Educational reference only · Not medical advice · Always consult a qualified healthcare professional
Slippery Elm

Ulmus rubra

Slippery Elm

Ulmaceae

Evidence: InsufficientCaffeine Free North AmericaDigestive ComfortCold SeasonThroat Comfort
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Identity

Common Name
Slippery Elm
Scientific Name
Ulmus rubra
Botanical Family
Ulmaceae
Native Region
Eastern and central North America
Cultivation Regions
Eastern and central North America
Plant Parts Used
Inner bark
Synonyms
Red Elm, Indian Elm, Moose Elm
Caffeine Level
Caffeine Free

A medium deciduous tree with large rough oval toothed leaves, small flat seed clusters, and a reddish-brown inner bark rich in soothing mucilage; the inner bark is the part used.

Historical Background

Slippery elm has been a soothing remedy of Native American and early American medicine for centuries, its inner bark chewed or brewed for a gentle, mucilaginous gruel for throats and digestion. Listed in the US Pharmacopeia, it remains a beloved comforting herb — though wild trees are endangered, so cultivated bark is preferred.

Earliest recorded uses: Native American traditions for centuries; adopted into early American medicine and listed in the US Pharmacopeia.

Traditional preparations:

  • Inner bark decoction
  • Soothing gruel
  • Throat blend with licorice & marshmallow

Traditional Uses

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

Native American Traditions

Soothing throat, digestive, and wound herb; nourishing gruel.

Modern Herbalism

Gentle demulcent for throat and gut comfort.

Flavor & Aroma

MildEarthySlightly SweetMucilaginous

Aroma: Mild, earthy, slightly sweet, mucilaginous

Tea Information

Suitable for Tea
Yes
Preparation Methods
Decoction, Cold infusion, Gruel
Steeping Temperature
200°F (93°C)
Steeping Time
10-15 minutes (or cold overnight)
Recommended Vessel
Saucepan or cup
Blends Well With
Marshmallow Root, Licorice Root, Honey, Slippery Elm Gruel, Lemon
200°F (93°C) 10-15 minutes (or cold overnight)

Safety & Cautions

Contraindications
Generally very safe; may slow absorption of oral medications (take 2 hours apart); endangered in the wild — choose sustainably cultivated.
Drug Interactions
Mucilage may reduce absorption of oral medications; separate by at least 2 hours; consult a clinician.
Pregnancy
Generally regarded as safe in tea/gruel amounts.
Children
Very gentle; widely accepted for throat and digestive comfort.
Allergies
Possible in those sensitive to Ulmaceae; rare.
Known Adverse Effects
Generally very well tolerated; mild allergic reactions rare. Most concerns relate to overharvesting (endangered in the wild).

Research Summary

Evidence Level: Insufficient

Slippery elm has a long tradition as a soothing throat and digestive herb. Clinical evidence is insufficient; its mucilage offers demulcent comfort, but it is not a treatment for GERD, IBD, sore throat, or any disease, and may slow medication absorption.

Evidence levels reflect the currently available scientific literature and may change as new research emerges. Where evidence is limited or conflicting, this is stated plainly.

References & Sources

References & Sources

  1. MSKCC · Slippery Elm information (2022)
  2. EMA HMPC · Ulmus rubra assessment (2016)

Related Herbs

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.

© 2026 Soothing Brews · For educational purposes only.

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