Abstract
All
 through time, humans have used smoke of medicinal plants to cure 
illness. To the best of our knowledge, the ethnopharmacological aspects 
of natural products' smoke for therapy and health care have not been 
studied. Mono- and multi-ingredient herbal and non-herbal remedies 
administered as smoke from 50 countries across the 5 continents are 
reviewed. Most of the 265 plant species of mono-ingredient remedies 
studied belong to Asteraceae (10.6%), followed by Solanaceae (10.2%), 
Fabaceae (9.8%) and Apiaceae (5.3%). The most frequent medical 
indications for medicinal smoke are pulmonary (23.5%), neurological 
(21.8%) and dermatological (8.1%). Other uses of smoke are not exactly 
medical but beneficial to health, and include smoke as a preservative or
 a repellent and the social use of smoke. The three main methods for 
administering smoke are inhalation, which accounts for 71.5% of the 
indications; smoke directed at a specific organ or body part, which 
accounts for 24.5%; ambient smoke (passive smoking), which makes up the 
remaining 4.0%. Whereas inhalation is typically used in the treatment of
 pulmonary and neurological disorders and directed smoke in localized 
situations, such as dermatological and genito-urinary disorders, ambient
 smoke is not directed at the body at all but used as an air purifier. 
The advantages of smoke-based remedies are rapid delivery to the brain, 
more efficient absorption by the body and lower costs of production. 
This review highlights the fact that not enough is known about medicinal
 smoke and that a lot of natural products have potential for use as 
medicine in the smoke form. Furthermore, this review argues in favor of 
medicinal smoke extended use in modern medicine as a form of drug 
delivery and as a promising source of new active natural ingredients.