Plant Comparison
Elder 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
Elder and Heartsease: they share 5 indicated uses (arthritis / joint pain, cold & flu, inflammation (general), …); 1 pharmacological action in common.
Evidence face-off — shared uses
| Condition | Elder | Heartsease | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 5/10 | 2/10 | Stronger for Elder |
| Cold & flu | 8/10 | 2/10 | Stronger for Elder |
| Inflammation (general) | 5/10 | 3/10 | Stronger for Elder |
| Respiratory support | 8/10 | 1/10 | Stronger for Elder |
| Skin irritation | 5/10 | 1/10 | Stronger for Elder |
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
Give the ripe berries their deep colour and much of their antioxidant activity.
Found in both flower and berry, contributing antioxidant and anti-inflammatory activity.
Present in raw berries, leaves, bark and stems; the basis for the caution to always cook berries before eating and avoid raw plant material.
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 / 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
inferred from anti-inflammatory action
inferred from antiviral 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 dark blue or purple berries are mildly poisonous in their raw state, but are edible after cooking.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-nccih-26https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-Fagan-2019-28 Components of the elderberry plant, including its fruit, contain diverse https://en.wikipedia.org/wiki/Phytochemical, such as https://en.wikipedia.org/wiki/Alkaloid, https://en.wikipedia.org/wiki/Lectin, and cyanogenic glycosides, which may be toxic if consumed raw.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8 Consumption of berries, leaves, bark or stems, if not properly prepared, may cause https://en.wikipedia.org/wiki/Nausea, vomiting, and severe https://en.wikipedia.org/wiki/Diarrhea.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-nccih-26https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-msk-27 Elderberry plant constituents or products should not be consumed during pregnancy or by people with https://en.wikipedia.org/wiki/Allergy or https://en.wikipedia.org/wiki/Gastrointestinal_disease.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-msk-27 Elderberry products may cause https://en.wikipedia.org/wiki/Adverse_effect when used with https://en.wikipedia.org/wiki/Prescription_drug.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-msk-27
Duke (2002) rates elderflower and elderberry as +++ with clinical evidence (score 2) for bronchostimulant, diaphoretic, and secretagogue activities, consistent with Commission E approval. Clinical use for colds, bronchitis, and fever is well-supported. Dose: dried flower: 3–5 g as tea three times daily. Important safety consideration: raw elderberries and elder bark contain sambunigrin (cyanogenic glycoside) and lectins — always cook berries before consumption, and avoid bark preparations for medicinal use without expert guidance (Duke, 2002).
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
Deciduous shrub or small tree (Adoxaceae), 3-10 m tall (occasionally larger), with corky, furrowed grey-brown bark. Leaves are pinnate with 5-7 toothed leaflets. Abundant flat-topped clusters (corymbs) of small, fragrant, creamy-white flowers are followed by drooping clusters of small, glossy, purple-black berries.[11]
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
Native throughout Europe, western Asia and North Africa, extremely common in hedgerows, woodland edges, waste ground and disturbed sites, tolerating a wide range of soils.[11]
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
Flowers are picked in full bloom (late spring/early summer), ideally on a dry day, and dried quickly. Berries are picked in late summer/early autumn once fully ripe (deep purple-black) and always cooked before use, as raw berries - and all other parts of the plant - contain cyanogenic glycosides and should not be eaten raw.[11]
The flowering aerial parts are cut in summer while in flower and dried in a warm, shaded, airy place.[9]
Traditional Uses
Elder has one of the most celebrated European folk-medicine reputations, described as a 'medicine chest' of the countryside. The flowers have official European herbal-monograph use for symptoms of the common cold, and the berries - cooked, or as a standardised extract - are widely used and clinically studied for upper respiratory and flu-like symptoms.[2, 11]
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
Dried flower steeped in hot water - the classic cold and flu remedy.
Cooked, sweetened berry preparation - the most widely used commercial and traditional form for immune and cold support.
The concentrated form used in influenza clinical trials.
Dried flowering herb infused in hot water, taken internally for cough or used as a cooled compress for skin irritation.
Dosage
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
Lookalikes Review
Dangerous Lookalikes
Not documented
References & Sources
- Liu, D., He, X.Q., Wu, D.T., Li, H.B. and others (2022) 'Elderberry (Sambucus nigra L.): Bioactive Compounds, Health Functions, and Applications', Journal of Agricultural and Food Chemistry, 70(14), pp. 4202-4220. doi:10.1021/acs.jafc.2c00010 Traditional / reference
https://doi.org/10.1021/acs.jafc.2c00010 - Hawkins, J., Baker, C., Cherry, L. and Dunne, E (2018) 'Black elderberry (Sambucus nigra) supplementation effectively treats upper respiratory symptoms: A meta-analysis of randomized, controlled clinical trials', Complementary Therapies in Medicine, 42, pp. 361-365. doi:10.1016/j.ctim.2018.12.004 Meta-analysis / review
https://doi.org/10.1016/j.ctim.2018.12.004 - Uhl, K. and Mitchell, A.E (2024) 'Elderberry, an Ancient Remedy: A Comprehensive Study of the Bioactive Compounds in Three Sambucus nigra L. Subspecies', Annual Review of Food Science and Technology, 15(1), pp. 27-51. doi:10.1146/annurev-food-072023-034423 Traditional / reference
https://doi.org/10.1146/annurev-food-072023-034423 - Asgary, S. and Pouramini, A (2022) 'The Pros and Cons of Using Elderberry (Sambucus nigra) for Prevention and Treatment of COVID-19', Advanced Biomedical Research, 11, pp. 96. doi:10.4103/abr.abr_146_21 Traditional / reference
https://doi.org/10.4103/abr.abr_146_21 - Ferreira, S.S., Martins-Gomes, C., Nunes, F.M. and Silva, A.M (2022) 'Elderberry (Sambucus nigra L.) extracts promote anti-inflammatory and cellular antioxidant activity', Food Chemistry: X, 15, pp. 100437. doi:10.1016/j.fochx.2022.100437 Preclinical
https://doi.org/10.1016/j.fochx.2022.100437 - Dominguez, R., Pateiro, M., Munekata, P.E.S., Santos Lopez, E.M. and others (2021) 'Potential Use of Elderberry (Sambucus nigra L.) as Natural Colorant and Antioxidant in the Food Industry. A Review', Foods, 10(11), pp. 2713. doi:10.3390/foods10112713 Traditional / reference
https://doi.org/10.3390/foods10112713 - Sanlier, N., Ejder, Z.B. and Irmak, E (2024) 'Are the Effects of Bioactive Components on Human Health a Myth?: Black Elderberry (Sambucus nigra L.) from Exotic Fruits', Current Nutrition Reports, 13(4), pp. 815-827. doi:10.1007/s13668-024-00572-6 Traditional / reference
https://doi.org/10.1007/s13668-024-00572-6 - Ulbricht, C., Basch, E., Cheung, L., Goldberg, H. and others (2014) 'An evidence-based systematic review of elderberry and elderflower (Sambucus nigra) by the Natural Standard Research Collaboration', Journal of Dietary Supplements, 11(1), pp. 80-120. doi:10.3109/19390211.2013.859852 Meta-analysis / review
https://doi.org/10.3109/19390211.2013.859852 - Has, I.M., Teleky, B.E., Szabo, K., Simon, E. and others (2023) 'Bioactive Potential of Elderberry (Sambucus nigra L.): Antioxidant, Antimicrobial Activity, Bioaccessibility and Prebiotic Potential', Molecules, 28(7), pp. 3099. doi:10.3390/molecules28073099 Preclinical
https://doi.org/10.3390/molecules28073099 - Kim, J., An, J., Song, Y., Jang, M. and others (2024) 'Effect of Elderberry (Sambucus nigra L.) Extract Intake on Normalizing Testosterone Concentration in Testosterone Deficiency Syndrome Rat Model Through Regulation of 17beta-HSD, 5alpha-Reductase, and CYP19A1 Expression', Nutrients, 16(23), pp. 4169. doi:10.3390/nu16234169 Preclinical
https://doi.org/10.3390/nu16234169 - European Medicines Agency (2018) 'European Union herbal monograph on Sambucus nigra L., flos'. Traditional / reference
https://scholar.google.com/scholar?q=European%20Union%20herbal%20monograph%20on%20Sambucus%20nigra%20L.%2C%20flos - Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
https://powo.science.kew.org - Zakay-Rones, Z., Thom, E., Wollan, T. and Wadstein, J (2004) 'Randomized study of the efficacy and safety of oral elderberry extract in the treatment of influenza A and B virus infections', 32(2), pp. 132--140. doi:10.1177/147323000403200205 Randomized trial
https://doi.org/10.1177/147323000403200205 - Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition - Jimenez, P. and Gayoso, M. and Tejero, J. and Cabrero, P. and Cordoba-Diaz, D. and Basterrechea, J.E. and Girbes, T (2012) 'Toxicity in mice of lectin ebulin f present in dwarf elderberry (Sambucus ebulus L.)', Toxicon, 61, pp. 26-9. doi:10.1016/j.toxicon.2012.10.009 Preclinical
https://doi.org/10.1016/j.toxicon.2012.10.009 - Botanical Society of Britain and Ireland (2023) 'Sambucus ebulus L., dwarf elder (Fermanagh species accounts)'. Available at: https://bsbi.org/in-your-area/local-botany/co-fermanagh/fermanagh-species-accounts/sambucus-ebulus-l Traditional / reference
https://bsbi.org/in-your-area/local-botany/co-fermanagh/fermanagh-species-accounts/sambucus-ebulus-l - Botanical-online (2024) 'Differences between elder and dwarf elder (Sambucus nigra vs Sambucus ebulus)'. Available at: https://www.botanical-online.com/en/botany/differences-sambucus-nigra-ebulus Traditional / reference
https://www.botanical-online.com/en/botany/differences-sambucus-nigra-ebulus
- 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.