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Lanita Adams
Holistic Nursing
Fall 2016
HERB REPORT ON COMFREY 2
Comfrey is a plant that grows in Europe, temperate Asia, and North America in shady,
wet places (Shapira, Schapira, & Shapira, 1982). Comfrey grows to be two to three feet tall, has
flowers that range from white, cream-yellow, pink and blue (Shapira, Schapira, & Shapira,
1982). It is called “the healing herb” and in 1912 it was found to contain allantoin which causes
cells to proliferate and injured cells to heal rapidly (Shapira, Schapira, & Shapira, 1982).
Allantoin content is not found in equal amounts in the roots and rhizomes in each plant and
varies from season to season (Castro, Young, Alvarenga, & Alves, 2001). The tea is made from
ground root and the leaves (Shapira, Schapira, & Shapira, 1982). There are also different
varieties of comfrey that have different amounts of pyrrolizidine alkaloids (PAs), which are
Besides being used in teas comfrey can be used topically in creams, salves, oils and even
applied topically in the tea form. Comfrey is beneficial for relieving pain, healing wounds, and
treating skin irritations. It can cause a wound to heal so fast that bacteria is sealed into the
wound, and to prevent that using an antimicrobial product like goldenseal or thyme can help
address the microorganisms that may be in the wound (Annie’s Remedy, 2016). Comfrey can
also heal bone, but Rose (2008) recommends not using it on a bone that needs reset or healing
wounds that are not infection free. Rose (2008) talks about how comfrey can heal a bone so
quickly that a callous forms on it. According to Mei, Guo, Fu, Fuscoe, Luan, & Chen (2010)
both comfrey leaves and roots in the form of extract, ointment, or compress paste are
infusions and extracts, comfrey is used to treat gastritis, gastroduodenal ulcers, and lung
It is unclear whether comfrey is a safe product to use because of how it can damage the
liver and cause cancer. Though it has pyrrolizidine alkaloids (PAs) which have been shown to
damage the liver, Mei, Guo, Fu, Fuscoe, Luan, & Chen (2010) talked about how the PA in
comfrey has lower toxicity than PA found in other plants. Annie’s (2016) talks about how
occasionally having comfrey tea is not something that she is worried about but each individual
they could drink it safely in tea but at this point I would recommend using store bought tea.
Because there are so many variables involved in how many PAs are in homegrown comfrey I am
not comfortable with the idea of making tea out of it or recommending that patients make their
own comfrey tea from scratch. Also it can be hard to tell different comfrey varieties apart and the
prickly comfrey contains more PAs and is not recommended (Annie’s Remedy, 2016). Rose
(2008) does not use comfrey much internally because of the concern with PAs causing liver
damage. It was good to find someone who felt like the internal approach is not as advisable as
There are quite a few recipes on the internet for comfrey salves. I would recommend one
that has some sort of antibiotic in it. Comfrey has been used for over 2,000 years and has
definitely been proven effective at treating joint issues, skin issues, and helps with healing and
pain. I do not think that there is enough evidence to show that if comfrey is used holistically or in
moderation that it is harmful. Rose (2008) speaks enthusiastically about how effective it is at
healing difficult pressure sores and raw skin along with broken bones and sprains. It seems that a
HERB REPORT ON COMFREY 4
novice at making the salves and other topical applications might need to seek advice from
someone who has experience with using the herb and mixing it with other herbs and oils. Since
there are so many recipes and it does act quickly, doing it unguided is not something I would
recommend to a patient, or do myself. Memorial Sloan Kettering Cancer Center, (2016) do not
recommend using comfrey to treat cancer. In conclusion, comfrey is beneficial but must be used
with caution.
HERB REPORT ON COMFREY 5
References
http://www.anniesremedy.com/herb_detail89.php
Castro, A. H. F., Young, M. C., Alvarenga, A. A. D., & Alves, J. D. (2001). Influence of
Giannetti, B. M., Staiger, C., Bulitta, M., & Predel, H. (2010). Efficacy and safety of comfrey
root extract ointment in the treatment of acute upper or lower back pain: results of a
Mei, N., Guo, L., Fu, P. P., Fuscoe, J. C., Luan, Y., & Chen, T. (2010). Metabolism,
https://www.mskcc.org/cancer-care/integrative-medicine/herbs/comfrey
http://bearmedicineherbals.com/bone-deep-beauty-notes-on-comfrey.html
Schapira, J., Schapira, D. & Shapira K. (1982). The book of coffee and tea: A guide to the
appreciation of fine coffees, teas, and herbal beverages (2nd Ed.) New York: St. Martin’s
Griffin