
Eupatorium perfoliatum
Boneset
Asteraceae
At a Glance
- Common name
- Boneset
- Scientific name
- Eupatorium perfoliatum
- Family
- Asteraceae
- Region
- North America
- Plant part
- Leaves and flowering tops
- Caffeine
- Caffeine Free
- Evidence
- Insufficient
- Safety review
- Safety information on file
Safety & Cautions
Safety information on fileBotanical Description
A tall native American perennial whose pairs of opposite lance-shaped leaves appear to be pierced (perfoliate) by the stout stem. Crowns of small, fuzzy white flowers bloom in late summer.
Also known as: Thoroughwort, Ague Weed, Feverwort, Sweating Plant
Historical Background
A signature remedy of 19th-century American Eclectic and Thomsonian practice for the fevers and bone-aching chills of influenza and malaria ('ague'). The name 'boneset' refers to the deep aching it was used to relieve.
Earliest recorded uses: Inducing sweating to break fevers, relieving the bone-ache of influenza, and as a bitter digestive tonic.
Cultural significance: Among the most-used Native American febrifuges adopted by settlers; long listed in the United States Pharmacopeia.
Indigenous
Native American groups use boneset for fevers and colds.
19th century
A mainstay of Eclectic and Thomsonian practice for 'ague' and influenza.
20th century
Declines as quinine and modern antipyretics displace it.
Traditional preparations:
- Warm infusion (very bitter)
- Cold infusion (less nauseating)
Traditional Uses
These uses document historical traditions and do not imply proven effectiveness.
Native American Traditions
Infusion drunk warm to promote sweating and ease the aching of fever.
Traditional European Herbalism (adopted)
Adopted by settlers as a diaphoretic and bitter tonic.
Flavor & Aroma
Aroma: Faint, pungent and hay-like
Tea Preparation
Modern Evidence
Used almost entirely on traditional grounds; controlled trials are lacking. Pharmacological interest centers on sesquiterpene lactones, but modern evidence does not establish efficacy for fever.
Evidence levels describe the state of research for the traditional use discussed here, not a recommendation. Historical use does not imply effectiveness.
References & Sources
- American Botanical Council · Expanded Commission E Monographs (2000)
- American Herbal Products Association · Botanical Safety Handbook (2013)
Related Herbs
Entry last updated August 15, 2026






