Plant Comparison

Peppermint vs Willow Bark

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 APeppermintMentha × piperitaLamiaceaeFull monograph →
Plant BWillow BarkSalix albaSalicaceaeFull monograph →

At a glance

Peppermint and Willow Bark: they share 6 indicated uses (arthritis / joint pain, back pain, headache, …); 2 pharmacological actions in common.

PeppermintWillow Bark
Constituents32
Pharmacological actions113
Indicated uses147
Safety notes22
Cited sources3613
Indicated uses
Only Peppermint
BloatingIndigestionInfection (general)Menstrual crampsMuscle spasmRespiratory supportWoundsCognitive function
Shared (6)
Arthritis / joint painBack painHeadacheInflammation (general)Pain (general)Skin irritation
Only Willow Bark
Fever
Pharmacological actions
Only Peppermint
AntimicrobialAntioxidantAntispasmodicDigestive aidAnticancer (preclinical)AntiviralAntifungalNeuroprotective / cognition supportGastroprotective
Shared (2)
Analgesic (pain relief)Anti-inflammatory
Only Willow Bark
Antipyretic (reduces fever)

Evidence face-off — shared uses

ConditionPeppermintWillow BarkVerdict
Arthritis / joint pain5/107/10Stronger for Willow Bark
Back pain5/109/10Stronger for Willow Bark
Headache8/101/10Stronger for Peppermint
Inflammation (general)5/108/10Stronger for Willow Bark
Pain (general)5/109/10Stronger for Willow Bark
Skin irritation5/108/10Stronger for Willow Bark

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

Essential oil (menthol, menthone)[3]

Menthol is the dominant constituent of the leaf oil, responsible for the cooling sensation and much of the antispasmodic and analgesic activity.

Essential (volatile) oilMentholTerpenes / terpenoids
Rosmarinic acid and flavonoids (eriocitrin, luteolin)[9]

Phenolic antioxidants of the leaf.

Rosmarinic acidFlavonoidsLuteolin
Tannins[2]

Contribute mild astringency.

Tannins
Salicin and related salicylates[1, 2, 6, 7, 11, 12]

Metabolised in the body to salicylic acid - the 'natural aspirin' that gives the analgesic, anti-inflammatory and antipyretic effects.

Salicin
Polyphenols, flavonoids and tannins[10, 12]

Contribute additionally to the anti-inflammatory and antioxidant activity.

Phenolic compoundsFlavonoidsTannins

Pharmacological Actions

Analgesic (pain relief)[2, 5, 33, 34, 35]
Anti-inflammatory[1, 2, 3, 11, 33, 34, 35]
Antimicrobial[1, 2, 3, 8, 15, 27, 28, 30, 32, 33, 34, 35]
Antioxidant[1, 2, 3, 9, 11, 18, 20, 26, 30, 31, 33, 34, 35]
Antispasmodic[1, 4, 33, 34, 35]

Antispasmodic (cramp easing)

Digestive aid[1, 2, 4, 33, 34, 35]
Anticancer (preclinical)[11]
Antiviral[13, 14]
Antifungal[16, 27]
Neuroprotective / cognition support[20, 21, 22, 23, 24, 25]
Gastroprotective[29]
Analgesic (pain relief)[1, 8, 9, 11, 12, 13]

Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks

Anti-inflammatory[1, 4, 11, 12, 13]

Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks

Antipyretic (reduces fever)[12]

Antipyretic (reduces fever)

Traditional & Indicated Uses

Arthritis / joint pain[33, 34, 35]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Arthritis / joint pain
Back pain[33, 34, 35]Moderate · 5/10

inferred from analgesic action

Evidence: 5
Label: Back pain
Bloating[33, 34, 35]Moderate · 5/10

inferred from digestive action

Evidence: 5
Label: Bloating
Headache[5, 33, 34, 35]Good · 8/10

inferred from analgesic action

Evidence: 8
Label: Headache
Indigestion[33, 34, 35]Moderate · 5/10

inferred from digestive action

Evidence: 5
Label: Indigestion
Infection (general)[13, 33, 34, 35]Moderate · 5/10

inferred from antimicrobial action

Evidence: 5
Label: Infection (general)
Inflammation (general)[33, 34, 35]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Inflammation (general)
Menstrual cramps[33, 34, 35]Moderate · 5/10

inferred from antispasmodic action

Evidence: 5
Label: Menstrual cramps
Muscle spasm[33, 34, 35]Moderate · 5/10

inferred from antispasmodic action

Evidence: 5
Label: Muscle spasm
Pain (general)[33, 34, 35]Moderate · 5/10
Evidence: 5
Label: Pain (general)
Respiratory support[33, 34, 35]Moderate · 5/10
Evidence: 5
Label: Respiratory support
Skin irritation[33, 34, 35]Moderate · 5/10

inferred from anti-inflammatory action

Evidence: 5
Label: Skin irritation
Wounds[33, 34, 35]Moderate · 5/10

inferred from antimicrobial action

Evidence: 5
Label: Wounds
Cognitive function[21, 23, 24]Traditional · 2/10

Peppermint/Mentha showed acetylcholinesterase inhibition (cognition-relevant, preclinical).

Evidence: 2
Label: Cognitive function
Arthritis / joint pain[11, 12]Good · 7/10

Relief of joint pain, osteoarthritis and rheumatic complaints

Evidence: 7
Label: Arthritis / joint pain
Back pain[8, 9, 11, 12, 13]Strong · 9/10

Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks

Evidence: 9
Label: Back pain
Fever[12]Traditional · 1/10

Antipyretic (reduces fever)

Evidence: 1
Label: Fever
Headache[12]Traditional · 1/10
Evidence: 1
Label: Headache
Inflammation (general)[11, 12, 13]Good · 8/10

inferred from anti-inflammatory action

Evidence: 8
Label: Inflammation (general)
Pain (general)[8, 11, 12, 13]Strong · 9/10

Analgesic and anti-inflammatory for low back pain (moderate evidence; dose-dependent, around 240 mg salicin/day) - in an RCT, 240 mg salicin/day left 39% pain-free vs 6% on placebo within 4 weeks; Relief of joint pain, osteoarthritis and rheumatic complaints

Evidence: 9
Label: Pain (general)
Skin irritation[11, 12, 13]Good · 8/10

inferred from anti-inflammatory action

Evidence: 8
Label: Skin irritation

Safety, Cautions & Contraindications

Safety note[33, 34, 35]Caution

Generally very safe. Essential oil should not be applied to the face or chest of infants or children — menthol can cause respiratory depression. Avoid enteric-coated capsules if taking antacids or acid-suppressing drugs. May worsen GERD by relaxing the lower oesophageal sphincter. Avoid in bile duct obstruction and gallstones.

Safety note[33, 34, 35, 36]Caution

Duke (2002) rates peppermint as +++ with clinical evidence (score 2) for antispasmodic activity, consistent with Commission E approval for IBS (irritable bowel syndrome) using enteric-coated peppermint oil capsules. Enteric-coated peppermint oil is one of the most clinically validated herbal treatments for IBS, reducing abdominal pain and spasm. Dose: 0.6 ml enteric-coated oil two to three times daily between meals (for IBS); 1.5–3 g dried leaf as tea three times daily for digestive complaints. Peppermint should not be applied near the face or nostrils of infants and small children (risk of laryngospasm from menthol). Contraindicated in cholelithiasis (gallstones) (Duke, 2002).

Safety note[12]Caution

Because it works like aspirin, avoid willow bark if you are allergic to aspirin or salicylates, and do NOT give it to children or teenagers with a viral illness (risk of Reye's syndrome). Use caution in asthma (salicylate sensitivity).

Safety note[12]Caution

Avoid with anticoagulant/antiplatelet medicines (bleeding risk) and in active peptic ulcer; avoid in pregnancy (especially the third trimester) and breastfeeding.

External Ids

Gbif: 8707933
Wikidata: Q156918

Botanical Description

Perennial herb, 30-90 cm tall, a sterile natural hybrid (Mentha aquatica x M. spicata) that spreads by rhizomes and surface stolons rather than viable seed. Stems are square, often purple-tinged. Leaves are opposite, lance-shaped to ovate with a sharply toothed margin, and release a strong menthol scent when crushed. Small, pale purple flowers are borne in dense, interrupted terminal spikes.[2]

Height: 30-90 cm
Habit: Rhizomatous, mat-forming perennial herb, sterile hybrid
Leaves: Opposite, lance-shaped to ovate, sharply toothed, strongly menthol-scented
Flowers: Small, pale purple, in dense interrupted terminal spikes
Stem: Square, often purple-tinged
Root: Spreading rhizomes and surface stolons
Fruit: Rarely sets seed (sterile hybrid); propagated vegetatively
Flowering Period: July-September

Large deciduous tree (Salicaceae), 10-25 m tall (occasionally taller), fast-growing with a broad crown. Leaves are narrow and lance-shaped, silvery-white and silky-hairy beneath, giving the tree a shimmering appearance in the wind. Tiny flowers are borne in catkins appearing with the leaves in spring; the species is dioecious. The fruit is a small capsule releasing cottony-tufted seeds.[12]

Height: 10-25 m
Habit: Large, fast-growing deciduous tree, dioecious
Leaves: Narrow, lance-shaped, silvery-white and silky-hairy beneath
Flowers: Tiny, in catkins with the leaves
Stem: Broad-crowned trunk
Root: Extensive, water-seeking root system
Fruit: Small capsule with cottony-tufted seeds
Flowering Period: April-May

Habitat

A cultivated hybrid grown worldwide as a crop and garden herb, propagated vegetatively since it rarely sets viable seed; naturalised in damp ground - streambanks, ditches and waste places - in temperate regions.[2]

Native to Europe, western and central Asia and North Africa, growing on damp ground along riverbanks, floodplains and wet meadows; widely planted and naturalised elsewhere.[12]

Harvesting

Aerial parts are cut at or just before full flowering (mid- to late summer), when the essential-oil (menthol) content peaks, then dried quickly out of direct sun, or distilled fresh for essential oil.[3]

Parts: Leaf, Flowering tops
Season: Mid- to late summer, at or just before flowering

Bark is stripped from young branches (2-3-year-old growth is preferred, as salicin content is highest in younger bark) in spring, when the rising sap makes the bark peel most easily, then dried.[12]

Parts: Bark
Season: Spring

Traditional Uses

Peppermint has one of the best-documented traditional uses of any herb - as a carminative and antispasmodic for indigestion, bloating and colic. Enteric-coated peppermint oil capsules are among the most clinically validated herbal treatments for irritable bowel syndrome, and topical or inhaled peppermint oil is traditionally and clinically used for tension-type headache and muscular aches.[1, 2, 4, 5]

Willow bark has one of the longest documented histories of any medicinal plant, used since antiquity (recorded by Hippocrates) as a remedy for pain and fever. Its salicin content, chemically related to aspirin, gives it official European herbal-monograph recognition for mild joint pain, headache and feverish colds, with modern clinical trials supporting benefit for low back pain.[11, 12]

Preparations

Infusion (tea)[1]

Dried leaf steeped in hot water, the classic digestive tea.

Enteric-coated oil capsules[4, 33, 34, 35]

Standardised peppermint oil in enteric-coated capsules, the clinically studied form for irritable bowel syndrome, releasing the oil in the intestine rather than the stomach.

Essential oil (topical)[5]

Diluted essential oil applied to the temples and neck for tension-type headache.

Decoction[12]

Dried bark simmered in water - the traditional preparation, since salicin needs proper simmering (not just a quick infusion) to extract well.

Standardised extract (capsule/tablet)[11]

Standardised to salicin content, the form used in clinical trials.

Dosage

Enteric-coated oil capsules[33, 34, 35]

Duke (2002) and Commission E guidance: about 0.6 mL enteric-coated oil two to three times daily between meals for IBS-type digestive complaints. Educational reference only, not a prescription.

Dried leaf infusion[33, 34, 35]

Traditional guidance: about 1.5-3 g dried leaf as a tea, up to three times daily for digestive complaints. Educational reference only, not a prescription.

Standardised extract[11, 12]

Clinical trials for back pain have used around 240 mg salicin/day of standardised extract. Educational reference only, not a prescription; avoid if allergic to aspirin/salicylates, in children/teenagers with a viral illness (Reye's syndrome risk), or alongside anticoagulants.

References

REF-1203, REF-1204, REF-1205, REF-1206, REF-1207, REF-1208, REF-1209, REF-1210, REF-1211, REF-1212, REF-3037, REF-3038, REF-3039, REF-3040, REF-3041, REF-3042, REF-3043, REF-3044, REF-3045, REF-3046, REF-3047, REF-3048, REF-3049, REF-3050, REF-3051, REF-3052, REF-3053, REF-3054, REF-3055, REF-3056, REF-3057, REF-3058
REF-1253, REF-1254, REF-1255, REF-1256, REF-1257, REF-1258, REF-1259, REF-1260, REF-1261, REF-1262

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

References & Sources

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  1. Shara, M. and Stohs, S.J (2015) 'Efficacy and Safety of White Willow Bark (Salix alba) Extracts', Phytotherapy Research, 29(8), pp. 1112-1116. doi:10.1002/ptr.5377 Meta-analysis / review
    https://doi.org/10.1002/ptr.5377
  2. Maistro, E.L., Terrazzas, P.M., Perazzo, F.F., Gaivao, I.O.M. and others (2020) 'Salix alba (white willow) medicinal plant presents genotoxic effects in human cultured leukocytes', Journal of Toxicology and Environmental Health, Part A, 82(23-24), pp. 1223-1234. doi:10.1080/15287394.2019.1711476 Preclinical
    https://doi.org/10.1080/15287394.2019.1711476
  3. Matyjaszczyk, E. and Schumann, R. (EU-FORA) (2018) 'Risk assessment of white willow (Salix alba) in food', EFSA Journal, 16(Suppl 1), pp. e16081. doi:10.2903/j.efsa.2018.e16081 Meta-analysis / review
    https://doi.org/10.2903/j.efsa.2018.e16081
  4. Phillips, H.N., Sharpe, K.T., Endres, M.I. and Heins, B.J (2021) 'Effects of oral white willow bark (Salix alba) and intravenous flunixin meglumine on prostaglandin E2 in healthy dairy calves', JDS Communications, 3(1), pp. 49-54. doi:10.3168/jdsc.2021-0138 Preclinical
    https://doi.org/10.3168/jdsc.2021-0138
  5. Kong, C.S., Kim, K.H., Choi, J.S., Kim, J.E. and others (2014) 'Salicin, an extract from white willow bark, inhibits angiogenesis by blocking the ROS-ERK pathways', Phytotherapy Research, 28(8), pp. 1246-1251. doi:10.1002/ptr.5126 Preclinical
    https://doi.org/10.1002/ptr.5126
  6. Noleto-Dias, C., Ward, J.L., Bellisai, A., Lomax, C. and Beale, M.H (2018) 'Salicin-7-sulfate: A new salicinoid from willow and implications for herbal medicine', Fitoterapia, 127, pp. 166-172. doi:10.1016/j.fitote.2018.02.009 Preclinical
    https://doi.org/10.1016/j.fitote.2018.02.009
  7. Wolfle, U., Haarhaus, B., Kersten, A., Fiebich, B. and others (2015) 'Salicin from Willow Bark can Modulate Neurite Outgrowth in Human Neuroblastoma SH-SY5Y Cells', Phytotherapy Research, 29(10), pp. 1494-1500. doi:10.1002/ptr.5400 Preclinical
    https://doi.org/10.1002/ptr.5400
  8. Gagnier, J.J., van Tulder, M., Berman, B. and Bombardier, C (2006) 'Herbal medicine for low back pain (Cochrane review)', Cochrane Database of Systematic Reviews, (2), pp. CD004504. doi:10.1002/14651858.CD004504.pub3 Meta-analysis / review
    https://doi.org/10.1002/14651858.CD004504.pub3
  9. Oltean, H., Robbins, C., van Tulder, M.W., Berman, B.M. and others (2014) 'Herbal medicine for low-back pain (Cochrane review update)', Cochrane Database of Systematic Reviews, 2014(12), pp. CD004504. doi:10.1002/14651858.CD004504.pub4 Meta-analysis / review
    https://doi.org/10.1002/14651858.CD004504.pub4
  10. Amel Zabihi, N., Mahmoudabady, M., Soukhtanloo, M., Hayatdavoudi, P. and others (2018) 'Salix alba attenuated oxidative stress in the heart and kidney of hypercholesterolemic rabbits', Avicenna Journal of Phytomedicine, 8(1), pp. 63-72. Preclinical
    https://scholar.google.com/scholar?q=Salix%20alba%20attenuated%20oxidative%20stress%20in%20the%20heart%20and%20kidney%20of%20hypercholesterolemic%20rabbits
  11. Vlachojannis, J.E., Cameron, M. and Chrubasik, S (2009) 'A systematic review on the effectiveness of willow bark for musculoskeletal pain', Phytotherapy Research. doi:10.1002/ptr.2747 Meta-analysis / review
    https://doi.org/10.1002/ptr.2747
  12. European Medicines Agency (HMPC) (n.d.) 'European Union herbal monograph on Salix [various species], cortex (Salicis cortex)'. Available at: https://www.ema.europa.eu/en/medicines/herbal/salicis-cortex Traditional / reference
    https://www.ema.europa.eu/en/medicines/herbal/salicis-cortex
  13. Chrubasik, S., Eisenberg, E., Balan, E., Weinberger, T., Luzzati, R. and Conradt, C (2000) 'Treatment of low back pain exacerbations with willow bark extract: a randomized double-blind study', The American Journal of Medicine, 109(1), pp. 9--14. doi:10.1016/S0002-9343(00)00442-3 Randomized trial
    https://doi.org/10.1016/S0002-9343(00)00442-3

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.