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Herbs & Cultures
Image of Pau d'arco

South America · Herb · № 165

Handroanthus impetiginosus (syn. Tabebuia avellanedae)

Origin
Tropical Central and South America, from Mexico to Argentina. Handroanthus impetiginosus (Tabebuia)
Other names
Lapacho
3 traditionsImage: Giles Laurent · CC BY-SA 4.0

Herb · South America

Pau d'arco

Handroanthus impetiginosus (syn. Tabebuia avellanedae)

The inner bark is sold for fungal infections, inflammation and as a 'cancer remedy'. There is no reliable human evidence; its active compound lapachol proved too toxic at effective doses.

Safety notes

High doses cause nausea, vomiting and a bleeding tendency; avoid with blood thinners or in pregnancy. Do not replace cancer treatment with pau d'arco.

Cautions by tradition (2)
  • Herbal medicine worldwide: Serious illnesses such as infections, cancer or hepatitis need a doctor: there is no evidence that this remedy cures them.
  • Herbs for viral infections: Maximum 2 g a day. Not with bleeding disorders, in pregnancy or breastfeeding.

Preparation

The inner bark as decoction (taheebo tea) or in capsules. No dosage is given here.

Use in traditions

Indigenous peoples of South America, including the Guaraní, used the hard wood for bows (pau d'arco is Portuguese for 'bow stick') and the bark as medicine. Ody describes the popularity of lapacho tea in Europe and the USA.

Applications

Use by tradition

How different herbal traditions describe this herb. Amounts are traditional guidelines checked for obvious errors; they are not medical advice. For poisonous plants no dosage is given on purpose.

Herbal medicine worldwide

Attributed effects

Antitumour and antimicrobial; against candida, colds, flu and fever, ulcers, rheumatism, high blood pressure, skin infections, urinary tract infection and pelvic inflammation.

Preparation and amount

Capsules 2–3 g a day; traditionally as a decoction of the inner bark (fine powder works better).

Caution: Serious illnesses such as infections, cancer or hepatitis need a doctor: there is no evidence that this remedy cures them.