Plant Comparison
Devil's Claw 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
Devil's Claw and Common Comfrey: they share 6 indicated uses (arthritis / joint pain, back pain, headache, …); 2 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Devil's Claw | Common Comfrey | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 8/10 | 5/10 | Stronger for Devil's Claw |
| Back pain | 9/10 | 5/10 | Stronger for Devil's Claw |
| Headache | 8/10 | 5/10 | Stronger for Devil's Claw |
| Inflammation (general) | 8/10 | 5/10 | Stronger for Devil's Claw |
| Pain (general) | 9/10 | 8/10 | Comparable evidence |
| Skin irritation | 8/10 | 5/10 | Stronger for Devil's Claw |
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
Harpagoside is the main marker compound and anti-inflammatory principle; effective extracts are standardised to it, with the better-quality clinical evidence using preparations delivering roughly 50-60 mg harpagoside per day.
Antioxidant supporting 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
Traditional & Indicated Uses
Anti-inflammatory and analgesic for osteoarthritis (hip and knee) pain; General joint pain and arthritis support
Effective at standardised doses (~50-60 mg harpagoside/day); an aqueous extract was non-inferior to rofecoxib for short-term chronic low back pain; Relief of chronic non-specific low back pain
inferred from anti-inflammatory action
Anti-inflammatory and analgesic for osteoarthritis (hip and knee) pain; Effective at standardised doses (~50-60 mg harpagoside/day); an aqueous extract was non-inferior to rofecoxib for short-term chronic low back pain; General joint pain and arthritis support; Relief of chronic non-specific low back pain
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
inferred from anti-oedematous action
Safety, Cautions & Contraindications
Because it is a bitter that increases stomach-acid and bile secretion, it is contraindicated in active peptic ulcer, gastritis and (without medical supervision) gallstones.
May add to the effect of anticoagulants (e.g. warfarin) and may influence blood sugar, blood pressure and heart rhythm; use caution with these medicines.
Avoid during pregnancy (oxytocic/uterine effect) and while breastfeeding.
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
Low-growing, sprawling perennial herb with trailing stems and deeply lobed, greyish-green leaves arising from a large, fleshy primary taproot bearing smaller secondary storage tubers (the part used medicinally). Striking funnel-shaped, purplish-pink to violet flowers give way to a distinctive woody fruit covered in long, hooked spines - the origin of the common name.[13]
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
Harvesting
The secondary root tubers are dug by hand, sliced and dried in the sun, traditionally by local harvesters in southern Africa; sustainable wild-harvesting practices are important given the plant's slow growth and habitat sensitivity.
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
Devil's claw has a long southern African traditional-medicine history as a remedy for fever, pain and digestive complaints, and is now one of the most clinically studied herbal analgesics for osteoarthritis and chronic low back pain, with standardised extracts showing efficacy comparable to some conventional analgesics in trials.[13]
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
The officially recognised European herbal-monograph preparation, for minor bruises and sprains, short-term use only.
Dosage
Clinical trials for osteoarthritis and back pain commonly use extracts providing around 50-60 mg harpagoside daily. 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
- Mncwangi, N., Chen, W., Vermaak, I., Viljoen, A.M. and Gericke, N (2012) 'Devil's Claw - a review of the ethnobotany, phytochemistry and biological activity of Harpagophytum procumbens', Journal of Ethnopharmacology, 143(3), pp. 755-771. doi:10.1016/j.jep.2012.08.013 Meta-analysis / review
https://doi.org/10.1016/j.jep.2012.08.013 - Parenti, C., Arico, G., Pennisi, M., Venditti, A. and Scoto, G.M (2015) 'Harpagophytum procumbens extract potentiates morphine antinociception in neuropathic rats', Natural Product Research, 30(11), pp. 1248-1255. doi:10.1080/14786419.2015.1052069 Preclinical
https://doi.org/10.1080/14786419.2015.1052069 - Mariano, A., Bigioni, I., Mattioli, R., Di Sotto, A., Leopizzi, M., Garzoli, S., Mariani, P.F., Dalla Vedova, P., Ammendola, S. and Scotto d'Abusco, A (2022) 'Harpagophytum procumbens Root Extract Mediates Anti-Inflammatory Effects in Osteoarthritis Synoviocytes through CB2 Activation', Pharmaceuticals, 15(4), pp. 457. doi:10.3390/ph15040457 Preclinical
https://doi.org/10.3390/ph15040457 - Gxaba, N. and Manganyi, M.C (2022) 'The Fight against Infection and Pain: Devil's Claw (Harpagophytum procumbens) a Rich Source of Anti-Inflammatory Activity: 2011-2022', Molecules, 27(11), pp. 3637. doi:10.3390/molecules27113637 Meta-analysis / review
https://doi.org/10.3390/molecules27113637 - Menghini, L., Recinella, L., Leone, S., Chiavaroli, A., Cicala, C., Brunetti, L., Vladimir-Knezevic, S., Orlando, G. and Ferrante, C (2019) 'Devil's claw (Harpagophytum procumbens) and chronic inflammatory diseases: A concise overview on preclinical and clinical data', Phytotherapy Research, 33(9), pp. 2152-2162. doi:10.1002/ptr.6395 Meta-analysis / review
https://doi.org/10.1002/ptr.6395 - Brien, S., Lewith, G.T. and McGregor, G (2006) 'Devil's Claw (Harpagophytum procumbens) as a treatment for osteoarthritis: a review of efficacy and safety', Journal of Alternative and Complementary Medicine, 12(10), pp. 981-993. doi:10.1089/acm.2006.12.981 Meta-analysis / review
https://doi.org/10.1089/acm.2006.12.981 - Ungerer, G., Cui, J., Ndam, T., Bekemeier, M., Song, H., Li, R., Siedhoff, H.R., Yang, B., Appenteng, M.K., Greenlief, C.M., Miller, D.K., Sun, G.Y., Folk, W.R. and Gu, Z (2020) 'Harpagophytum procumbens Extract Ameliorates Allodynia and Modulates Oxidative and Antioxidant Stress Pathways in a Rat Model of Spinal Cord Injury', Neuromolecular Medicine, 22(2), pp. 278-292. doi:10.1007/s12017-019-08585-z Preclinical
https://doi.org/10.1007/s12017-019-08585-z - Recinella, L., Chiavaroli, A., Ronci, M., Menghini, L., Brunetti, L., Leone, S., Tirillini, B., Angelini, P., Covino, S., Venanzoni, R., Zengin, G., Di Simone, S., Ciferri, M.C., di Giacomo, V., Cataldi, A., Rapino, M., Valerio, V.D., Orlando, G. and Ferrante, C (2020) 'Multidirectional Pharma-Toxicological Study on Harpagophytum procumbens DC. ex Meisn.: An IBD-Focused Investigation', Antioxidants, 9(2), pp. 168. doi:10.3390/antiox9020168 Preclinical
https://doi.org/10.3390/antiox9020168 - Baghdikian, B., Lanhers, M.C., Fleurentin, J., Ollivier, E., Maillard, C., Balansard, G. and Mortier, F (1997) 'An analytical study, anti-inflammatory and analgesic effects of Harpagophytum procumbens and Harpagophytum zeyheri', Planta Medica, 63(2), pp. 171-176. doi:10.1055/s-2006-957638 Preclinical
https://doi.org/10.1055/s-2006-957638 - Lim, D.W., Kim, J.G., Han, D. and Kim, Y.T (2014) 'Analgesic effect of Harpagophytum procumbens on postoperative and neuropathic pain in rats', Molecules, 19(1), pp. 1060-1068. doi:10.3390/molecules19011060 Preclinical
https://doi.org/10.3390/molecules19011060 - Jang, M., Lim, S., Han, S., Park, H., Shin, I., Kim, J., Kim, N., Lee, J., Kim, K. and Kim, C (2003) 'Harpagophytum procumbens suppresses lipopolysaccharide-stimulated expressions of cyclooxygenase-2 and inducible nitric oxide synthase in fibroblast cell line L929', Journal of Pharmacological Sciences, 93(3), pp. 367-371. doi:10.1254/jphs.93.367 Preclinical
https://doi.org/10.1254/jphs.93.367 - Chrubasik, S (2004) 'Devil's claw extract as an example of the effectiveness of herbal analgesics', Der Orthopade. doi:10.1007/s00132-004-0675-7 Clinical study
https://doi.org/10.1007/s00132-004-0675-7 - Brendler, T., Gruenwald, J., Ulbricht, C. and Basch, E (2006) 'Devil's Claw (Harpagophytum procumbens DC): an evidence-based systematic review by the Natural Standard Research Collaboration', Journal of Herbal Pharmacotherapy. doi:10.1080/j157v06n01_09 Meta-analysis / review
https://doi.org/10.1080/j157v06n01_09 - Chrubasik, S., Conradt, C. and Roufogalis, B.D (2004) 'Effectiveness of Harpagophytum extracts and clinical efficacy', Phytotherapy Research, 18(2), pp. 187--189. doi:10.1002/ptr.1416 Preclinical
https://doi.org/10.1002/ptr.1416 - Gagnier, J.J., Chrubasik, S. and Manheimer, E (2004) 'Harpagophytum procumbens for osteoarthritis and low back pain: a systematic review', BMC Complementary and Alternative Medicine. doi:10.1186/1472-6882-4-13 Meta-analysis / review
https://doi.org/10.1186/1472-6882-4-13
- 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.