Plant Comparison

Willow Bark vs Vervain

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 AWillow BarkSalix albaSalicaceaeFull monograph →
Plant BVervainVerbena officinalisVerbenaceaeFull monograph →

At a glance

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

Willow BarkVervain
Constituents23
Pharmacological actions37
Indicated uses713
Safety notes22
Cited sources1314
Indicated uses
Only Willow Bark
Fever
Shared (6)
Arthritis / joint painBack painHeadacheInflammation (general)Pain (general)Skin irritation
Only Vervain
AnxietyBloatingLow mood / depressionIndigestionInsomnia / sleeplessnessNervous tensionStress
Pharmacological actions
Only Willow Bark
Antipyretic (reduces fever)
Shared (2)
Analgesic (pain relief)Anti-inflammatory
Only Vervain
AnticonvulsantAntidepressant / mood supportAnxiolytic / calmingDigestive aidSedative / sleep support

Evidence face-off — shared uses

ConditionWillow BarkVervainVerdict
Arthritis / joint pain7/101/10Stronger for Willow Bark
Back pain9/101/10Stronger for Willow Bark
Headache1/101/10Comparable evidence
Inflammation (general)8/102/10Stronger for Willow Bark
Pain (general)9/101/10Stronger for Willow Bark
Skin irritation8/101/10Stronger 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

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
Iridoid glycosides (verbenalin, hastatoside)[3, 11]

Characteristic constituents; verbenalin has a dopaminergic effect.

Iridoid glycosidesGlycosides
Phenylpropanoid glycosides (verbascoside/acteoside)[7, 11]

Antioxidant and anti-inflammatory constituents.

Verbascoside (acteoside)Glycosides
Flavonoids, phenolic acids and essential oil[11]

Supporting antioxidant and aromatic constituents.

Phenolic acidsEssential (volatile) oilFlavonoids

Pharmacological Actions

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)

Analgesic (pain relief)[11]

Anti-inflammatory and analgesic

Anti-inflammatory[5, 6, 11]

Anti-inflammatory and analgesic

Anticonvulsant[11, 12]

Nervine / anxiolytic for nervous tension and mild anxiety; supports sleep (traditional) - a crude extract showed anxiolytic, sedative and anticonvulsant activity in animal models

Antidepressant / mood support[1, 11]

Mild mood support / antidepressant (traditional)

Anxiolytic / calming[11, 12]

Nervine / anxiolytic for nervous tension and mild anxiety; supports sleep (traditional) - a crude extract showed anxiolytic, sedative and anticonvulsant activity in animal models

Digestive aid[11]

Digestive bitter and relief of mild mental stress

Sedative / sleep support[10, 11, 12]

Nervine / anxiolytic for nervous tension and mild anxiety; supports sleep (traditional) - a crude extract showed anxiolytic, sedative and anticonvulsant activity in animal models

Traditional & Indicated Uses

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
Anxiety[11, 12]Traditional · 2/10

Nervine / anxiolytic for nervous tension and mild anxiety; supports sleep (traditional) - a crude extract showed anxiolytic, sedative and anticonvulsant activity in animal models

Evidence: 2
Label: Anxiety
Arthritis / joint pain[11]Traditional · 1/10

inferred from anti-inflammatory action

Evidence: 1
Label: Arthritis / joint pain
Back pain[11]Traditional · 1/10

inferred from analgesic action

Evidence: 1
Label: Back pain
Bloating[11]Traditional · 1/10

inferred from digestive action

Evidence: 1
Label: Bloating
Low mood / depression[1, 11]Traditional · 2/10

inferred from antidepressant action

Evidence: 2
Label: Low mood / depression
Headache[11]Traditional · 1/10

inferred from analgesic action

Evidence: 1
Label: Headache
Indigestion[11]Traditional · 1/10

inferred from digestive action

Evidence: 1
Label: Indigestion
Inflammation (general)[5, 11]Traditional · 2/10

inferred from anti-inflammatory action

Evidence: 2
Label: Inflammation (general)
Insomnia / sleeplessness[11, 12]Traditional · 2/10

inferred from sedative action

Evidence: 2
Label: Insomnia / sleeplessness
Nervous tension[11, 12]Traditional · 2/10

Nervine / anxiolytic for nervous tension and mild anxiety; supports sleep (traditional) - a crude extract showed anxiolytic, sedative and anticonvulsant activity in animal models

Evidence: 2
Label: Nervous tension
Pain (general)[11]Traditional · 1/10

inferred from analgesic action

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

inferred from anti-inflammatory action

Evidence: 1
Label: Skin irritation
Stress[11]Traditional · 1/10

Digestive bitter and relief of mild mental stress

Evidence: 1
Label: Stress

Safety, Cautions & Contraindications

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.

Safety note[11]Caution

Generally well tolerated in traditional use. Avoid during pregnancy - vervain has a traditional uterine-stimulant (oxytocic) reputation linked to verbenalin.

Safety note[11]Info

May add to the effect of sedatives; use in breastfeeding is not recommended in the absence of data.

External Ids

Wikidata: Q156918
Gbif: 2925529
Powo: urn:lsid:ipni.org:names:330554-2
Wikidata: Q161417

Botanical Description

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

Slender, upright perennial herb with wiry, square, sparsely hairy stems and deeply lobed, toothed leaves. Tiny, pale lilac to pale purple, five-lobed flowers are borne sparsely along thin, wiry spikes at the ends of the branches, opening a few at a time.[11]

Height: 30-90 cm
Habit: Slender, upright, wiry-stemmed perennial herb
Leaves: Deeply lobed, toothed, opposite
Flowers: Tiny, pale lilac to pale purple, five-lobed, sparsely arranged along thin wiry spikes
Stem: Wiry, square, sparsely hairy, branching
Root: Fibrous rootstock
Fruit: Small nutlet, splitting into four when ripe
Flowering Period: June-September

Habitat

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]

Grows on dry waste ground, roadsides, field margins and disturbed soil; native to Europe, North Africa and temperate Asia and widely naturalised elsewhere.[11]

Harvesting

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

The flowering aerial parts are cut in summer as the plant comes into flower and dried in a warm, shaded, airy place.

Parts: Aerial parts (flowering herb)
Season: Summer, at flowering

Traditional Uses

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]

Vervain has an ancient European reputation, reflected in its old names 'holy herb' and 'herb of the cross', as a calming nervine for nervous tension, anxiety and sleeplessness, and as a bitter digestive tonic; it has also traditionally been used topically and internally for aches, pains and mild inflammation.[11]

Preparations

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.

Not documented

Dosage

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.

Not documented

References

REF-1253, REF-1254, REF-1255, REF-1256, REF-1257, REF-1258, REF-1259, REF-1260, REF-1261, REF-1262
REF-1358, REF-1359, REF-1360, REF-1361, REF-1362, REF-1363, REF-1364, REF-1365, REF-1366, REF-1367

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

Drug Class Interactions

Not documented

Safety note[13, 14]Caution
Drug Class: sedatives-cns-depressants
Mechanism: Vervain is traditionally used as a calming, sedative herb; taken with sedatives, sleeping tablets or other central-nervous-system depressants (including alcohol) it may add to drowsiness and slowed reactions.
Reviewed By: Omnia Sana (owner-authorized)
Reviewed Date: 2026-07-03

References & Sources

  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
  1. Bekara, A., Amazouz, A. and Douma, T.B (2020) 'Evaluating the Antidepressant Effect of Verbena officinalis L. (Vervain) Aqueous Extract in Adult Rats', Basic and Clinical Neuroscience, 11(1), pp. 91-98. doi:10.32598/bcn.11.1.3 Preclinical
    https://doi.org/10.32598/bcn.11.1.3
  2. Rodrigues Oliveira, S.M., Dias, E., Girol, A.P., Silva, H. and others (2022) 'Exercise Training and Verbena officinalis L. Affect Pre-Clinical and Histological Parameters', Plants, 11(22), pp. 3115. doi:10.3390/plants11223115 Preclinical
    https://doi.org/10.3390/plants11223115
  3. Dong, J., Du, C., Xu, C., Wang, Q. and others (2023) 'Verbenalin attenuates hepatic damage and mitochondrial dysfunction in alcohol-associated steatohepatitis by regulating MDMX/PPARalpha-mediated ferroptosis', Journal of Ethnopharmacology, 307, pp. 116227. doi:10.1016/j.jep.2023.116227 Preclinical
    https://doi.org/10.1016/j.jep.2023.116227
  4. Nisar, R., Adhikary, S., Ahmad, S. and Alam, M.A (2022) 'In Vitro Antimelanoma Properties of Verbena officinalis Fractions', Molecules, 27(19), pp. 6329. doi:10.3390/molecules27196329 Preclinical
    https://doi.org/10.3390/molecules27196329
  5. Dai, X., Zhou, X., Shao, R., Zhao, R. and others (2023) 'Bioactive Constituents of Verbena officinalis Alleviate Inflammation and Enhance Killing Efficiency of Natural Killer Cells', International Journal of Molecular Sciences, 24(8), pp. 7144. doi:10.3390/ijms24087144 Preclinical
    https://doi.org/10.3390/ijms24087144
  6. Zhang, W., Zhang, P., Xu, L.H., Gao, K. and others (2023) 'Ethanol extract of Verbena officinalis alleviates MCAO-induced ischaemic stroke by inhibiting IL17A pathway-regulated neuroinflammation', Phytomedicine, 123, pp. 155237. doi:10.1016/j.phymed.2023.155237 Preclinical
    https://doi.org/10.1016/j.phymed.2023.155237
  7. Kubica, P., Szopa, A. and Ekiert, H (2017) 'Production of verbascoside and phenolic acids in biomass of Verbena officinalis L. (vervain) cultured under different in vitro conditions', Natural Product Research, 31(14), pp. 1663-1668. doi:10.1080/14786419.2017.1286477 Preclinical
    https://doi.org/10.1080/14786419.2017.1286477
  8. Yang, J.Y., Guo, C.S., Su, L., Xu, C.X. and others (2023) 'Four undescribed triterpenes from the aerial parts of Verbena officinalis', Fitoterapia, 170, pp. 105670. doi:10.1016/j.fitote.2023.105670 Preclinical
    https://doi.org/10.1016/j.fitote.2023.105670
  9. Chen, Y., Gan, Y., Yu, J., Ye, X. and others (2023) 'Key ingredients in Verbena officinalis and determination of their anti-atherosclerotic effect using a computer-aided drug design approach', Frontiers in Plant Science, 14, pp. 1154266. doi:10.3389/fpls.2023.1154266 Preclinical
    https://doi.org/10.3389/fpls.2023.1154266
  10. Peng, S., Li, F., Yu, K., Zhou, F. and others (2022) 'Integrating transcriptome and chemical analyses to reveal the anti-Alzheimer's disease components in Verbena officinalis Linn', Frontiers in Plant Science, 13, pp. 955075. doi:10.3389/fpls.2022.955075 Preclinical
    https://doi.org/10.3389/fpls.2022.955075
  11. (2020) 'Verbena officinalis (Common Vervain) - A Review on the Investigations of This Medicinally Important Plant Species', Planta Medica. doi:10.1055/a-1232-5758 Traditional / reference
    https://doi.org/10.1055/a-1232-5758
  12. Khan, A.W., Khan, A.U. and Ahmed, T (2016) 'Anticonvulsant, Anxiolytic, and Sedative Activities of Verbena officinalis', Frontiers in Pharmacology. doi:10.3389/fphar.2016.00499 Preclinical
    https://doi.org/10.3389/fphar.2016.00499
  13. Ghasemzadeh Rahbardar, M. and Hosseinzadeh, H (2024) 'Therapeutic potential of hypnotic herbal medicines: A comprehensive review', Phytotherapy Research, 38(6), pp. 3037-3059. doi:10.1002/ptr.8201 Meta-analysis / review
    https://doi.org/10.1002/ptr.8201
  14. Block, K.I., Gyllenhaal, C. and Mead, M.N (2004) 'Safety and efficacy of herbal sedatives in cancer care', Integrative Cancer Therapies, 3(2), pp. 128-148. doi:10.1177/1534735404265003 Meta-analysis / review
    https://doi.org/10.1177/1534735404265003

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.