Plant Comparison

Elecampane vs Ribwort Plantain

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 AElecampaneInula heleniumAsteraceaeFull monograph →
Plant BRibwort PlantainPlantago lanceolataPlantaginaceaeFull monograph →

At a glance

Elecampane and Ribwort Plantain: they share 7 indicated uses (arthritis / joint pain, bronchitis, cough, …); 2 pharmacological actions in common.

ElecampaneRibwort Plantain
Constituents33
Pharmacological actions46
Indicated uses911
Safety notes22
Cited sources1413
Indicated uses
Only Elecampane
Cancer (anticancer research)Respiratory support
Shared (7)
Arthritis / joint painBronchitisCoughInfection (general)Inflammation (general)Skin irritationWounds
Only Ribwort Plantain
BruisingCold & fluImmune supportSore throat
Pharmacological actions
Only Elecampane
Anticancer (preclinical)Expectorant
Shared (2)
Anti-inflammatoryAntimicrobial
Only Ribwort Plantain
AntiviralDemulcent (soothing mucilage)Immunomodulator / immune supportVulnerary (wound healing)

Evidence face-off — shared uses

ConditionElecampaneRibwort PlantainVerdict
Arthritis / joint pain2/101/10Comparable evidence
Bronchitis1/101/10Comparable evidence
Cough1/101/10Comparable evidence
Infection (general)2/102/10Comparable evidence
Inflammation (general)2/101/10Comparable evidence
Skin irritation2/101/10Comparable evidence
Wounds2/102/10Comparable 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
Iridoid glycosides (aucubin, catalpol)[11]

Anti-inflammatory and antimicrobial constituents.

Iridoid glycosidesGlycosides
Mucilage polysaccharides (~2-3%)[11]

Coat and protect inflamed mucous membranes and reduce cough-receptor sensitivity.

PolysaccharidesMucilage
Phenylethanoids (acteoside/verbascoside, plantamajoside) and flavonoids (apigenin, luteolin)[11]

Antioxidant and anti-inflammatory constituents.

Verbascoside (acteoside)FlavonoidsApigeninLuteolin

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[9, 11, 13]

Anti-inflammatory for temporary mild inflammation of the mouth and throat (sore throat); in vitro the extract inhibits nitric oxide production and inducible NOS in macrophages, supporting its traditional respiratory anti-inflammatory use

Antimicrobial[1, 6, 11, 12]

Antibacterial, antiviral and immunostimulant (in vitro)

Antiviral[11, 12]

Antibacterial, antiviral and immunostimulant (in vitro)

Demulcent (soothing mucilage)[11, 12]

Demulcent for catarrh of the respiratory tract and dry, irritating cough / bronchitis (mucilage soothes and protects irritated airways)

Immunomodulator / immune support[11, 12]

Antibacterial, antiviral and immunostimulant (in vitro)

Vulnerary (wound healing)[7, 8, 11, 12]

Vulnerary for minor wounds and insect bites (topical)

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, 13]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Bronchitis[11, 12]Traditional · 1/10

Demulcent for catarrh of the respiratory tract and dry, irritating cough / bronchitis (mucilage soothes and protects irritated airways)

Evidence: 1
Label: Bronchitis
Bruising[11, 12]Traditional · 1/10

inferred from vulnerary action

Evidence: 1
Label: Bruising
Cold & flu[11, 12]Traditional · 1/10

inferred from immunomodulator action

Evidence: 1
Label: Cold & flu
Cough[11, 12]Traditional · 1/10

Demulcent for catarrh of the respiratory tract and dry, irritating cough / bronchitis (mucilage soothes and protects irritated airways)

Evidence: 1
Label: Cough
Immune support[11, 12]Traditional · 1/10

inferred from immunomodulator action

Evidence: 1
Label: Immune support
Infection (general)[1, 6, 11, 12]Traditional · 2/10

inferred from antimicrobial action

Evidence: 2
Label: Infection (general)
Inflammation (general)[9, 11, 13]Traditional · 1/10

Anti-inflammatory for temporary mild inflammation of the mouth and throat (sore throat); in vitro the extract inhibits nitric oxide production and inducible NOS in macrophages, supporting its traditional respiratory anti-inflammatory use

Evidence: 1
Label: Inflammation (general)
Skin irritation[11, 12]Traditional · 1/10

inferred from demulcent action

Evidence: 1
Label: Skin irritation
Sore throat[11, 13]Traditional · 1/10

Anti-inflammatory for temporary mild inflammation of the mouth and throat (sore throat); in vitro the extract inhibits nitric oxide production and inducible NOS in macrophages, supporting its traditional respiratory anti-inflammatory use

Evidence: 1
Label: Sore throat
Wounds[7, 8, 11, 12]Traditional · 2/10

Vulnerary for minor wounds and insect bites (topical)

Evidence: 2
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[11]Info

Generally very well tolerated. A cough or throat irritation that persists beyond about a week, or is accompanied by fever or breathlessness, needs medical assessment.

Safety note[11]Caution

Use in pregnancy and breastfeeding is not recommended in the absence of adequate data.

External Ids

Gbif: 3148340
Wikidata: Q697416
Gbif: 8208358
Wikidata: Q157408

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

Perennial herb (Plantaginaceae) forming a low rosette of narrow, lance-shaped leaves with prominent parallel ribs (hence 'ribwort'). Slender, furrowed, leafless flowering stalks rise from the rosette bearing a dense, short, dark brown-black ovoid to cylindrical flower spike ringed by a 'collar' of protruding cream-white stamens.[11]

Height: Low rosette; flowering stalks 10-45 cm
Habit: Low rosette-forming perennial herb
Leaves: Narrow, lance-shaped, prominently 3-5-ribbed, in a basal rosette
Flowers: Dense, short, dark brown-black ovoid to cylindrical spike with a ring of cream-white stamens
Stem: Slender, furrowed, leafless flowering stalk
Root: Fibrous perennial rootstock
Fruit: Small capsule with 1-2 seeds
Flowering Period: May-September

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 throughout Europe and temperate Asia and naturalised worldwide; common in grassland, meadows, lawns, roadsides and waste ground, tolerating trampling and a wide range of soils.[11]

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

Leaves and aerial parts are gathered during the growing season, ideally before or during flowering, and dried quickly.[11]

Parts: Leaf (aerial parts)
Season: Growing season, before or during flowering

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]

Ribwort plantain has an official European herbal-monograph tradition for the temporary relief of dry cough and irritation of the mouth and throat, and for minor skin wounds, reflecting its long folk use as a demulcent respiratory remedy and wound herb. Modern research confirms mucilage-driven demulcent action alongside antimicrobial and anti-inflammatory activity.[11, 12]

Preparations

Decoction[12]

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

Infusion (tea)[11]

Dried leaf steeped in hot water for cough and sore throat.

Fresh pressed juice / syrup[12]

Fresh leaf juice, traditionally made into a cough syrup, often combined with honey.

Poultice[12]

Crushed fresh leaf applied to minor wounds and insect bites.

References

REF-1858, REF-0538, REF-1859, REF-1860, REF-1861, REF-1862, REF-1863, REF-1864, REF-1865, REF-1866, REF-1867
REF-0960, REF-0961, REF-0962, REF-0963, REF-0964, REF-0965, REF-0966, REF-0967, REF-0968, REF-0969

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

Infusion (tea)[11, 12]

EMA/ESCOP herbal-monograph guidance suggests roughly 2-4 g dried leaf per cup as an infusion, up to three times daily, or an equivalent liquid extract. Educational reference only, not a prescription.

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. Laanet, P.R., Bragina, O., Joul, P. and Vaher, M (2024) 'Plantago lanceolata and Plantago major Exhibit Antioxidant and Borrelia burgdorferi Inhibiting Activities', International Journal of Molecular Sciences, 25(13), pp. 7112. doi:10.3390/ijms25137112 Preclinical
    https://doi.org/10.3390/ijms25137112
  2. Budzianowska, A. and Budzianowski, J (2022) 'A new flavonoid, a new phenylethanoid glycoside and related compounds isolated from the inflorescences of Plantago lanceolata L', Natural Product Research, 36(15), pp. 3813-3824. doi:10.1080/14786419.2021.1888289 Preclinical
    https://doi.org/10.1080/14786419.2021.1888289
  3. Gadermaier, G., Eichhorn, S., Vejvar, E., Weilnbock, L. and others (2014) 'Plantago lanceolata: an important trigger of summer pollinosis with limited IgE cross-reactivity', Journal of Allergy and Clinical Immunology, 134(2), pp. 472-475. doi:10.1016/j.jaci.2014.02.016 Preclinical
    https://doi.org/10.1016/j.jaci.2014.02.016
  4. Sousa, R., Osorio, H., Duque, L., Ribeiro, H., Cruz, A. and Abreu, I (2014) 'Identification of Plantago lanceolata pollen allergens using an immunoproteomic approach', Journal of Investigational Allergology and Clinical Immunology, 24(3), pp. 177-183. Available at: https://pubmed.ncbi.nlm.nih.gov/25011355/ Preclinical
    https://pubmed.ncbi.nlm.nih.gov/25011355/
  5. Reza, M.M., Redoy, M.R.A., Rahman, M.A., Ety, S. and others (2021) 'Response of plantain (Plantago lanceolata L.) supplementation on nutritional, endo-parasitic, and endocrine status in lambs', Tropical Animal Health and Production, 53(1), pp. 82. doi:10.1007/s11250-020-02514-0 Preclinical
    https://doi.org/10.1007/s11250-020-02514-0
  6. Rahamouz-Haghighi, S., Bagheri, K., Mohsen-Pour, N. and Sharafi, A (2022) 'Evaluation of Cytotoxicity and Antibacterial Activities of Ribwort Plantain (Plantago lanceolata L.) Root Fractions and Phytochemical Analysis by Gas Chromatography-Mass Spectrometry', Archives of Razi Institute, 77(6), pp. 2131-2143. doi:10.22092/ARI.2022.358045.2143 Preclinical
    https://doi.org/10.22092/ARI.2022.358045.2143
  7. Kovac, I., Durkac, J., Holly, M., Jakubcova, K. and others (2015) 'Plantago lanceolata L. water extract induces transition of fibroblasts into myofibroblasts and increases tensile strength of healing skin wounds', Journal of Pharmacy and Pharmacology, 67(1), pp. 117-125. doi:10.1111/jphp.12316 Preclinical
    https://doi.org/10.1111/jphp.12316
  8. Jaric, S., Kostic, O., Mataruga, Z., Pavlovic, D. and others (2017) 'Traditional wound-healing plants used in the Balkan region (Southeast Europe)', Journal of Ethnopharmacology, 211, pp. 311-328. doi:10.1016/j.jep.2017.09.018 Traditional / reference
    https://doi.org/10.1016/j.jep.2017.09.018
  9. Zeng, X., Guo, F. and Ouyang, D (2019) 'A review of the pharmacology and toxicology of aucubin', Fitoterapia, 140, pp. 104443. doi:10.1016/j.fitote.2019.104443 Traditional / reference
    https://doi.org/10.1016/j.fitote.2019.104443
  10. Drava, G., Cornara, L., Giordani, P. and Minganti, V (2019) 'Trace elements in Plantago lanceolata L., a plant used for herbal and food preparations: new data and literature review', Environmental Science and Pollution Research International, 26(3), pp. 2305-2313. doi:10.1007/s11356-018-3740-1 Preclinical
    https://doi.org/10.1007/s11356-018-3740-1
  11. European Medicines Agency (HMPC) (n.d.) 'European Union herbal monograph on Plantago lanceolata L., folium (Plantaginis lanceolatae folium)'. Available at: https://www.ema.europa.eu/en/medicines/herbal/plantaginis-lanceolatae-folium Traditional / reference
    https://www.ema.europa.eu/en/medicines/herbal/plantaginis-lanceolatae-folium
  12. ESCOP (European Scientific Cooperative on Phytotherapy) (n.d.) 'Plantaginis lanceolatae folium-herba (Ribwort Plantain Leaf/Herb) monograph', pp. com. Available at: https://www.escop.com/downloads/ribwort-plantain-leaf-herb/ Traditional / reference
    https://www.escop.com/downloads/ribwort-plantain-leaf-herb/
  13. Vigo, E., Cepeda, A., Gualillo, O. and Perez-Fernandez, R (2005) 'In-vitro anti-inflammatory activity of Pinus sylvestris and Plantago lanceolata extracts: effect on inducible NOS, COX-1, COX-2 and their products in J774A.1 murine macrophages', Journal of Pharmacy and Pharmacology, 57(3), pp. 383--391. doi:10.1211/0022357055605 Traditional / reference
    https://doi.org/10.1211/0022357055605

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.