Oak bark is primarily valued as a potent astringent and anti-inflammatory remedy. It's used to rinse the mouth and throat for inflamed mucous membranes, loose gums, stomatitis, pharyngitis, tonsillitis, and hoarseness. Strong decoctions are applied externally to wounds, burns, bedsores, and various skin issues. Some texts mention internal use for diarrhea and enterocolitis, but here the tone of the authors becomes noticeably more cautious.
This caution is important. It's easy to view oak as a universal "tough" plant — strong, so it must work for everything. But the literature doesn't let us get complacent. One source explicitly warns that ingesting oak bark preparations can cause vomiting, which is why they're far more commonly recommended as external remedies. It's a sharp reminder: a plant's power is not the same as its harmlessness.
Another characteristic detail: for medicinal purposes, the bark is harvested from young branches or young shoots — smooth, so-called "mirror" bark. The old, cracked, weathered bark loses much of its value. Even in such a mighty tree, the healing potency lies not in rough old age, but in the young, still-living, freshly gathered part.