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Bethlehem Sage

Pulmonaria longifolia (pul-mo-NARE-ee-ah lon-jee-FOH-lee-uh)

Family: Boraginaceae Non-native Herbaceous (1-3 ft)

Narrow-leaf lungwort is a shade-loving, semi-evergreen, herbaceous perennial. It is low-growing and clump-forming. The leaves are fuzzy, narrow, deep green, and mottled with silver or white blotches. Funnel-shaped flowers bloom in shades of blue, purple, or pink. It is a member of the Boraginaceae or borage family. This plant is native to western Europe or more specifically, France, Great Britain, Portugal, and Spain. It is typically found in woodlands or scrub areas. A subspecies cevennesis is a native of southern France in the Cevennes Mountain. This subspecies has leaves that are up to 24 inches long. The genus name, Pulmonaria, is derived from the Latin word, pulmo, which means "lung." In the past, it was believed that this plant was a remedy for lung diseases. The species name, longifolia , is Latin and means long leaves which describe its leaf shape. The common name, lungwort, references the spotted leaves that resemble a diseased lung. Narrow-leaf lungwort performs best in partial to full shade, and rich, moist, well-drained soils. Dry soils, direct sun, and extreme heat should be avoided. They prefer cool shaded areas for peak performance. They may be propagated by division which is best done after flowering in the spring or during the fall. The narrow-leaf lungwort has both basal and cauline leaves. The basal leaves form a dense clump. Each leaf is up to 12 inches long and 1 to 2 inches wide. The cauline leaves are smaller and are sparsely placed along the stems. Clusters of funnel-shaped flowers appear in the spring. The leaves, stems, and blooms of lungwort are toxic to cats and dogs. They contain chemicals known as saponins and pyrrolizidine alkaloids. If ingested, pets may exhibit symptoms such as loss of appetite, lethargy, vomiting, diarrhea, difficulty walking, or neurological problems. Consult your veterinarian immediately. Consider using the narrow-leaf lungwort as a low spreading ground cover in woodland or shaded areas. It may be used along banks, slopes, borders, beds, and in cottage gardens. The mottled and spotted leaves of green and silver will add interest all year round plus the bonus of dark blue to purple or pink flowers in the spring. Seasons of Interest: Bloom: Spring Foliage: Spring, Summer, Fall, and Winter (warm climates) Quick ID Hints: semi-evergreen, low growing, clumping perennial narrow basal leaves up to 12 inches long and 1 to 2 inches wide forming a dense clump leaves dark green and mottled with silver or white sparse cauline leaves along the stem clusters of funnel-shaped flowers of pink, blue, or purple in the spring Insects, Diseases, and Other Plant Problems: Narrow-leaf lungwort has no serious pests and diseases. Slugs may be an occasional problem. Powdery mildew can occur in dry conditions. In poorly drained soils, root rot can develop. The leaves will scorch or wilt in extremely hot weather or full sun. VIDEO created by Andy Pulte for “Landscape Plant Identification, Taxonomy and Morphology” a plant identification course offered by the Department of Plant Sciences, University of Tennessee.

Source: NC State Extension Gardener Plant Toolbox ↗ NC State Extension Gardener Plant Toolbox, 56 attributes.

How it fits the guild

Guild layer 4 - Herbaceous (1-3 ft) Optimal soil pH Acid (<6.0); Alkaline (>8.0); Neutral (6.0-8.0)
See companions & conflicts ↓

Companions & Conflicts

Curated pairwise relationships between this plant and others in the library — who feeds whom, who competes, who confuses the pests. Green reads as a good pairing, red as one to avoid.

No curated interactions recorded for this species yet.

Also noted by NC State

Related species the NC State Plant Toolbox flags for this plant — look-alikes to tell apart, and plants that play a similar role in a planting. Ones we carry in the library are linked.

Fills a similar niche Helleborus orientalis Viola sororia x Heucherella

Full plant profile

Growing Conditions
Plant type
Herbaceous Perennial; Perennial
Life cycle
Perennial
USDA zones
3a, 3b, 4a, 4b, 5a, 5b, 6a, 6b, 7a, 7b, 8a, 8b
Light
Deep shade (Less than 2 hours to no direct sunlight) | Partial Shade (Direct sunlight only part of the day, 2-6 hours)
Soil texture
Clay; High Organic Matter; Loam (Silt); Sand
Soil pH
Acid (<6.0); Alkaline (>8.0); Neutral (6.0-8.0)
Soil drainage
Good Drainage | Moist
Available space
12 inches-3 feet
NC region
Coastal; Mountains; Piedmont
Mature size
Height: 0 ft. 8 in. - 1 ft. 0 in. | Width: 1 ft. 0 in. - 2 ft. 0 in.
Growth rate
Slow
Maintenance
Low
Canopy layer
4 - Herbaceous (1-3 ft)
Form & Appearance
Habit / form
Clumping; Mounding; Spreading
Foliage
Semi-evergreen
Leaf color
Gray/Silver; Green
Leaf shape
Oblong; Ovate
Leaf value
Showy
Leaf size
> 6 inches long, 1-3 inches wide
Hairs present
Yes
Leaf detail
The leaves fuzzy, dark green, and mottled with blotches of white or silver. The basal leaves are narrow, up to 12 inches long, and 1 to 2 inches wide. The cauline leaves are ovate to oblong, smaller, measuring up to 6 inches long, and appear sparsely along the stem.
Flower color
Blue; Pink; Purple/Lavender
Flower value
Showy
Flower form
Cyme
Flower shape
Funnel
Flower size
< 1 inch
Flower detail
The flowers appear in clusters from April to May. Each flower is funnel-shaped and about 1 inch long. They bloom in shades of purple to blue. Some cultivars varying shades of pink, blue, or purple.
Bloom time
Spring
Wildlife & Ecology
Native status
Non-native
Origin
Western Europe
Distribution
Native: France, Great Britain, Portugal, and Spain
Wildlife value
Attracts hummingbirds.
Attracts
Hummingbirds
Play value
Attractive Flowers; Colorful; Defines Paths; Shade
Food & Medicine

Uses (ethnobotany)

In the 16 and 17th century, the plant was used for the treatment of lung diseases.

Landscape Use
Landscape location
Coastal; Container; Meadow; Patio; Slope/Bank; Walkways; Woodland
Landscape theme
Cottage Garden; Fairy Garden; Rock Garden; Shade Garden
Design feature
Border; Mass Planting
Garden tags
#shade garden #spring flowers #blue flowers #spreading #cottage garden #partial shade tolerant #violet flowers #interesting leaves #spring interest #mass planting #clumping #mottled leaves #heavy shade tolerant #semi-evergreen #pink flowers #deer resistant #black walnut toxicity tolerant #heat tolerant #herbaceous perennial #border planting #groundcover #slopes #problem for dogs #problem for cats #landscape plant sleuths course #perennial #patio #container plant #meadow #woodland #HS304 #hybrid #walkway #fairy garden
Problems & Resistance
Problems
Poisonous to Humans; Problem for Cats; Problem for Children; Problem for Dogs; Problem for Horses
Resistant to
Black Walnut; Deer; Heat; Heavy Shade
Propagation
Division
Poison severity
Low
Poison parts
Leaves
Poison symptoms
Consumption of a large amount can cause stomach upset.
Toxic principle
pyrrolizidine alkaloids
Contact dermatitis
No
Toxicity summary
Low severity poison; parts: Leaves

Planted at Hunnicutt

Nobody’s planted this one yet.