The Eden Institute Biblical Herbalism Education

Eden Apothecary · Herb Profile

Lady's Slipper

Cypripedium pubescens

Pronounced Lady's Slipper: LAY-deez SLIP-ur. Cypripedium pubescens: sip-rih-PEE-dee-um pyoo-BESS-enz.

Warm, dry, and quieting: a gentle, aromatic nervine and antispasmodic that unwinds nervous tension, stills tremor and spasm, and steadies the wired, over-wrought, run-down nervous system without cooling or depressing it.

At a glance

Botanical name
Cypripedium pubescens
Family
Orchidaceae (the orchid family). The medicinal 'lady's slipper' is the large yellow lady's slipper, whose currently accepted name is Cypripedium parviflorum var. pubescens; Cypripedium pubescens (Willd.) and Cypripedium calceolus var. pubescens are synonyms. The related small yellow (C. parviflorum var. parviflorum) and pink or stemless (C. acaule) lady's slippers were used interchangeably in nineteenth-century practice.
Part used
Rhizome and fibrous roots (the 'nerve root'), dug in autumn and dried in the shade. King's American Dispensatory recognized both Cypripedium pubescens and Cypripedium parviflorum as official and used the dried rhizome and roots only, never the flowering tops, whose glandular hairs are a skin irritant.
Taste
Bitter (a slight, characteristic, faintly nauseous bitterness of the dried root), Pungent (a warm, aromatic acridity from its volatile oil and resin, the basis of its stimulant, diaphoretic warmth), with a faint sweetish, mucilaginous undertone reflecting its gently nourishing, nerve-restoring side.
Temperature
Warm
Moisture
Dry

No pre-1900 source found for this reading.

Safety at a glance

In pregnancy

Insufficient reliable data; avoid. There are no modern human safety studies of Cypripedium in pregnancy, and it is essentially off the legitimate commercial market on conservation grounds, so it is absent from the current AHPA Botanical Safety Handbook classification. Older herbals used the root in 'nervous' and painful menstruation and as a general nervine, which does not establish gestational safety, and its aromatic, stimulant warmth is a theoretical concern. In the absence of dependable data the prudent, consumer-safe course, consistent with Mills and Bone's Essential Guide to Herbal Safety, is to avoid lady's slipper in pregnancy and to use a better-studied, sustainable nervine instead.

While breastfeeding

Insufficient data; avoid. It is not known whether the constituents of Cypripedium or its glandular quinones pass into breast milk, and there are no modern lactation safety studies; the herb is not classified for nursing in the AHPA Botanical Safety Handbook. The conservative course is to avoid therapeutic use during breastfeeding and to choose a well-documented, sustainable nervine such as lemon balm where a calming herb is wanted.

For children

Insufficient data for self-directed use; avoid without professional guidance. Nineteenth-century physicians did give small doses to children for chorea, nervous excitability, and sleeplessness, but there is no modern pediatric safety or dosing data, and the herb is not classified for children in the AHPA Botanical Safety Handbook. Given the added risks of adulteration and contact sensitivity, reserve any pediatric use to a qualified practitioner and prefer gentler, sustainable, better-studied nervines for a child's nervousness or sleep.

Cautions

Lady's slipper is a gentle, historically well-tolerated nervine, milder than valerian, but several real cautions attend it. First and foremost is conservation: all medicinal Cypripedium are slow-growing wild orchids that have been seriously over-collected, and only verified cultivated or ethically propagated root should ever be used (see stewardship). Because genuine root is scarce and costly, commercial 'lady's slipper' is frequently adulterated or substituted, historically even with the cardiotoxic American false hellebore (Veratrum viride), so source only from reputable, botanically authenticated suppliers. The fresh plant's glandular hairs can cause an allergic contact dermatitis in sensitive people who handle it. As a mild sedative nervine it may add to the drowsiness of other sedatives, sleeping aids, and alcohol. Large or prolonged doses have been linked in older reports to restlessness, giddiness, headache, and, rarely, visual disturbance or disorientation, so keep to moderate doses. It calms the symptom of nervousness; it does not treat the organic or psychiatric disease that may lie behind it.

General contraindications

Known allergy or hypersensitivity to lady's slipper, and contact with the fresh plant in those prone to its dermatitis. Pregnancy and lactation, and use in young children, in the absence of reliable modern safety data (see below). Hot, feverish, acutely inflamed, or markedly dry, yin-depleted states, which its warm, dry, stimulant character aggravates. Any product not verified as cultivated, botanically authenticated Cypripedium, given the serious risk of substitution with toxic look-alikes such as Veratrum. It is a supportive nervine, not a treatment for epilepsy, serious psychiatric illness, or the organic disease behind a nervous symptom, all of which require proper diagnosis and care.

Stewardship

Critical. All medicinal Cypripedium are wild woodland orchids listed on the United Plant Savers Species At-Risk list. They grow only in partnership with specific soil fungi, are exceedingly slow to establish (often ten to seventeen years from seed to first bloom), do not transplant or cultivate easily, and have been heavily over-collected for horticulture and the herb trade; several species are endangered, threatened, or extirpated across much of their range. AHPA has discouraged trade in wildcrafted lady's slipper since 1988. Wild-harvested lady's slipper should never be bought or used. Use only root from verified nursery-propagated, cultivated stock, or, better for most purposes, substitute an equally effective and sustainable nervine such as valerian, skullcap, betony, motherwort, or passionflower.

In the traditional record

Not found in the canonical biblical texts nor in the classical Greco-Roman herbals; lady's slipper is a North American woodland orchid unknown to the ancient Mediterranean world. Its medicine belongs to Native American tradition, where the root was used by many peoples (among them the Cherokee and Iroquois) as a sedative and antispasmodic for nervousness, insomnia, pain, and 'female' complaints, and was taken up by the nineteenth-century Eclectic physicians as 'American valerian' or 'nerve root'. Cited honestly as a herb of Native American and Eclectic-American tradition rather than of Scripture.

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