Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Slippery elm (Ulmus rubra) has a long history of traditional use in North American herbal medicine, particularly among Indigenous peoples and early European settlers. It is most commonly used for its mucilaginous inner bark, which becomes gel-like when mixed with water. Traditionally, slippery elm bark has been applied topically as a poultice to soothe wounds, burns, and other skin injuries, as well as taken internally to ease sore throats and digestive irritation. The rationale for its use in injuries centers on its ability to form a protective barrier over damaged tissue and its purported soothing, anti-inflammatory properties. However, scientific evidence supporting these uses is limited. While the mucilage may indeed provide a physical barrier and some moisture retention that could aid in wound healing, there are few, if any, well-designed clinical trials evaluating its efficacy for injury treatment. Most available information comes from historical records and anecdotal reports rather than rigorous scientific studies. Consequently, slippery elm’s use in supporting or treating injuries is justified mainly by tradition, with a low to moderate level of supporting evidence.

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