'Spot On' lungwort. Photo by: Proven Winners

Lungwort (Pulmonaria) is one of the first perennials to bloom in spring, often sharing the spotlight with tulips and other spring-flowering bulbs. But the early display of pink and blue flowers is just the opening act for this showy shade lover. Once the blooms fade, lungwort’s striking dappled foliage takes center stage, growing fuller and even more attractive as the season progresses.

In fact, if you haven’t paid attention to lungwort for a while, it’s time to take a second look at this old-fashioned woodland favorite, says Larry Hodgson, author of Perennials for Every Purpose. “While most Pulmonaria used to have fairly ordinary rosettes of green leaves, now there’s a range of hybrids with leaves that are spotted or highly marbled with white or silver, giving the plants a much longer season of interest.”

In addition to offering a wide array of leaf patterns and variegations, many newer varieties of Pulmonaria also have greater disease resistance, improved longevity, and more vibrant flower colors, qualities that earn them a staring role in any shady garden.

On this page: Basics | Planting | Care | Varieties | Design Ideas


Botanical name:

Pulmonaria spp. and hybrids. The genus name is derived from the Latin word plumo, meaning “lung,” since the spotted leaves were thought to resemble, and even cure, diseased lungs.

Common names:

Lungwort, Bethlehem sage, Jerusalem cowslip, spotted dog. (Not to be confused with Cerinthe species, also called lungwort.)

Plant type:





Partial to full shade


8 to 18 inches tall, 12 to 24 inches wide

Growth habit:

Forms a mounded clump that spreads slowly over time by underground rhizomes.

Bloom time:

Early to midspring, with the blooms lasting 3 to 4 weeks.


Usually ovate to elliptical in shape and slightly hairy. Color ranges from solid green, to green with silvery spots or blotches, to almost entirely silver, depending on the cultivar.


Small funnel-shaped flowers, borne in clusters, are usually pink when they emerge and change to bright blue or purple as they mature. Some varieties have pure white flowers.

Special attributes:

  • Attracts bees and hummingbirds, providing a much-needed nectar source in early spring.
  • Rabbit and deer resistant
  • Few pest or disease problems
  • Foliage remains evergreen in areas with mild winters, providing year-round interest.


When to plant:

In fall or in early spring after the threat of frost has passed.

Where to plant:

In light to medium shade, in moist, well-drained, humus-rich soil. A spot that receives morning sun and afternoon shade is ideal. Plants can be grown in full sun if enough moisture is provided, but dry, sunny conditions will often result in scorched and withered leaves. Lungworts also do not perform well in overly wet sites and can suffer from root rot in poorly drained, soggy soil.

How to plant:

Plant from nursery-grown transplants, digging a hole slightly wider and approximately the same depth of the container. Place the plant in the hole so the top of the rootball is about an inch below the level of the surrounding soil. Backfill, tamping the soil down gently, then water thoroughly.

Plant spacing:

Although lungwort has a moderate growth rate, its rhizomatous roots will cause it to spread and fill in an area over time. Space plants far enough apart (depending on their size at maturity) to allow some room for expansion. It’s also important to provide adequate air circulation between plants to prevent powdery mildew.


Photo by: Lancan / Shutterstock


If you want lungwort to look its best all season, consistent watering is key. Plants can suffer during periods of drought and may even go dormant during prolonged dry spells. Give them a good soaking whenever the soil feels dry, providing enough water to keep the soil moist but not waterlogged. During periods of extremely hot weather, you may need to increase your watering frequency.

Amendments and fertilizer:

If your soil is low in organic matter, amend with compost or manure to improve moisture retention and fertility. When planted in nutrient-rich soil, lungwort rarely needs additional fertilization to thrive.

Pruning and deadheading:

Remove the entire flower stalk immediately after plants bloom to create a tidy appearance and stimulate healthy new leaf growth. If the foliage begins to deteriorate during the heat of midsummer, cut plants back to the ground and keep the soil moist. This will encourage fresh foliage to emerge for the cooler days of late summer and fall.


Division in the fall or right after flowering in the spring is the easiest way to multiply Pulmonaria plants. Dividing clumps every 3 to 5 years can also prolong plant life and boost bloom production. Although lungwort can also be propagated by seed (and may even reseed on its own), most varieties grown today are hybrids and won’t grow true to type.

Pests and diseases:

Lungworts have no serious pest or disease problems, but powdery mildew can develop on the foliage if plants are grown in wet, humid conditions. This can often be prevented by providing good air circulation between plants and avoiding overhead watering. You can also find cultivars that have been bred for improved mildew resistance.


Swipe to view slides

Photo by: Proven Winners

'Pink-a-Blue'Buy now from Proven Winners
Pulmonaria hybrid

Height and spread: 16 to 18 inches tall, 20 to 24 inches wide

Flowers open pink and transition to periwinkle blue in late spring, with both colors present at the same time for a striking two-tone effect. Attractive deep green leaves heavily dappled in silver provide season-long interest.

Photo by: Proven Winners

'Spot On'Buy now from Proven Winners
Pulmonaria hybrid

Height and spread: 14 to 16 inches tall, 18 to 20 inches wide

Unique salmon-pink buds mature to shades of blue and purple, set off by eye-catching green leaves splattered with silver. Fun fact: The spots on Pulmonaria foliage are actually created by air pockets that cool the undersides of the leaves.

Photo by: Proven Winners

'Raspberry Splash'Buy now from Proven Winners
Pulmonaria longifolia hybrid

Height and spread: 8 to 14 inches tall, 12 to 16 inches wide

Covered by dramatic clusters of vibrant raspberry-pink flowers in spring, this self-cleaning lungwort eliminates the need for deadheading. Has a beautiful upright habit, with long and slender lance-like leaves.

Photo by: Proven Winners

'Pretty in Pink'Buy now from Proven Winners
Pulmonaria hybrid

Height and spread: 14 to 16 inches tall, 24 to 28 inches wide

Unlike most lungworts, this one is adorned with cheery bright-pink blooms that stay pink after opening instead of shifting color to blue or purple. A low, wide growth habit makes it a good choice for use in mass plantings or even as a specimen plant.

Photo by: high fliers / Shuttertstock

'Sissinghurst White'
Pulmonaria officinalis 'Sissinghurst White'

Height and spread: 10 to 12 inches tall, 12 to 18 inches wide

One of the few white-flowering Pulmonaria, with snowy white bell-shaped blooms that nod delicately over silver-speckled emerald green leaves. Named for the famous English author and garden designer Vita Sackville-West, who discovered it growing in her own Sissinghurst garden.

Photo by: high fliers / Shuttertstock

'Blue Ensign'
Pulmonaria 'Blue Ensign'

Height and spread: 8 to 12 inches tall, 10 to 12 inches wide

A stunning plain-leafed cultivar, with electrifying sapphire blue flowers that bloom for weeks in early spring. The lush, deep green foliage remains evergreen in warmer climates.


  • Use as a groundcover under trees and shrubs and in woodland gardens.
  • Plant in the front of a shady perennial border, where the distinctive spotted leaves will be easily noticed.
  • Use as a companion plant for spring-flowering bulbs and shade-loving perennials, such as hostas, bleeding hearts, and astilbes.
  • Illuminate a shady corner by combining with other plants with silvery foliage, such as Japanese painted fern and ‘Jack Frost' heartleaf brunnera.


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