Clinical observations on traditional remedies are feasible and useful, and this chapter has presented clinical evidence that some herbal remedies are safe and effective against malaria. However, better evidence from randomised clinical trials is necessary before the use of an herbal remedy can be recommended on a large scale.
As randomised controlled trials are expensive and time-consuming, it is important to prioritise remedies for clinical investigation according to existing data from sociological, ethnobotanical, pharmacological, and preliminary clinical observational studies. In remote, resource-poor settings where even current antimalarials are not steadily available, evidence-based traditional medicine deserves recognition and expanded support by policy makers and funders. Feedback of research results may improve the quality of traditional medicine use and reduce mortality and morbidity from malaria.
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