Balsam Fir essential oil "serves as a 'pine and spruce' fragrance in fresh-balsamic 'fir-needle' blends, Christmas-tree odors, fougères, air-fresheners, disinfectants, detergents, household cleaners, etc."

Balsam fir has been used by First Nations for millennia to treat many health problems such as colds, coughs, digestive and urinary problems. Its essential oil is highly concentrated in alpha and beta pinenes as well as isobornyl acetate. These molecules give it anti-inflammatory, tonic, decongestant, antimicrobial and antispasmodic properties.