Educational information, not medical advice — ask your doctor or midwife.
Pau d'Arco is the inner bark of Tabebuia impetiginosa (also known as Handroanthus impetiginosus), a large flowering tree native to Central and South America. It has been used for hundreds — possibly thousands — of years by Indigenous groups including the Tupinambá, Quechua, and Kallawaya healers as a treatment for infections, fevers, and pain. The name 'Pau d'Arco' is Portuguese for 'bow stick,' referencing the tree's hardwood historically used for making bows.
Its primary active compounds — lapachol and beta-lapachone — interfere with the energy production of fungi, bacteria, and certain abnormal cells, essentially starving them. These same compounds also calm inflammatory signaling in the body and appear to bolster immune defenses by supporting natural killer cell activity. The bark also contains quercetin and other antioxidants that add broad cellular protection.
Traditional bark tea (made by simmering the inner bark) is the most historically authentic form and provides a broad spectrum of compounds. Capsules and tablets offer measured, convenient dosing. Tinctures allow faster absorption and flexible dosing but may have lower lapachol concentrations depending on the extraction method. Look for products standardized to lapachol or naphthoquinone content for best results.
Indigenous Amazonian and Andean healers relied on Pau d'Arco for centuries to treat infections, fevers, snake bites, and pain. It was adopted into Brazilian folk medicine and gained international attention in the 1960s–70s when reports of its anticancer and antimicrobial properties sparked scientific interest. It remains a cornerstone of South American herbal medicine and is widely used throughout Brazil and Argentina today.
Evidence grades and traditional-use labels are explained in our methodology. Nothing here is medical advice.
Reviewed by the HealisticMD editorial team How we grade evidence →
The published evidence for Pau d'Arco (Taheebo) is weak or absent. That usually means no controlled trial has tested it, not that a trial found it ineffective — the two are different, and we grade only what has been published.
What it is typically used for, usual dose, cautions, and the study behind it where real trial data exists.
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