Pleurisy Root (Asclepias tuberosa): The Lung Specialist

Pleurisy Root — Asclepias tuberosa, also known as Butterfly Weed for its striking orange flowers that attract pollinators — is a North American prairie plant with a long history of use by Native American peoples and 19th-century Eclectic physicians for respiratory conditions, most specifically pleurisy — the inflammation of the membrane lining the chest cavity that causes sharp, breath-related chest pain. Its name directly reflects this historical clinical reputation, and while modern respiratory medicine has changed considerably, Pleurisy Root retains relevance as a specialist herb for respiratory conditions with significant inflammation and pain.

At Herba Naturalle, Pleurisy Root is listed in the comprehensive herb index as a specialist respiratory herb — complementary to the Lungwort Plus and relevant to Stop the Inflammation Pandemic: Breathe Easy.

Active Compounds

  • Cardiac glycosides (asclepiadin) — present in the root; contributing to the traditional diaphoretic and expectorant action; this cardioactive component is the basis for the important safety considerations below
  • Resin — expectorant and anti-inflammatory contribution
  • Flavonoids — with anti-inflammatory properties
  • Volatile oil — minor antimicrobial contribution

Clinical Applications

Respiratory Inflammation with Pain (Pleurisy-Type Presentations)

The classic traditional application — respiratory conditions involving sharp, inflammatory chest pain associated with the pleural membranes. The combination of anti-inflammatory and mild analgesic properties addresses both the respiratory and pain components of this presentation.

Bronchitis with Difficult Expectoration

The resin content provides expectorant action, useful in bronchitis where mucus is difficult to clear. Combined with diaphoretic action that supports fever resolution during acute respiratory infection.

Fever with Respiratory Involvement

Traditional diaphoretic use during acute febrile respiratory illness, supporting the body’s natural fever process while addressing respiratory symptoms simultaneously.

Relevant Blog Posts

Safety — Important Information

  • Professional supervision recommended — the cardiac glycoside content requires informed clinical use, particularly in those with cardiac conditions or on cardiac medication
  • Pregnancy: Contraindicated
  • Cardiac medication (digoxin and related): Significant interaction risk — never combine without specialist guidance
  • Persistent chest pain or breathing difficulty: Always requires urgent medical assessment — true pleurisy is a medical condition requiring diagnosis and appropriate treatment; this herb is not a substitute for medical care of respiratory chest pain

Contact Herba Naturalle for respiratory herbal guidance. Browse all products and the full herb index.


This article is for informational purposes only. Chest pain and breathing difficulty require urgent medical assessment. Pleurisy Root should only be used under qualified professional supervision.

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Learn about Anjela Jegnathan, 30+ Years of Experience in Herbal Medicine.
A Practitioner and Herbalist in London, UK.

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