Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Neem (Azadirachta indica) has a long history of traditional use in South Asian medicine for the treatment of bites and stings, including those from insects and, occasionally, snakes. Traditional Ayurvedic and folk practices often involve the topical application of neem leaves, oil, or paste to the affected area. The rationale is largely based on neem’s well-recognized antimicrobial, anti-inflammatory, and wound-healing properties, which are thought to help reduce pain, swelling, and the risk of secondary infection following a bite or sting.

Scientific studies have confirmed that neem contains active compounds such as nimbidin, nimbin, and azadirachtin, which exhibit antibacterial, antifungal, and anti-inflammatory effects. However, most of these studies are preclinical, focusing on laboratory or animal models, and do not directly address the efficacy of neem for treating bites or stings in humans. There is a lack of robust clinical trials evaluating neem’s effectiveness specifically for this purpose. While neem extracts can reduce skin inflammation and inhibit microbial growth, there is insufficient evidence to recommend neem as a primary treatment for venomous bites (e.g., snake or spider bites) or severe allergic reactions.

In summary, the use of neem for bites and stings is justified primarily by traditional practices, with some laboratory evidence supporting its general skin-soothing and antimicrobial properties. However, strong clinical evidence is lacking, especially for serious or systemic envenomations.

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