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PubMed · Artemisia afra, a controversial herbal remedy or a treasure trove of new drugs? (2019)
PubMed · Secondary Metabolites Isolated from <i>Artemisia afra</i> and <i>Artemisia annua</i> and Their Anti-Malarial, Anti-Inflammatory and Immunomodulating Properties-Pharmacokinetics and Pharmacodynamics: A Review. (2023)
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This sheet was compiled from PubMed (NIH) abstracts using AI assistance. Every factual claim is cited to a real PubMed article (see the source list). It has not yet been human-reviewed — confirm with a healthcare provider before use.
Compiled from 30 PubMed articles · model: gemma4:31b
Summary
Artemisia afra, also known as African wormwood, is a highly aromatic shrub widely used in southern Africa for treating respiratory disorders, fever, and malaria [PMID:31376515, PMID:38944359].
Background
Artemisia afra (Asteraceae family) is an indigenous medicinal plant native to South Africa and neighboring countries such as Eswatini and Lesotho [PMID:31376515, PMID:38674538].
Traditional uses
Traditionally used in southern Africa to treat coughs, colds, influenza, malaria, fever, and respiratory ailments [PMID:31376515, PMID:38944359, PMID:36464634]. It is also documented for use in the management of headaches [PMID:34685845].
Active compounds
The plant contains monoterpenes, sesquiterpenes, polyphenols [PMID:37233654], and flavonoids such as luteolin [PMID:23920249], acacetin, chrysoeriol, and rutin [PMID:33039496]. Other isolated compounds include 3β-taraxerol, 3β-taraxerol acetate, dodecyl-p-coumarate, ferulic acid, scopoletin, sitosterol-3-O-β-D-glucopyranoside, 3,5-di-O-feruloylquinic acid, and isofraxidin-7-O-β-D-glucopyranoside [PMID:37836110]. It contains only trace or negligible amounts of artemisinin [PMID:38761524, PMID:30668322].
Mechanism of action
In vitro studies suggest it may impede SARS-CoV-2 adsorption to host cells and prevent viral multiplication post-entry, while also exerting immunomodulatory effects by controlling cytokine release [PMID:35894129]. It has shown the ability to kill non-replicating hypoxic Mycobacterium tuberculosis via a methoxylated flavone [PMID:38944359]. Antiplasmodial effects appear to be artemisinin-independent and involve the parasite apicoplast and mitochondrion [PMID:34857648].
Clinical evidence
Evidence DTuberculosis
Dichloromethane extracts exhibit significant bactericidal activity against Mycobacterium tuberculosis, including under hypoxic conditions and various carbon sources [PMID:36839499, PMID:32730878].
Evidence DMalaria
In vitro activity against Plasmodium falciparum is reported, but a large-scale clinical trial claiming efficacy was retracted due to ethical and methodological concerns [PMID:38761524, PMID:30668322].
Evidence DSARS-CoV-2
Extracts inhibited SARS-CoV-2 and feline coronavirus infection in vitro at non-cytotoxic concentrations [PMID:34496903].
Evidence DRespiratory Function
Steam inhalation and nebulized extracts produced dose-dependent improvements in lung function in isolated perfused lungs [PMID:23920249].
Evidence DGastrointestinal Spasms
Leaf ethanol extracts significantly reduced spontaneous rhythmic and agonist-induced contractions in isolated mouse duodenum and guinea pig ileum [PMID:18326347].
Evidence B
Dosage & administration
Traditionally used as an infusion, decoction, or steam inhalation [PMID:36464634, PMID:23920249]. No PubMed data available. Consult a healthcare provider.
Evidence summary
The majority of evidence is based on in vitro studies, animal models, or retracted clinical trials, indicating a low overall strength of clinical evidence for the treatment of malaria and schistosomiasis, while showing promising bactericidal activity against M. tuberculosis in laboratory settings.
PubMed sources
1.PMID: 31376515 (2019) — Artemisia afra, a controversial herbal remedy or a treasure trove of new drugs? · Journal of ethnopharmacology
2.PMID: 38944359 (2024) — An O-methylflavone from Artemisia afra kills non-replicating hypoxic Mycobacterium tuberculosis. · Journal of ethnopharmacology
3.PMID: 37233654 (2023) — Secondary Metabolites Isolated from Artemisia afra and Artemisia annua and Their Anti-Malarial, Anti-Inflammatory and Immunomodulating Properties-Pharmacokinetics and Pharmacodynamics: A Review. · Metabolites
4.PMID: 38761524 (2024) — In vivo antimalarial efficacy of Artemisia afra powder suspensions. · Phytomedicine : international journal of phytotherapy and phytopharmacology
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A clinical trial reported that A. afra infusions resulted in no detectable eggs in fecal smears within 14 days, though the publication was retracted [PMID:30466622].
— Artemisia annua and Artemisia afra extracts exhibit strong bactericidal activity against Mycobacterium tuberculosis.
· Journal of ethnopharmacology
6.PMID: 37836110 (2023) — Extractives from Artemisia afra with Anti-Bacterial and Anti-Fungal Properties. · Plants (Basel, Switzerland)
7.PMID: 35894129 (2022) — Antiviral activity of medicinal plant-derived products against SARS-CoV-2. · Experimental biology and medicine (Maywood, N.J.)
8.PMID: 37873198 (2023) — A methoxylated flavone from Artemisia afra kills Mycobacterium tuberculosis. · bioRxiv : the preprint server for biology
9.PMID: 36839499 (2023) — Artemisia afra and Artemisia annua Extracts Have Bactericidal Activity against Mycobacterium tuberculosis in Physiologically Relevant Carbon Sources and Hypoxia. · Pathogens (Basel, Switzerland)
10.PMID: 30668322 (2019) — Artemisia annua and Artemisia afra tea infusions vs. artesunate-amodiaquine (ASAQ) in treating Plasmodium falciparum malaria in a large scale, double blind, randomized clinical trial. · Phytomedicine : international journal of phytotherapy and phytopharmacology
11.PMID: 33039496 (2020) — Chemotypic variation of non-volatile constituents of Artemisia afra (African wormwood) from South Africa. · Fitoterapia
12.PMID: 36464634 (2023) — Geographical and seasonal phytochemical variation of Artemisia afra Jacq. ex Willd. · Phytochemical analysis : PCA
13.PMID: 34496903 (2021) — In vitro efficacy of Artemisia extracts against SARS-CoV-2. · Virology journal
14.PMID: 30466622 (2018) — Effect of Artemisia annua and Artemisia afra tea infusions on schistosomiasis in a large clinical trial. · Phytomedicine : international journal of phytotherapy and phytopharmacology
15.PMID: 34685845 (2021) — A Review on Medicinal Plants Used in the Management of Headache in Africa. · Plants (Basel, Switzerland)
16.PMID: 40350417 (2025) — Assessment of the in vitro activity and selectivity of Artemisia afra and Artemisia annua aqueous extracts against artemisinin-resistant Plasmodium falciparum. · Malaria journal
17.PMID: 38674538 (2024) — Comparative Bioactive Compounds and Mineral Properties of South African and Lesotho Artemisia afra (Jacq.) Genotypes. · Plants (Basel, Switzerland)
18.PMID: 33911989 (2019) — It is not just artemisinin: Artemisia sp. for treating diseases including malaria and schistosomiasis. · Phytochemistry reviews : proceedings of the Phytochemical Society of Europe
19.PMID: 23920249 (2013) — Pulmonary effects and disposition of luteolin and Artemisia afra extracts in isolated perfused lungs. · Journal of ethnopharmacology
20.PMID: 29155274 (2018) — Polysaccharides from the South African medicinal plant Artemisia afra: Structure and activity studies. · Fitoterapia
21.PMID: 20079415 (2010) — Metabolomic investigation of the ethnopharmacological use of Artemisia afra with NMR spectroscopy and multivariate data analysis. · Journal of ethnopharmacology
22.PMID: 37444156 (2023) — Knowledge about Asymptomatic Malaria and Acceptability of Using Artemisia afra Tea among Health Care Workers (HCWs) in Yaoundé, Cameroon: A Cross-Sectional Survey. · International journal of environmental research and public health
23.PMID: 34857648 (2022) — Artemisinin-independent inhibitory activity of Artemisia sp. infusions against different Plasmodium stages including relapse-causing hypnozoites. · Life science alliance
24.PMID: 11268106 (2001) — The antioxidant activity of the essential oils of Artemisia afra, Artemisia abyssinica and Juniperus procera. · Phytotherapy research : PTR
25.PMID: 39942700 (2025) — Exploring the Phytochemical Diversity and Anti-Plasmodial Potential of Artemisia annua and Artemisia afra from Different Geographical Locations in Cameroon. · Molecules (Basel, Switzerland)
26.PMID: 18326347 (2007) — Spasmolytic effects of artemisia afra and artemisia rehan in tissue preparations. · Ethiopian medical journal