Educational reference only · Not medical advice
Botanical illustration of White Willow Bark

Salix alba

White Willow Bark

Salicaceae

Evidence: ModerateCaffeine Free Europe / AsiaSafety information on file
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At a Glance

Common name
White Willow Bark
Scientific name
Salix alba
Family
Salicaceae
Region
Europe / Asia
Plant part
Bark (dried inner bark)
Caffeine
Caffeine Free
Evidence
Moderate
Safety review
Safety information on file

Safety & Cautions

Safety information on file
Contraindications
Avoid in salicylate sensitivity, bleeding disorders, gout, asthma (ASA-sensitive), pregnancy (third trimester), and in children under 16; avoid with NSAIDs, anticoagulants, and methotrexate; discontinue before surgery.
Drug interactions
Avoid with NSAIDs, anticoagulants, methotrexate, and ACE inhibitors; salicylate additive with aspirin - consult a clinician.
Pregnancy
Avoid, especially third trimester; salicylate risk - consult a clinician.
Breastfeeding
Avoid; salicylate passes into milk - consult a clinician.
Children
Avoid in children under 16 due to Reye syndrome risk (salicylate), especially with viral illness.
Allergies
Avoid in salicylate sensitivity and ASA allergy; rare cross-reactivity.
Known adverse effects
Generally well tolerated; may cause stomach upset, nausea, or tinnitus (salicylate) at high doses; allergic reactions in salicylate-sensitive people; may increase bleeding risk.

Botanical Description

A deciduous tree with narrow lanceolate finely serrated silvery-green leaves and deeply furrowed gray-brown bark; the dried inner bark is used.

Also known as: Salix, Willow Bark, European Willow

Historical Background

White willow bark has been a pain and fever remedy since ancient Egypt and Greece, its salicin-rich bark the natural blueprint for modern aspirin. Sipped as a decoction for centuries, it remains one of the best-evidenced herbal pain traditions, with a clear pharmacological basis.

Earliest recorded uses: Egyptian, Greek, and European traditions for millennia; the original source of salicin, the blueprint for aspirin.

Traditional preparations:

  • Bark decoction
  • Pain and fever tea
  • Joint comfort cup

Traditional Uses

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

Egyptian and Greek Traditions

Pain, fever, and inflammatory discomfort remedy.

European Traditions

Salicin-rich pain tea (aspirin blueprint).

Flavor & Aroma

EarthySlightly BitterWoodyAstringent

Aroma: Earthy, slightly bitter, woody, astringent

Tea Preparation

Preparation methods
Decoction, Long simmer (bark)
Steeping temperature
Simmer (212 F / 100 C)
Steeping time
Decoct 10-15 minutes
Recommended vessel
Saucepan
Blends well with
Meadowsweet, Ginger, Peppermint, Honey, Cinnamon
Simmer (212 F / 100 C) Decoct 10-15 minutes

Modern Evidence

Evidence level: Moderate

White willow bark has moderate evidence for low-back and joint pain, owing to salicin (a salicylate prodrug); it is not a substitute for medical pain care and carries salicylate-type risks. It is not a treatment for fever, headache, or any disease, though its pain tradition is among the best-supported in herbalism.

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 · Salicis cortex monograph (2014)
  2. PubMed · Salix alba meta-analysis (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