Educational reference only · Not medical advice
Botanical illustration of Oregon Grape

Mahonia aquifolium

Oregon Grape

Berberidaceae

Evidence: LimitedCaffeine Free Pacific NorthwestSafety information on file
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At a Glance

Common name
Oregon Grape
Scientific name
Mahonia aquifolium
Family
Berberidaceae
Region
Pacific Northwest
Plant part
Root, Root bark
Caffeine
Caffeine Free
Evidence
Limited
Safety review
Safety information on file

Safety & Cautions

Safety information on file
Contraindications
Avoid in pregnancy and breastfeeding (berberine); avoid with blood-pressure, blood-sugar, and sedative medications; overuse discouraged; discontinue before surgery.
Drug interactions
Berberine affects CYP enzymes and blood-pressure/blood-sugar/sedative drugs - consult a clinician before use.
Pregnancy
Avoid; berberine may stimulate the uterus.
Breastfeeding
Avoid; berberine unsafe for neonates.
Children
Not recommended for regular use by children; berberine compounds.
Allergies
Possible in those sensitive to Berberidaceae; rare.
Known adverse effects
Generally well tolerated in small amounts; high doses may cause GI upset or low blood sugar; rare allergic reactions.

Botanical Description

An evergreen shrub with glossy spiny holly-like pinnate green leaves, clusters of small bright yellow flowers, and dangling clusters of round blue-purple grape-like berries; the root and root bark are used (sometimes the leaf).

Also known as: Oregon Grape Holly, Mountain Grape, Holly-Leaved Barberry

Historical Background

Oregon grape has been an Indigenous Pacific Northwest medicine for centuries, its bright yellow berberine-rich root used much like goldenseal for skin, liver, and infection. A sustainable native alternative to goldenseal, it remains a potent, bitter, practitioner-guided herb.

Earliest recorded uses: Indigenous Pacific Northwest traditions for centuries; a bitter yellow root for skin, liver, and infection.

Traditional preparations:

  • Small-dose root infusion
  • Bitter liver and skin tea
  • Practitioner-guided use

Traditional Uses

These uses document historical traditions and do not imply proven effectiveness.

Indigenous North American Traditions

Bitter yellow root for skin, liver, and infection.

Modern Herbalism

Sustainable goldenseal alternative (short-term).

Flavor & Aroma

BitterTartSlightly FruityEarthy

Aroma: Bitter, tart, slightly fruity, earthy

Tea Preparation

Preparation methods
Infusion (small dose), Practitioner-guided use
Steeping temperature
200 F (93 C)
Steeping time
5-7 minutes
Recommended vessel
Teapot
Blends well with
Goldenseal, Echinacea, Honey, Ginger, Yarrow
200 F (93 C) 5-7 minutes

Modern Evidence

Evidence level: Limited

Oregon grape has a tradition as a bitter liver, skin, and antimicrobial root; berberine shows antimicrobial and anti-inflammatory activity in vitro, and some topical use for psoriasis. Clinical evidence for internal tea is limited; it is not a treatment for psoriasis, liver disease, infection, or any disease, and its strong alkaloids warrant short-term, cautious use.

Evidence levels describe the state of research for the traditional use discussed here, not a recommendation. Historical use does not imply effectiveness.

References & Sources

  1. EMA HMPC · Mahoniae radix assessment (2015)
  2. PubMed · Mahonia aquifolium review (2019)

Entry last updated August 4, 2026

Soothing Brews

An educational encyclopedia preserving the history, traditions, and modern evidence behind herbs used in teas and infusions. Inspired by antique botanical manuscripts.

Steeped in tradition, grounded in honesty.

Please Note

This is an educational reference, not a medical resource. Historical use does not imply effectiveness. Natural does not always mean safe. Consult a qualified healthcare professional before using herbs, especially if pregnant, nursing, or taking medications.

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Preferred sources: NIH ODS · NCCIH · MSK Herbs · PubMed · WHO · EMA · German Commission E · Cochrane