Exploring Mullein: A Natural Approach to Respiratory Health

As an ENT with specialization in integrative health, I often find myself bridging the gap between traditional herbal remedies and modern medical science. One such herb that has caught my attention for its remarkable properties is mullein (Verbascum spp.), particularly valued for its anti-inflammatory effects on the airways.

Mullein (Verbascum thapsus)

Mullein has been traditionally used for centuries, primarily for respiratory conditions. It is available in various forms such as infusions, tinctures, and even inhalations, each offering unique benefits derived from its active compounds, notably quercetin and apigenin. These flavonoids are renowned for their ability to specifically reduce levels of inflammatory cytokines like TNF-alpha, IL-17, and IL-2, as well as modulating the eicosanoid pathway which plays a crucial role in inflammation.

One challenge with flavanoids like quercetin is its poor bioavailability when taken orally. To maximize its therapeutic impact, alternative delivery methods have been explored. For instance, in cases of acute otitis media, a common childhood ear infection, mullein infused oil (with garlic) applications have shown promising results. Applied directly into the ear canal once or twice daily, these warm drops not only alleviate pain but also help reduce the inflammatory response locally.

The effectiveness of mullein in respiratory health can be attributed to several other factors. It acts as a mucilage, drawing fluid into dry stagnant tissues. Studies have demonstrated it also has mucolytic properties, aiding in the clearance of mucus from the airways, which can be particularly beneficial for individuals suffering from conditions like chronic bronchitis or asthma. Moreover, its antimicrobial activity has been observed against various pathogens, suggesting a dual action in managing both infections and inflammation.

Integrative medicine emphasizes the holistic approach to patient care, integrating the best of conventional medicine with evidence-based complementary therapies. In the case of mullein, while its traditional uses are well-documented in folk medicine, modern scientific inquiry continues to unravel its mechanisms of action and clinical applications. This synergy allows us to leverage the herb's natural benefits while ensuring safe and effective treatment outcomes for our patients.

Mullein stands out as a valuable botanical in the realm of respiratory health, thanks to its anti-inflammatory, mucous modulation, and antimicrobial properties. By exploring innovative delivery methods and understanding its biochemical actions, we can harness the full potential of mullein in supporting respiratory function and overall well-being.

TAKE HOME

  • Boil water, remove from heat and add dried/fresh mullein leaves/flowers and inhale the steam for relief of scratchy, irritated throat or a dry, fitful cough

  • Make (or buy) garlic mullein infused oil and use 1-2 drops for mild-moderate earache

  • Prepare an infusion (tea) and drink 1/2 cup as needed for chest colds and allergy related cough

  • Very safe, no contraindications



  1. Blanco-Salas J, Hortigón-Vinagre MP, Morales-Jadán D, Ruiz-Téllez T. Searching for Scientific Explanations for the Uses of Spanish Folk Medicine: A Review on the Case of Mullein (Verbascum, Scrophulariaceae). Biology (Basel). 2021 Jul 2;10(7):618. doi: 10.3390/biology10070618. PMID: 34356473; PMCID: PMC8301161.

  2. Almeida, A.F., Borge, G.I.A., Piskula, M., Tudose, A., Tudoreanu, L., Valentová, K., Williamson, G. and Santos, C.N. (2018), Bioavailability of Quercetin in Humans with a Focus on Interindividual Variation. Comprehensive Reviews in Food Science and Food Safety, 17: 714-731. https://doi.org/10.1111/1541-4337.12342

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