Plant Comparison

Elecampane vs Oregon Grape

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 AElecampaneInula heleniumAsteraceaeFull monograph →
Plant BOregon GrapeMahonia aquifoliumBerberidaceaeFull monograph →

At a glance

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

ElecampaneOregon Grape
Constituents31
Pharmacological actions43
Indicated uses98
Safety notes22
Cited sources1413
Indicated uses
Only Elecampane
BronchitisCoughRespiratory support
Shared (6)
Arthritis / joint painCancer (anticancer research)Infection (general)Inflammation (general)Skin irritationWounds
Only Oregon Grape
EczemaPsoriasis
Pharmacological actions
Only Elecampane
Expectorant
Shared (3)
Anti-inflammatoryAnticancer (preclinical)Antimicrobial
Only Oregon Grape
none

Evidence face-off — shared uses

ConditionElecampaneOregon GrapeVerdict
Arthritis / joint pain2/107/10Stronger for Oregon Grape
Cancer (anticancer research)2/102/10Comparable evidence
Infection (general)2/102/10Comparable evidence
Inflammation (general)2/107/10Stronger for Oregon Grape
Skin irritation2/108/10Stronger for Oregon Grape
Wounds2/101/10Comparable 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

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
Isoquinoline alkaloids (berberine, berbamine, palmatine, jatrorrhizine, magnoflorine)[2, 11, 12]

Berberine is the main anti-psoriatic and antimicrobial constituent.

AlkaloidsBerberine

Pharmacological Actions

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)

Anti-inflammatory[7, 10, 11]

Anti-inflammatory and antiproliferative (slows the skin-cell overgrowth of psoriasis)

Anticancer (preclinical)[3, 4, 6, 11]

Anti-inflammatory and antiproliferative (slows the skin-cell overgrowth of psoriasis)

Antimicrobial[2, 5, 8, 9, 12]

Antimicrobial (berberine) - supports skin and mucosal infection

Traditional & Indicated Uses

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
Arthritis / joint pain[11]Good · 7/10

inferred from anti-inflammatory action

Evidence: 7
Label: Arthritis / joint pain
Cancer (anticancer research)[3]Traditional · 2/10

inferred from anticancer action

Evidence: 2
Label: Cancer (anticancer research)
Eczema[11]Good · 7/10

Topical for atopic dermatitis (eczema) and skin irritation

Evidence: 7
Label: Eczema
Infection (general)[5, 12]Traditional · 2/10

Antimicrobial (berberine) - supports skin and mucosal infection

Evidence: 2
Label: Infection (general)
Inflammation (general)[10, 11]Good · 7/10

inferred from anti-inflammatory action

Evidence: 7
Label: Inflammation (general)
Psoriasis[1, 7, 11, 13]Strong · 9/10

Anti-inflammatory and antiproliferative (slows the skin-cell overgrowth of psoriasis); Topical treatment of mild-to-moderate psoriasis (reduces plaque severity) - a double-blind, placebo-controlled RCT showed significant improvement in PASI and quality-of-life scores

Evidence: 9
Label: Psoriasis
Skin irritation[1, 11]Good · 8/10

Topical for atopic dermatitis (eczema) and skin irritation

Evidence: 8
Label: Skin irritation
Wounds[12]Traditional · 1/10

inferred from antimicrobial action

Evidence: 1
Label: Wounds

Safety, Cautions & Contraindications

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.

Safety note[12]Caution

Avoid internal use in pregnancy and breastfeeding: like goldenseal, the berberine it contains can cross the placenta and into milk and worsen newborn jaundice (kernicterus risk).

Safety note[11, 12]Caution

Berberine impairs the metabolism of some medicines - for example it raises blood levels of cyclosporine, risking toxicity - so use caution with prescription drugs. It is used mainly topically for skin conditions.

External Ids

Gbif: 3148340
Wikidata: Q697416
Gbif: 3033865
Wikidata: Q158303

Botanical Description

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

Evergreen shrub, 0.5-2 m tall, spreading by underground rhizomes to form thickets. The pinnate leaves resemble holly, with 5-9 glossy, dark green, spiny-toothed leaflets that often turn bronze-red in winter. Small, bright yellow, six-petalled flowers are borne in dense, upright terminal racemes in early spring, followed by clusters of blue-black, grape-like berries with a waxy bloom. The wood and inner bark of the stem and root are bright yellow when cut, owing to their high content of berberine-type alkaloids.

Height: 0.5-2 m
Habit: Evergreen, rhizomatous, colony-forming shrub
Leaves: Pinnate, holly-like, 5-9 glossy dark green spiny-toothed leaflets
Flowers: Small, bright yellow, six-petalled, in dense upright terminal racemes
Stem: Woody; wood and inner bark bright yellow when cut
Root: Woody, rhizomatous, bright yellow within (berberine-type alkaloids)
Fruit: Clusters of blue-black, grape-like berries with a waxy bloom
Flowering Period: Early spring (March-April)

Habitat

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]

Native to the Pacific Northwest of North America, growing in coniferous woodland understorey, forest margins and rocky slopes; widely introduced and naturalised as an ornamental and hedging shrub in temperate regions elsewhere.

Harvesting

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

The root and root bark, the medicinal parts, are dug from established plants - traditionally in autumn - and dried. Because wild populations are slow-growing, cultivated or nursery-sourced material is preferred over wild-harvesting.

Parts: Root, Bark
Season: Autumn

Traditional Uses

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]

Oregon grape root has a traditional Native American and Eclectic-medicine history as a bitter tonic and alterative (blood-purifying) remedy and for skin conditions. Its main modern use, supported by clinical trials, is topical application of a standardised bark extract for mild-to-moderate psoriasis and atopic dermatitis (eczema), where its berberine-type alkaloids give anti-inflammatory and antiproliferative effects on skin cells.[1, 11, 12]

Preparations

Decoction[12]

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

Topical cream/ointment[1, 11, 13]

A standardised 10% Mahonia aquifolium bark extract cream, the best-studied form, applied to affected skin up to three times daily for psoriasis or eczema.

References

REF-1858, REF-0538, REF-1859, REF-1860, REF-1861, REF-1862, REF-1863, REF-1864, REF-1865, REF-1866, REF-1867
REF-1173, REF-1174, REF-1175, REF-1176, REF-1177, REF-1178, REF-1179, REF-1180, REF-1181, REF-1182

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

Dosage

Not documented

Topical 10% extract cream[11, 13]

Clinical trials in psoriasis and eczema have used a 10% Mahonia aquifolium bark extract cream applied to affected areas up to three times daily. Educational reference only, not a prescription; internal use is not well studied and should be supervised.

References & Sources

  1. Gierlikowska, B., Gierlikowski, W., Bekier, K., Skalicka-Wozniak, K., Czerwinska, M.E. and Kiss, A.K (2019) 'Inula helenium and Grindelia squarrosa as a source of compounds with anti-inflammatory activity in human neutrophils and cultured human respiratory epithelium', Journal of Ethnopharmacology, 249, pp. 112311. doi:10.1016/j.jep.2019.112311 Preclinical
    https://doi.org/10.1016/j.jep.2019.112311
  2. Gao, S. and Wang, Q. and Tian, X.H. and Li, H.L. and Shen, Y.H. and Xu, X.K. and Wu, G.Z. and Hu, Z.L. and Zhang, W.D (2016) 'Total sesquiterpene lactones prepared from Inula helenium L. has potentials in prevention and therapy of rheumatoid arthritis', Journal of Ethnopharmacology, pp. 39--46. doi:10.1016/j.jep.2016.12.020 Preclinical
    https://doi.org/10.1016/j.jep.2016.12.020
  3. Wang, Q., Gao, S., Wu, G., Yang, N., Zu, X., Li, W., Xie, N., Zhang, R., Li, C., Hu, Z. and Zhang, W (2018) 'Total sesquiterpene lactones isolated from Inula helenium L. attenuates 2,4-dinitrochlorobenzene-induced atopic dermatitis-like skin lesions in mice', Phytomedicine, 46, pp. 78-84. doi:10.1016/j.phymed.2018.04.036 Preclinical
    https://doi.org/10.1016/j.phymed.2018.04.036
  4. Dao, T.T.P., Song, K., Kim, J.Y. and Kim, Y.S (2020) 'Igalan from Inula helenium (L.) suppresses the atopic dermatitis-like response in stimulated HaCaT keratinocytes via JAK/STAT3 signaling', Inflammation Research, 69(3), pp. 309-319. doi:10.1007/s00011-020-01322-4 Preclinical
    https://doi.org/10.1007/s00011-020-01322-4
  5. He, X., Zhao, W., Shao, B., Zhang, B., Liu, T., Sun, C., Huang, H., Wu, J., Liang, J. and Ma, X (2020) 'Natural soluble epoxide hydrolase inhibitors from Inula helenium and their interactions with soluble epoxide hydrolase', International Journal of Biological Macromolecules, 161, pp. 1465-1474. doi:10.1016/j.ijbiomac.2020.04.227 Preclinical
    https://doi.org/10.1016/j.ijbiomac.2020.04.227
  6. Buza, V., Niculae, M., Hanganu, D., Pall, E., Burtescu, R.F., Olah, N., Matei-Latiu, M., Vlasiuc, I., Iozon, I., Szakacs, A.R., Ielciu, I. and Stefanut, L.C (2022) 'Biological Activities and Chemical Profile of Gentiana asclepiadea and Inula helenium Ethanolic Extracts', Molecules, 27(11), pp. 3560. doi:10.3390/molecules27113560 Preclinical
    https://doi.org/10.3390/molecules27113560
  7. Zheng, X., Wu, Z., Xu, J., Zhang, X., Tu, Y., Lei, J., Yuan, R., Cheng, H., Wang, Q. and Yu, J (2021) 'Bioactive sesquiterpenes from Inula helenium', Bioorganic Chemistry, 114, pp. 105066. doi:10.1016/j.bioorg.2021.105066 Preclinical
    https://doi.org/10.1016/j.bioorg.2021.105066
  8. Nder, A.E (2021) 'Efficacy of methanol-water extract of Inula helenium root against oxidative DNA damage', Journal of Traditional Chinese Medicine, 41(2), pp. 293-300. Preclinical
    https://scholar.google.com/scholar?q=Efficacy%20of%20methanol-water%20extract%20of%20Inula%20helenium%20root%20against%20oxidative%20DNA%20damage
  9. Chun, J., Song, K. and Kim, Y.S (2018) 'Sesquiterpene lactones-enriched fraction of Inula helenium L. induces apoptosis through inhibition of signal transducers and activators of transcription 3 signaling pathway in MDA-MB-231 breast cancer cells', Phytotherapy Research, 32(12), pp. 2501-2509. doi:10.1002/ptr.6189 Preclinical
    https://doi.org/10.1002/ptr.6189
  10. Li, Y., Ni, Z., Zhu, M., Dong, M., Wang, S., Shi, Q., Zhang, M., Wang, Y., Huo, C., Kiyota, H. and Cong, B (2012) 'Antitumour activities of sesquiterpene lactones from Inula helenium and Inula japonica', Zeitschrift fur Naturforschung C, 67(7-8), pp. 375-380. doi:10.1515/znc-2012-7-804 Preclinical
    https://doi.org/10.1515/znc-2012-7-804
  11. Yan, Y.Y., Zhang, Q., Zhang, B., Yang, B. and Lin, N.M (2019) 'Active ingredients of Inula helenium L. exhibits similar anti-cancer effects as isoalantolactone in pancreatic cancer cells', Natural Product Research, 34(17), pp. 2539-2544. doi:10.1080/14786419.2018.1543676 Preclinical
    https://doi.org/10.1080/14786419.2018.1543676
  12. Kenny, C.R., Stojakowska, A., Furey, A. and Lucey, B (2022) 'From Monographs to Chromatograms: The Antimicrobial Potential of Inula helenium L. (Elecampane) Naturalised in Ireland', Molecules. doi:10.3390/molecules27041406 Traditional / reference
    https://doi.org/10.3390/molecules27041406
  13. Stojanovic-Radic, Z. and Comic, Lj. and Radulovic, N. and Blagojevic, P. and Denic, M. and Miltojevic, A. and Rajkovic, J. and Mihajilov-Krstev, T (2012) 'Antistaphylococcal activity of Inula helenium L. root essential oil: eudesmane sesquiterpene lactones induce cell membrane damage', European Journal of Clinical Microbiology & Infectious Diseases, 31(6), pp. 1015--1025. doi:10.1007/s10096-011-1400-1 Preclinical
    https://doi.org/10.1007/s10096-011-1400-1
  14. Cantrell, C.L. and Abate, L. and Fronczek, F.R. and Franzblau, S.G. and Quijano, L. and Fischer, N.H (1999) 'Antimycobacterial eudesmanolides from Inula helenium and Rudbeckia subtomentosa', Planta Medica, 65(4), pp. 351--355. doi:10.1055/s-1999-14001 Preclinical
    https://doi.org/10.1055/s-1999-14001
  1. Gulliver, W.P. and Donsky, H.J (2005) 'A report on three recent clinical trials using Mahonia aquifolium 10% topical cream and a review of the worldwide clinical experience with Mahonia aquifolium for the treatment of plaque psoriasis', American Journal of Therapeutics, 12(5), pp. 398-406. doi:10.1097/01.mjt.0000174350.82270.da Clinical study
    https://doi.org/10.1097/01.mjt.0000174350.82270.da
  2. Cernakova, M. and Kostalova, D (2002) 'Antimicrobial activity of berberine--a constituent of Mahonia aquifolium', Folia Microbiologica, 47(4), pp. 375-378. doi:10.1007/BF02818693 Preclinical
    https://doi.org/10.1007/BF02818693
  3. Damjanovic, A., Kolundzija, B., Matic, I.Z., Krivokuca, A. and others (2020) 'Mahonia aquifolium Extracts Promote Doxorubicin Effects against Lung Adenocarcinoma Cells In Vitro', Molecules, 25(22), pp. 5233. doi:10.3390/molecules25225233 Preclinical
    https://doi.org/10.3390/molecules25225233
  4. Cernakova, M., Kostalova, D., Kettmann, V., Plodova, M. and others (2002) 'Potential antimutagenic activity of berberine, a constituent of Mahonia aquifolium', BMC Complementary and Alternative Medicine, 2, pp. 2. doi:10.1186/1472-6882-2-2 Preclinical
    https://doi.org/10.1186/1472-6882-2-2
  5. Slobodnikova, L., Kostalova, D., Labudova, D., Kotulova, D. and Kettmann, V (2004) 'Antimicrobial activity of Mahonia aquifolium crude extract and its major isolated alkaloids', Phytotherapy Research, 18(8), pp. 674-676. doi:10.1002/ptr.1517 Preclinical
    https://doi.org/10.1002/ptr.1517
  6. Godjevac, D., Damjanovic, A., Stanojkovic, T.P., Andjelkovic, B. and Zdunic, G (2018) 'Identification of cytotoxic metabolites from Mahonia aquifolium using 1H NMR-based metabolomics approach', Journal of Pharmaceutical and Biomedical Analysis, 150, pp. 9-14. doi:10.1016/j.jpba.2017.11.075 Preclinical
    https://doi.org/10.1016/j.jpba.2017.11.075
  7. Muller, K. and Ziereis, K (1994) 'The antipsoriatic Mahonia aquifolium and its active constituents; I. Pro- and antioxidant properties and inhibition of 5-lipoxygenase', Planta Medica, 60(5), pp. 421-424. doi:10.1055/s-2006-959523 Preclinical
    https://doi.org/10.1055/s-2006-959523
  8. Rohrer, U., Kunz, E.M.K., Lenkeit, K., Schaffner, W. and Meyer, J (2007) 'Antimicrobial activity of Mahonia aquifolium and two of its alkaloids against oral bacteria', Schweizer Monatsschrift fur Zahnmedizin, 117(11), pp. 1126-1131. Preclinical
    https://scholar.google.com/scholar?q=Antimicrobial%20activity%20of%20Mahonia%20aquifolium%20and%20two%20of%20its%20alkaloids%20against%20oral%20bacteria
  9. Vollekova, A., Kostalova, D., Kettmann, V. and Toth, J (2003) 'Antifungal activity of Mahonia aquifolium extract and its major protoberberine alkaloids', Phytotherapy Research, 17(7), pp. 834-837. doi:10.1002/ptr.1256 Preclinical
    https://doi.org/10.1002/ptr.1256
  10. Hajnicka, V., Kostalova, D., Svecova, D., Sochorova, R. and others (2002) 'Effect of Mahonia aquifolium active compounds on interleukin-8 production in the human monocytic cell line THP-1', Planta Medica, 68(3), pp. 266-268. doi:10.1055/s-2002-23126 Preclinical
    https://doi.org/10.1055/s-2002-23126
  11. Gulliver, W.P. and colleagues (2018) 'Review of the Efficacy and Safety of Topical Mahonia aquifolium for the Treatment of Psoriasis and Atopic Dermatitis', Journal of Clinical and Aesthetic Dermatology. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334833/ Meta-analysis / review
    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334833/
  12. Herbal Reality (n.d.) 'Oregon Grape Root (Berberis aquifolium): Benefits, Uses, Safety'. Available at: https://www.herbalreality.com/herb/oregon-grape/ Traditional / reference
    https://www.herbalreality.com/herb/oregon-grape/
  13. Bernstein, S., Donsky, H., Gulliver, W., Hamilton, D., Nobel, S. and Norman, R (2006) 'Treatment of mild to moderate psoriasis with Relieva, a Mahonia aquifolium extract - a double-blind, placebo-controlled study', American Journal of Therapeutics, 13(2), pp. 121--126. doi:10.1097/00045391-200603000-00007 Randomized trial
    https://doi.org/10.1097/00045391-200603000-00007

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.