Plant Comparison
Elecampane vs Heartsease
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
Elecampane and Heartsease: they share 7 indicated uses (arthritis / joint pain, bronchitis, cancer (anticancer research), …); 3 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Elecampane | Heartsease | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 2/10 | 2/10 | Comparable evidence |
| Bronchitis | 1/10 | 1/10 | Comparable evidence |
| Cancer (anticancer research) | 2/10 | 2/10 | Comparable evidence |
| Cough | 1/10 | 1/10 | Comparable evidence |
| Inflammation (general) | 2/10 | 3/10 | Comparable evidence |
| Respiratory support | 1/10 | 1/10 | Comparable evidence |
| Skin irritation | 2/10 | 1/10 | Comparable 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
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.
A fructan polysaccharide abundant in the root (the genus Inula gives inulin its name).
Bioactive cyclic peptides shown to suppress over-active immune (T-cell) responses - the rationale for use in inflammatory skin disease; the cytotoxic cyclotides vitri A, varv A and varv E have been isolated from V. tricolor. Cyclotide-enriched preparations (including hot-water decoctions) reduce T-cell proliferation and macrophage cytokine output in vitro, of interest for inflammatory bowel disease.
Pharmacological Actions
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)
Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection
Anti-inflammatory / immunomodulatory for chronic skin conditions - eczema, psoriasis, itching and scabs (traditional, supported by cyclotide research) - cyclotide-enriched V. tricolor preparations suppress T-cell proliferation and pro-inflammatory cytokine secretion in vitro; Soothes irritated skin (demulcent and anti-inflammatory)
Cytotoxic / antiproliferative against cancer cell lines in vitro (cyclotides vitri A, varv A and varv E)
Soothes irritated skin (demulcent and anti-inflammatory); Traditional demulcent / expectorant for cough, bronchitis and chest inflammation
Traditional demulcent / expectorant for cough, bronchitis and chest inflammation
Anti-inflammatory / immunomodulatory for chronic skin conditions - eczema, psoriasis, itching and scabs (traditional, supported by cyclotide research) - cyclotide-enriched V. tricolor preparations suppress T-cell proliferation and pro-inflammatory cytokine secretion in vitro
Traditional & Indicated Uses
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)
Expectorant for productive cough and bronchitis (long-standing respiratory remedy)
inferred from anticancer action
Expectorant for productive cough and bronchitis (long-standing respiratory remedy); Soothes irritated airways / chronic catarrh (traditional)
Antimicrobial, notably anti-staphylococcal (membrane-damaging) and anti-mycobacterial (active against Mycobacterium tuberculosis in vitro); supports respiratory and skin infection
inferred from anti-inflammatory action
inferred from expectorant action
inferred from anti-inflammatory action
inferred from anti-inflammatory action
Traditional demulcent / expectorant for cough, bronchitis and chest inflammation
inferred from anticancer action
Traditional demulcent / expectorant for cough, bronchitis and chest inflammation
Anti-inflammatory / immunomodulatory for chronic skin conditions - eczema, psoriasis, itching and scabs (traditional, supported by cyclotide research) - cyclotide-enriched V. tricolor preparations suppress T-cell proliferation and pro-inflammatory cytokine secretion in vitro
inferred from immunomodulator action
Traditional demulcent / expectorant for cough, bronchitis and chest inflammation
Anti-inflammatory / immunomodulatory for chronic skin conditions - eczema, psoriasis, itching and scabs (traditional, supported by cyclotide research) - cyclotide-enriched V. tricolor preparations suppress T-cell proliferation and pro-inflammatory cytokine secretion in vitro
inferred from expectorant action
Soothes irritated skin (demulcent and anti-inflammatory)
Safety, Cautions & Contraindications
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.
Large doses can cause nausea, vomiting and diarrhoea; safety in pregnancy and breastfeeding is not established, so avoid medicinal doses.
Regarded as safe in customary traditional use; because the extract suppresses immune-cell activity, there is a theoretical caution when taking immunosuppressant medicines.
Contains salicylates, so use caution if you are salicylate-sensitive; safety in pregnancy and breastfeeding is not established.
External Ids
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]
Small, low-growing annual or short-lived perennial herb with oval to lance-shaped, scalloped leaves and large, leaf-like stipules. The distinctive flowers are tricoloured - purple, yellow and white in varying combinations - with five petals, the lower petal often marked with dark veining (a 'face' pattern), giving rise to the name 'heartsease'.[9]
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]
Grows in grassland, cultivated ground, gardens and waste places on a wide range of soils; native to Europe and widely naturalised elsewhere as a common garden and wild plant.[9]
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]
The flowering aerial parts are cut in summer while in flower and dried in a warm, shaded, airy place.[9]
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]
Heartsease has a long European folk history as a soothing remedy for skin conditions such as eczema and itching, and as a traditional demulcent and expectorant for coughs and chest complaints; this traditional skin-supportive use is now linked to immunomodulatory cyclic peptides (cyclotides) unique to the Viola genus.[9]
Preparations
References
Lookalikes Review
Dosage
Not documented
The EU herbal monograph gives, for oral use in adults and elderly, 3 g of the comminuted herb as an infusion 1-3 times daily. For cutaneous use, 5-20 g/L as an infusion applied as a wet dressing 2-3 times daily, or 5-10 g/L as a bath additive (1 litre of infusion per bath). Contraindicated in hypersensitivity to salicylates, and cutaneously on open wounds or large areas of damaged skin. Oral use not recommended under 18 years. Educational reference only, not a prescription.
References & Sources
- 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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 - 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
- Retzl, B., Zimmermann-Klemd, A.M., Winker, M., Nicolay, S., Grundemann, C. and Gruber, C.W (2023) 'Exploring Immune Modulatory Effects of Cyclotide-Enriched Viola tricolor Preparations', Planta Medica, 89(15), pp. 1493--1504. doi:10.1055/a-2173-8627 Preclinical
https://doi.org/10.1055/a-2173-8627 - Harati, E., Bahrami, M., Razavi, A., Kamalinejad, M. and others (2018) 'Effects of Viola tricolor Flower Hydroethanolic Extract on Lung Inflammation in a Mouse Model of Chronic Asthma', Iranian Journal of Allergy, Asthma, and Immunology, 17(5), pp. 409-417. doi:10.18502/ijaai.v17i5.299 Preclinical
https://doi.org/10.18502/ijaai.v17i5.299 - Sadeghnia, H.R., Ghorbani Hesari, T., Mortazavian, S.M., Mousavi, S.H. and others (2014) 'Viola tricolor induces apoptosis in cancer cells and exhibits antiangiogenic activity on chicken chorioallantoic membrane', BioMed Research International, 2014, pp. 625792. doi:10.1155/2014/625792 Preclinical
https://doi.org/10.1155/2014/625792 - Mousavi, S.H., Naghizade, B., Pourgonabadi, S. and Ghorbani, A (2016) 'Protective effect of Viola tricolor and Viola odorata extracts on serum/glucose deprivation-induced neurotoxicity: role of reactive oxygen species', Avicenna Journal of Phytomedicine, 6(4), pp. 434-441. Preclinical
https://scholar.google.com/scholar?q=Protective%20effect%20of%20Viola%20tricolor%20and%20Viola%20odorata%20extracts%20on%20serum/glucose%20deprivation-induced%20neurotoxicity%3A%20role%20of%20reactive%20oxygen%20species - Witkowska-Banaszczak, E., Bylka, W., Matlawska, I., Goslinska, O. and Muszynski, Z (2005) 'Antimicrobial activity of Viola tricolor herb', Fitoterapia, 76(5), pp. 458-461. doi:10.1016/j.fitote.2005.03.005 Preclinical
https://doi.org/10.1016/j.fitote.2005.03.005 - Baradaran Rahimi, V., Askari, V.R., Hosseini, M., Yousefsani, B.S. and Sadeghnia, H.R (2019) 'Anticonvulsant Activity of Viola tricolor against Seizures Induced by Pentylenetetrazol and Maximal Electroshock in Mice', Iranian Journal of Medical Sciences, 44(3), pp. 220-226. Preclinical
https://scholar.google.com/scholar?q=Anticonvulsant%20Activity%20of%20Viola%20tricolor%20against%20Seizures%20Induced%20by%20Pentylenetetrazol%20and%20Maximal%20Electroshock%20in%20Mice - Piana, M., Silva, M.A., Trevisan, G., de Brum, T.F. and others (2013) 'Antiinflammatory effects of Viola tricolor gel in a model of sunburn in rats and the gel stability study', Journal of Ethnopharmacology, 150(2), pp. 458-465. doi:10.1016/j.jep.2013.08.040 Preclinical
https://doi.org/10.1016/j.jep.2013.08.040 - Han, B.Y., Wang, Z.L., Li, J., Jin, Q. and others (2023) 'A highly selective C-rhamnosyltransferase from Viola tricolor and insights into its mechanisms', Acta Pharmaceutica Sinica B, 13(8), pp. 3535-3544. doi:10.1016/j.apsb.2023.05.011 Preclinical
https://doi.org/10.1016/j.apsb.2023.05.011 - Hellinger, R., Koehbach, J., Fedchuk, H., Sauer, B., Huber, R., Gruber, C.W. and Grundemann, C (2013) 'Immunosuppressive activity of an aqueous Viola tricolor herbal extract', Journal of Ethnopharmacology, pp. 2013. doi:10.1016/j.jep.2013.10.044 Traditional / reference
https://doi.org/10.1016/j.jep.2013.10.044 - Kirichenko, T.V., Sobenin, I.A., Nikolic, D., Rizzo, M. and Orekhov, A.N (2015) 'Anti-cytokine therapy for prevention of atherosclerosis', Phytomedicine, 23(11), pp. 1198-1210. doi:10.1016/j.phymed.2015.12.002 Clinical study
https://doi.org/10.1016/j.phymed.2015.12.002 - Conzelmann, C., Muratspahic, E., Tomasevic, N., Munch, J. and Gruber, C.W (2022) 'Inhibition of HIV-1 by Cyclotide-Enriched Extracts of Viola tricolor', Frontiers in Pharmacology, 13, pp. 888961. doi:10.3389/fphar.2022.888961 Preclinical
https://doi.org/10.3389/fphar.2022.888961 - Maraschio, A., Wulhfard, K. and Monsellato, L (2023) 'Case study of clinical improvement of atopic dermatitis in a patient treated with herbal-based parapharmaceuticals', Journal of Complementary & Integrative Medicine, 20(2), pp. 504-511. doi:10.1515/jcim-2023-0005 Clinical study
https://doi.org/10.1515/jcim-2023-0005 - Svangard, E. and Goransson, U. and Hocaoglu, Z. and Gullbo, J. and Larsson, R. and Claeson, P. and Bohlin, L (2004) 'Cytotoxic cyclotides from Viola tricolor', Journal of Natural Products, 67(2), pp. 144--147. doi:10.1021/np030101l Preclinical
https://doi.org/10.1021/np030101l - European Medicines Agency (HMPC) (2010) 'Community herbal monograph on Viola tricolor L. and/or subspecies Viola arvensis Murray (Gaud) and Viola vulgaris Koch (Oborny), herba cum flore'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-viola-tricolor-l_en.pdf Traditional / reference
https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-viola-tricolor-l_en.pdf
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.