily as tea or in capsules. Horsetail contains thiaminase (breaks down vitamin B1) and an unidentified neurotoxin — it should not be taken long-term or in large quantities. Not for use in patients with edema due to cardiac or renal insufficiency, and avoid in children under 12 (Duke, 2002).

Safety note[12]Info

The sesquiterpene lactones (especially alantolactone) are known skin sensitisers and can cause allergic contact dermatitis; people sensitive to the daisy family (Asteraceae) should be cautious.

Safety note[12]Caution

Large doses can cause nausea, vomiting and diarrhoea; safety in pregnancy and breastfeeding is not established, so avoid medicinal doses.

External Ids

Gbif: 7924597
Wikidata: Q107592
Gbif: 3148340
Wikidata: Q697416

Botanical Description

Perennial, spore-bearing (non-flowering) plant with two distinct stem types arising from a deep, black, jointed rhizome. In early spring, unbranched, pale brownish fertile stems appear first, each topped with a spore-bearing cone, and die back once spores are shed; these are followed by the familiar green, hollow, jointed, ridged sterile stems bearing whorls of thin, needle-like branches at each node, giving a bottlebrush appearance.

Height: 20-80 cm (sterile stems)
Habit: Perennial, spore-bearing (non-flowering) herb with separate fertile and sterile stems
Leaves: Reduced to small, fused, toothed sheaths at each stem node (true leaves absent)
Flowers: None; reproduces by spores borne in a cone atop the unbranched fertile spring stems
Stem: Hollow, jointed, ridged green sterile stems with whorled branches; separate pale unbranched fertile stems in spring
Root: Deep, black, jointed, far-spreading rhizome
Fruit: Spores released from the fertile cone, not a true fruit
Flowering Period: Not applicable (spore-bearing); fertile stems appear in early spring

Tall, robust perennial herb with large, coarse, hairy leaves - broadly oval near the base and progressively smaller up the stem - arising from a thick, aromatic rhizome. Large, shaggy, bright yellow daisy-like flower heads with numerous narrow ray florets are borne at the top of stout, branching stems.[12]

Height: 1-2.5 m
Habit: Tall, robust, coarse-leaved perennial herb
Leaves: Large, coarse, hairy, broadly oval near the base, smaller up the stem
Flowers: Large, shaggy, bright yellow daisy-like heads with numerous narrow ray florets
Stem: Stout, branching, hairy
Root: Thick, aromatic, branching rhizome (the medicinal part)
Fruit: Small achene with a pappus
Flowering Period: July-August

Habitat

Grows in damp grassland, waste ground, riverbanks, roadsides and disturbed soil on a wide range of soils; native and common across the temperate Northern Hemisphere (Europe, Asia, North America).

Grows in damp meadows, pastures, roadsides and woodland margins on moist, rich soils; native to Europe and Western Asia and naturalised in North America.[12]

Harvesting

The green sterile stems are cut in summer, at their most vigorous, and dried quickly in a warm, shaded, airy place; careful identification against the more toxic marsh horsetail (Equisetum palustre), which grows in similar damp ground, is essential before wild-harvesting.

Parts: Stem, Whole Plant
Season: Summer, when sterile stems are fully grown

The root and rhizome are dug in autumn of the second or later year, when sesquiterpene lactone and inulin content is highest, then cleaned, sliced and dried.[12]

Parts: Root and rhizome
Season: Autumn, from second-year or older plants

Traditional Uses

Field horsetail has a long European folk history as a diuretic remedy for urinary gravel and mild fluid retention, as an astringent, anti-inflammatory and vulnerary herb for wounds and connective-tissue support, and, owing to its very high silica content, as a traditional tonic for hair, nails and skin.[11]

Elecampane root has a long European tradition, reflected in the old name 'elf dock', as a warming expectorant remedy for productive cough, bronchitis and chronic respiratory catarrh, and topically and internally as an antimicrobial for skin and wound infections.[12]

Preparations

Decoction/infusion[11]

Dried sterile stem simmered or infused in hot water as a traditional diuretic and connective-tissue-support tea.

Decoction[12]

Dried root simmered in water as a traditional expectorant and antimicrobial tea.

Dosage

Decoction/infusion[12]

The EU herbal monograph gives a single dose of 1-4 g of the comminuted herb in 150 mL of boiling water as an infusion or decoction (5-15 minutes), 3-4 times daily, for a daily dose of 3-12 g, in adolescents, adults and elderly; traditionally used over a period of 2 to 4 weeks. For cutaneous use, 10 g in 1 L of water as a decoction for impregnated dressings and irrigation. Not recommended under 12 years. Educational reference only, not a prescription.

Not documented

References

REF-1398, REF-0727, REF-1399, REF-1400, REF-1401, REF-1402, REF-1403, REF-1404, REF-1405, REF-1406
REF-1858, REF-0538, REF-1859, REF-1860, REF-1861, REF-1862, REF-1863, REF-1864, REF-1865, REF-1866, REF-1867

Lookalikes Review

Outcome: has-lookalikes
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

Dangerous Lookalikes

Safety note[17, 18, 19]Dangerous
Dangerous Plant: equisetum-palustre
Confused Part: Sterile green stems gathered and dried for horsetail tea; toxic marsh horsetail looks very similar and grows in the same damp ground.
Confusion Context: Field horsetail (Equisetum arvense) is gathered for horsetail tea, but horsetails are notoriously hard to tell apart, and marsh horsetail (Equisetum palustre) - one of the most poisonous plants of wet grasslands - grows in the same damp habitat and looks very similar. Marsh horsetail contains the alkaloids palustrine and palustridiene plus high thiaminase (which destroys vitamin B1); it is a well-known livestock poison, and peer-reviewed work stresses that medicinal horsetail must be properly authenticated and differentiated from the more toxic marsh horsetail, which can adulterate herbal material. Because the species are so alike, unverified wild horsetail is a real hazard.
Distinguishing Features: Branch teeth: marsh horsetail (the toxic one) has 5-6 teeth on each branch sheath that lie flat (appressed) against the branch. Broad, spreading teeth in threes or fours indicate a non-toxic horsetail rather than marsh horsetail., Branches solid vs hollow: marsh horsetail has hollow branches, whereas field horsetail's branches are solid. A hollow first branch segment is a warning sign., First branch segment vs sheath: on marsh horsetail the lowest segment of each side branch is short - shorter than or about equal to the stem sheath it emerges from. A first branch segment clearly longer than the sheath indicates it is NOT marsh horsetail. Marsh horsetail also favours wet, marshy ground and fens.
Key Test: Because horsetails are so alike and marsh horsetail is poisonous, only use wild horsetail if you can positively exclude marsh horsetail (Equisetum palustre): confirm branch sheaths have 3-4 spreading teeth (not 5-6 flat-lying ones), solid (not hollow) branches, and a first branch segment longer than the stem sheath. If you cannot confirm all of these - or the plant grows in wet, marshy ground - do not use it.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-07

Not documented

References & Sources

  1. Hegedus, C., Muresan, M., Badale, A., Bombicz, M. and others (2020) 'SIRT1 Activation by Equisetum arvense L. (Horsetail) Modulates Insulin Sensitivity in Streptozotocin Induced Diabetic Rats', Molecules, 25(11), pp. 2541. doi:10.3390/molecules25112541 Preclinical
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  2. Dragos, D., Gilca, M., Gaman, L., Vlad, A., Iosif, L. et al (2017) 'Phytomedicine in Joint Disorders', Nutrients, 9(1), pp. 70. doi:10.3390/nu9010070 Traditional / reference
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  3. Grundemann, C., Lengen, K., Sauer, B., Garcia-Kaufer, M. and others (2014) 'Equisetum arvense (common horsetail) modulates the function of inflammatory immunocompetent cells', BMC Complementary and Alternative Medicine, 14, pp. 283. doi:10.1186/1472-6882-14-283 Preclinical
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  10. Tufarelli, V., Baghban-Kanani, P., Azimi-Youvalari, S., Hosseintabar-Ghasemabad, B. and others (2021) 'Effects of Horsetail (Equisetum arvense) and Spirulina (Spirulina platensis) Dietary Supplementation on Laying Hens Productivity and Oxidative Status', Animals, 11(2), pp. 335. doi:10.3390/ani11020335 Preclinical
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  11. Carneiro, D.M., Marques, L.C., Velasques, L.O. et al (2016) 'Randomized, double-blind clinical trial to assess the acute diuretic effect of Equisetum arvense (Field Horsetail) in healthy volunteers'. doi:10.1155/2014/760683 Randomized trial
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  12. European Medicines Agency (2016) 'European Union herbal monograph on Equisetum arvense L., herba'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-european-union-herbal-monograph-equisetum-arvense-l-herba_en.pdf Traditional / reference
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  13. http://LatvijasDaba.lv (n.d.) 'tīruma kosa – Equisetum arvense L'. Available at: http://LatvijasDaba.lv Traditional / reference
    http://LatvijasDaba.lv
  14. Royal Botanic Gardens, Kew (n.d.) 'Equisetum arvense L'. Available at: https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:17003330-1 Traditional / reference
    https://powo.science.kew.org/taxon/urn:lsid:http://ipni.org:names:17003330-1
  15. Sandhu, N.S., Kaur, S. and Chopra, D (2010) 'Equisetum arvense: pharmacology and phytochemistry — a review', 3(3), pp. 146--150. Traditional / reference
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  17. NatureSpot 'Marsh Horsetail - Equisetum palustre'. Available at: https://www.naturespot.org/species/marsh-horsetail Traditional / reference
    https://www.naturespot.org/species/marsh-horsetail
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  19. Ibi, A. and Du, M. and Beuerle, T. and Melchert, D. and Solnier, J. and Chang, C (2022) 'A Multi-Pronged Technique for Identifying Equisetum palustre and Equisetum arvense - Combining HPTLC, HPLC-ESI-MS/MS and Optimized DNA Barcoding Techniques', Plants, 11(19), pp. 2562. doi:10.3390/plants11192562 Preclinical
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    https://doi.org/10.1055/s-1999-14001

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.