Educational information, not medical advice — ask your doctor or midwife.
What is Afzelia (kawo) bark?
It is the bark of Afzelia africana, a large tree of the West African savannah. In Hausa it is called kawo. Healers strip the bark, dry it, and boil it in water to make a drink or a wash.
The tree is best known for its hard timber and for leaves fed to cattle. The seeds and leaves are also used in folk practice. This page covers the bark only.
Here is the honest verdict. There are no good trials in people for any health use of this bark. Almost all the research is in test tubes and in rats.
Long use in a tradition is not proof that something works. It is also not proof that it is safe. Treat anything you read about kawo bark as untested, not as settled.
How is it thought to work?
No one has shown how kawo bark acts in the human body. The ideas below come from the laboratory bench and from rodents.
In test tubes, bark extracts slow the growth of some bacteria and fungi. Whether that happens inside a person who drinks a bark tea is not known.
In rats, bark and stem extracts have lowered blood sugar and reduced swelling. These were short studies with small groups. They do not tell you what a dose does in a human.
The bark is rich in tannins. Tannins bind proteins and have a drying, puckering effect in the gut. That is the usual explanation for the traditional use in diarrhoea, and it is reasonable chemistry rather than proven benefit.
Saponins in the bark are soapy compounds. In cell studies they can damage cell membranes, which is one reason strong bark brews may irritate the stomach. The same property is also why saponin-rich plants are sometimes used as fish poisons.
How is it sold and used?
Most kawo bark is sold as dried bark, loose or in bundles, at local markets. You may also see it ground into a coarse powder.
Common traditional forms include:
- A decoction, made by boiling the bark in water - A cold water soak - Powdered bark mixed into food or pap - A wash or poultice placed on the skin
A few online sellers list capsules, tinctures or bark powder. These are not standardised. The label will not tell you how much active material is inside, and most are not tested for lead, mould or other plant matter mixed in.
What did tradition claim?
Afzelia africana has a long record in West African healing, across Nigeria, Niger, Ghana, Burkina Faso, Senegal and beyond. Written records of this use mostly date from colonial-era plant surveys onward, but the practice is older.
Hausa-speaking healers used kawo bark decoctions for fever, body pain and stomach complaints. Other groups used bark washes on wounds, sores and swellings.
The bark also appeared in treatments for back pain, hernia, convulsions and snakebite. In several areas it was part of remedies given to men for strength or fertility.
The tree itself carried value beyond medicine. It gave timber, fodder, shade and seeds used in cooking. That everyday standing helped keep the bark in use.
These are records of what people did. They are not records of what worked, and they should not be read as guidance to treat yourself.
When to see a doctor
Stop taking it and get medical advice if you notice any of these:
- Yellow skin or eyes, dark urine, or pain under your right ribs - Vomiting that does not stop, or blood in your vomit or stool - A rash, swollen lips or face, or trouble breathing - Shakiness, sweating and confusion, which can mean low blood sugar (hypoglycaemia) - Passing much less urine than usual
Go to hospital now, rather than treating at home, for a high fever, a spreading red or hot wound, a seizure, or a snakebite.
In the US, UK and EU, Afzelia africana bark is not approved as a medicine and is not a licensed herbal remedy. Anything sold there would be an unlicensed botanical product, with no checked dose or purity. In West Africa it is sold openly as a market herb. Separately, the tree is listed in CITES Appendix II, so cross-border trade in its wood is controlled.
Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.
What it is typically used for, usual dose, cautions, and the study behind it where real trial data exists.
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