False Wintergreen, Canker Lettuce, Shin Leaf, Pear Leaf Pyrola

Last updated: February 8, 2026Reviewed date: February 8, 2026Reading time: 5 min read

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There are several kinds of Pyrola growing in North America: Green Pyrola (Pyrola vivens), Pink pyrola (Pyrola asarifolia), Shin leaf (Pyrola elliptica), and Round-leaved Pyrola (Pyrola rotundifolia), which is the one most used in herbal practice. Pyrola is common in damp and shady woods in...

For severe symptoms, danger signs, pregnancy, child illness, or sudden worsening, seek urgent medical care.

বাংলা রোগী নোট এখনো যোগ করা হয়নি। পোস্ট এডিটরে “RX Bangla Patient Mode” বক্স থেকে সহজ বাংলা সারাংশ যোগ করুন।

এই তথ্য শিক্ষা ও সচেতনতার জন্য। এটি ডাক্তারি পরীক্ষা, রোগ নির্ণয় বা প্রেসক্রিপশনের বিকল্প নয়।

Article Summary

Key Takeaways

This article explains Round-leaved wintergreen Scientific Classification in simple medical language.

Educational health guideWritten for patient understanding and clinical awareness.

Reviewed content workflowUse writer and reviewer profiles for stronger trust.

Emergency safety firstUrgent warning signs are highlighted below.

Seek urgent medical care if you notice

These warning signs are general safety guidance. Local emergency numbers and clinical judgment should always come first.

Severe symptoms, breathing difficulty, fainting, confusion, or rapidly worsening illness.
New weakness, severe pain, high fever, or symptoms after a serious injury.
Any symptom that feels urgent, unusual, or unsafe for the patient.

Emergency now

Use emergency care for severe, sudden, rapidly worsening, or life-threatening symptoms.

See a doctor

Book a professional medical evaluation if symptoms persist, worsen, recur often, affect daily activities, or occur in a high-risk patient.

Learn safely

Use this article to understand possible causes, tests, treatment options, prevention, and questions to ask your clinician.

Before reading

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Start here Choose the right pathway for symptoms, reports, medicines, or urgent warning signs. Disease article roadmap Read this topic step by step: meaning, symptoms, warning signs, diagnosis, treatment, prevention, and follow-up. Treatment planner Prepare questions about treatment choices, benefits, risks, side effects, and follow-up. Family & caregiver guide Organize symptoms, reports, medicines, questions, and follow-up safely. Nutrition & diet guide Prepare food, hydration, supplement, and medicine-timing questions safely. Prevention guide Organize risk factors, protective habits, screening, and warning signs. Recovery guide Prepare a safe plan for activity, rehabilitation, warning signs, and follow-up.

Definition

The herb is a low perennial evergreen. The leaves are radical, ovate, nearly 2 in. in diameter, smooth, shining, and thick, resembling Pipsissewa (Chimaphila umbellata) and used similarly. The petioles are much longer than the leaf. The large, white, fragrant, and drooping flowers are many and blossom from June to July. The fruit is a five-celled many-seeded capsule.

Uses

Administer internally for gravel, ulcerations of the bladder, bloody urine, and other urinary diseases; useful in the relief of a scrofulous taint from the system; also for epilepsy and other nervous affections. The decoction will be found beneficial as a gargle for sore throat and mouth, and as an external wash for sore or ophthalmic eyes. It is also used in injections for whites and various diseases of the womb.

Dose

1 teaspoonful of the herb to 1 cupful of boiling water, steeped 10 min. or more and taken three times a day at mealtimes. Of the extract, 2–4 grains.

Facts About Round Leaved Wintergreen

Name	Round-leaved wintergreen
Scientific Name	Pyrola rotundifolia
Common/English Name	False Wintergreen, Canker Lettuce, Shin Leaf, Pear Leaf Pyrola
Name in Other Languages	German: Rundblättriges Wintergrün; Finnish: Isotalvikki; Swedish: Isotalvikki, Vitpyrola, Vintergröna; French: Pyrole à feuilles rondes; Dutch: Rond wintergreen; English: Round-leaf wintergreen, Round-leaved wintergreen, Wintergreen
Plant Growth Habit	Plant Growth Habit
Medicinal part	Whole plant
Flowering Season	July to September

Round-leaved wintergreen Scientific Classification

Scientific Name: Pyrola rotundifolia

Rank	Scientific Name & (Common Name)
Kingdom	Plantae (Plants)
Subkingdom	Viridiplantae (Green plants)
Infrakingdom	Streptophyta (Land plants)
Superdivision	Embryophyta
Division	Tracheophyta (Vascular plants, tracheophytes)
Class	Magnoliopsida
Order	Ericales
Family	Ericaceae (Heaths, éricacées)
Genus	Pyrola L. (Shineleaf, wintergreen)
Species	Pyrola rotundifolia L.
Synonyms	Pirola rotundifolia L. Pyrola concolor Dumort., 1868 Pyrola discolor Dumort., 1868 Pyrola rotundifolia var. chloranthoides P.Fourn., 1937 Pyrola rotundifolia var. rotundifolia

Externally

The decoction is much used in all skin diseases and as a poultice for ulcers, swellings, boils, felons and inflammations.

Russian Experience

In Russia Groushanka (Roundleaf) can be found growing among bushes of the Coniferous forests. They use the herb in Folk Medicine, homoeopathically and clinically in the form of teas, decoctions, Nastoika, extracts for throat conditions, stomach and pain: Back pain means pain in the spine, muscles, discs, joints, or nerves of the back. সহজ বাংলা: পিঠ/কোমরের ব্যথা।" data-rx-term="back pain" data-rx-definition="Back pain means pain in the spine, muscles, discs, joints, or nerves of the back. সহজ বাংলা: পিঠ/কোমরের ব্যথা।">back pain as a result of too much and too heavy lifting, and scurvy.

Externally

As an application for recent and long-standing skin lesions.

Medicinal uses

A decoction is used for treating skin ailments, used as a gargle and wash for eyes.
Use it internally for treating epilepsy and other nervous afflictions.
Take the decoction internally for urinary affections, relieve irritation and useful for hematuria, gravel and bladder ulceration.

References

Safety note: This is not a prescription or diagnosis. For severe symptoms, pregnancy danger signs, children with serious illness, chest pain, breathing difficulty, stroke-like weakness, or major injury, seek urgent care.

Which doctor may help?

Start with a registered doctor or the nearest qualified health center.

What to tell the doctor

Write when the problem started and how it changed.
Bring old prescriptions, investigation reports, and current medicines.
Write allergies, pregnancy status, diabetes, kidney/liver disease, and major past illnesses.
Bring one family member if the patient is weak, elderly, confused, or a child.

Questions to ask

What is the most likely cause of my symptoms?
Which danger signs mean I should go to hospital quickly?
Which tests are necessary now, and which can wait?
How should I take medicines safely and what side effects should I watch for?
When should I come for follow-up?

Tests to discuss

Vital signs: temperature, pulse, blood pressure, oxygen saturation
Basic physical examination by a clinician
CBC, urine test, blood sugar, or imaging only when clinically needed

Avoid these mistakes

Do not use antibiotics, steroid tablets/injections, or strong painkillers without proper medical advice.
Do not hide pregnancy, kidney disease, ulcer, allergy, or blood thinner use.
Do not delay emergency care when danger signs are present.

Medicine safety and first-aid guide

This section is for patient education only. It does not replace a doctor, pharmacist, or emergency care.

Safe first steps

Avoid heavy lifting, sudden bending, and prolonged bed rest.
Use comfortable posture and gentle movement as tolerated.
Discuss physiotherapy, X-ray, or MRI only when clinically needed.

OTC medicine safety

For mild back pain, pain-relief medicine may be discussed with a doctor or pharmacist.
Avoid repeated painkiller use if you have kidney disease, stomach ulcer, uncontrolled blood pressure, or are taking blood thinners.

Avoid these mistakes

Do not start antibiotics without a proper medical decision.
Do not use steroid tablets or injections casually for quick relief.
Do not delay emergency care because of home remedies.

Get urgent help if

Back pain with leg weakness, numbness around private area, loss of urine/stool control, fever, cancer history, or major injury needs urgent care.

Medicine names, dose, and timing must be decided by a qualified clinician or pharmacist after checking age, pregnancy, allergy, other diseases, and current medicines.

For rural patients and family caregivers

Patient health record and symptom diary

Write your symptoms, medicines already taken, test results, and questions before visiting a doctor. This note stays on your device unless you print or copy it.

Doctor to discuss: Orthopedic / spine specialist, physical medicine doctor, or qualified clinician

Tests to discuss with doctor

Neurological examination for leg power, sensation, reflexes, and straight leg raise
X-ray only if injury, deformity, long-lasting pain, or doctor suspects bone problem
MRI discussion if severe nerve symptoms, weakness, bladder/bowel problem, or persistent symptoms

Questions to ask

What is the most likely cause of my symptoms?
Which warning signs mean I should go to emergency care?
Which tests are really needed now?
Which medicines are safe for my age, pregnancy status, allergy, kidney/liver/stomach condition, and current medicines?
Is physiotherapy, posture correction, or activity modification needed?

Emergency warning signs such as chest pain, severe breathing difficulty, sudden weakness, confusion, severe dehydration, major injury, or loss of bladder/bowel control need urgent medical care. Do not wait for online information.

Go to emergency care if you notice:

Severe or rapidly worsening symptoms
Breathing difficulty, chest pain, fainting, confusion, severe weakness, major injury, or severe dehydration

Doctor / service to discuss: Qualified healthcare provider; specialist depends on symptoms and examination.

Step 1
Check danger signs first

If danger signs are present, seek emergency care and do not wait for online information.
Step 2
Record the symptom story

Write when symptoms started, severity, medicines already taken, allergies, pregnancy status, and test results.
Step 3
Visit a qualified clinician

A doctor, nurse, or qualified healthcare provider can examine you and decide which tests or treatment are needed.
Step 4
Do only useful tests

Do tests after clinical assessment. Avoid unnecessary tests, random antibiotics, or repeated medicines without diagnosis.
Step 5
Follow up and return early if worse

If symptoms worsen, new warning signs appear, or treatment is not helping, return for review quickly.

Rural patient practical tips

Take a written symptom diary and all previous prescriptions/test reports.
Do not hide medicines already taken, even herbal or over-the-counter medicines.
Ask which warning signs mean urgent referral to hospital.

This roadmap is for education. A real diagnosis and treatment plan requires history, examination, and clinical judgment.

RX Patient Help

Ask a health question safely

Write your symptom story. A health professional or site editor can review it before any answer is prepared. This box is not for emergency care.

Emergency first: Severe chest pain, breathing trouble, unconsciousness, stroke signs, severe injury, heavy bleeding, or rapidly worsening symptoms need urgent local medical care now.

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Frequently Asked Questions

Is this article a replacement for a doctor?

No. It is educational content only. Patients should consult a qualified clinician for diagnosis and treatment.

When should I seek urgent care?

Seek urgent care for severe symptoms, rapidly worsening condition, breathing difficulty, severe pain, neurological changes, or any emergency warning sign.

References

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