Comfrey Root Ointment
German and European folk medicine — known as "knitbone" (Beinwell)
Evidence: Moderate–strong — placebo-controlled RCT and a head-to-head trial against diclofenac gel

Illustration: Comfrey (Symphytum officinale) in flower

Illustration: Dried comfrey root, cut
What it is and what it is used for
A salve made from comfrey root (Symphytum officinale), applied to the skin over sprains, bruises, and strains. Traditionally the fresh or dried root was mashed into a poultice; modern trials used a standardized comfrey root extract ointment. It is used to reduce pain and swelling after soft-tissue injuries such as twisted ankles.
Safety and disclaimers
- EXTERNAL USE ONLY. Comfrey contains pyrrolizidine alkaloids, which are toxic to the liver — never eat comfrey or drink comfrey tea.
- Never apply to broken skin, cuts, or open wounds.
- Avoid during pregnancy and breastfeeding.
- The U.S. FDA issued an advisory against internal use of comfrey in 2001.
- Do not use long-term or over large areas of skin without professional guidance.
Foraging and preparing your ingredients
Warning: illustrations and photographs alone are never enough for safe wild identification. Confirm every plant in person with a knowledgeable local expert and at least two reliable field guides before harvesting or eating anything from the wild.
Where and when to find it: Damp meadows, ditches, riverbanks, and garden edges across Europe and temperate North America. Flowers late spring to early autumn; roots are dug in autumn (most potent) or early spring.
Identification: Large, rough, hairy, lance-shaped leaves on winged stems; drooping clusters of bell-shaped blue, purple, pink, or cream flowers hanging in curled sprays. Compare with the captioned photos of the flowering plant and the root.
What to harvest: Roots for the ointment (the medicinal part used in trials); young leaves were the traditional poultice material.
Dangerous look-alikes: CRITICAL: before flowering, comfrey leaves closely resemble foxglove (Digitalis purpurea), which is deadly poisonous. Foxglove leaves are softer and wrinkled, and the plant sends up a tall spike of thimble-shaped flowers; comfrey flowers hang in curled clusters. Green alkanet is also similar but has bright blue open flowers. Never harvest unless you are certain — when in doubt, buy dried root from a reputable supplier.
Harvest sustainably: Take only part of the roots from large, established clumps and replant the crown so the plant regrows. Never strip a small patch. Avoid plants growing near roads, sprayed fields, or polluted water.
Preparing and storing:
- Scrub roots thoroughly to remove soil; slice into thin coins.
- Dry at low heat (below 40°C / 100°F) in a dehydrator or a dark, airy place until brittle.
- Store dried root in sealed jars, cool and dark, up to 2 years.
- The dried root is then infused in oil exactly as the recipe describes.
Recipe
Ingredients:
- Dried comfrey root (Symphytum officinale), 30 g (about 1 oz)
- 250 ml (about 1 cup) olive oil or another neutral oil
- 30 g (about 1 oz) beeswax, grated
Preparation:
- Gently warm the oil with the dried comfrey root in a double boiler on the lowest heat for 2–3 hours; do not let it boil.
- Strain out the root through cheesecloth, pressing to extract the oil.
- Return the infused oil to the double boiler, add the grated beeswax, and stir until melted.
- Pour into a clean jar and let cool until set. Store in a cool, dark place.
Dosage / directions: Apply a thin layer to intact skin over the sprain or bruise 2–3 times daily for up to 2 weeks. Stop if irritation develops.
Folk history
Comfrey's folk name, 'knitbone,' records exactly what country people believed it did: knit broken bones and mend torn tissue. It has been applied to sprains, bruises, and fractures in European folk medicine since antiquity, and the German name Beinwell ('leg-well') tells the same story. Comfrey was once also eaten as a vegetable and drunk as tea — a practice abandoned after its liver-toxic alkaloids were identified.
Scientific references
- Koll et al. 2004 — randomized, double-blind, placebo-controlled trial of comfrey root extract ointment in ankle sprains — https://www.researchgate.net/publication/7446363_Efficacy_of_a_Comfrey_root_extract_ointment_in_comparison_to_a_Diclofenac_gel_in_the_treatment_of_ankle_distortions_Results_of_an_observer-blind_randomized_multicenter_study
- Grube / Predel et al. 2005 — observer-blind randomized multicenter trial vs diclofenac gel (n=164) — https://www.researchgate.net/publication/7446363_Efficacy_of_a_Comfrey_root_extract_ointment_in_comparison_to_a_Diclofenac_gel_in_the_treatment_of_ankle_distortions_Results_of_an_observer-blind_randomized_multicenter_study
- Drugs.com — comfrey monograph (safety summary) — https://www.drugs.com/npp/comfrey.html