Vernacular names Orelha de rato (Po). Kishiki cha buga (Sw). Origin and geographic distribution Cissampelos mucronata is distributed throughout tropical Africa, except the most humid areas, from Senegal east to Ethiopia and south to South Africa. Uses Cissampelos mucronata, Cissampelos owariensis P.Beauv. ex DC. and Cissampelos pareira L. have often been confused; as they are also similarly used, it is often impossible to correlate uses unambiguously with a particular species. Cissampelos mucronata has many medicinal uses, and throughout Africa people take an infusion of the bitter rhizome, and sometimes of leaves and stems, or fruit juice, to cure gastro-intestinal complaints such as diarrhoea, dysentery, colic, intestinal worms and digestive complaints, and also urogenital problems such as menstrual problems, venereal diseases, infertility, azoospermia, to induce contraction of the uterus to start labour or abortion and to expel the placenta. In eastern DR Congo a leaf decoction is taken as a vermifuge against tapeworm. In Senegal the rhizome enters into preparations to treat catarrh, whereas in Togo the rhizome is chewed to treat sore throat, cough and lung problems. In decoction the rhizome is given against oedema. In Tanzania and Madagascar a rhizome decoction is taken to diminish fever caused by malaria or jaundice. Rhizome sap is used as ear drops to treat earache. Bushmen of the Kalahari take a warm rhizome decoction to treat coughs and for general wellness. In the Okavango delta in Botswana, Namibia and Zimbabwe a rhizome decoction is drunk to treat headache, neck pain and back pain. In Namibia the Damara people apply the powdered rhizome to open wounds for quick healing. In Zimbabwe rhizomes are used to treat bilharzia. Throughout West Africa and in Uganda, fresh leaves, heated leaves or pulped leaves are applied to wounds, ulcers, conjunctivitis and syphilis sores, and a poultice of leaves mixed with natron is applied to swellings, ulcers and Guinea worm sores. In Ghana leaf pulp is taken internally or applied to the affected area as an antidote for snake venom. In Côte d'Ivoire and Burkina Faso fresh leaf pulp is applied to relieve severe headache and is eaten mixed with clay to stop stomatitis. The vapour of a leaf decoction is inhaled to induce vomiting. In southern Senegal an infusion of leafy stems is used as emmenagogue. In Togo the whole plant is used in preparations to treat intercostal pain. In Nigeria ash from the plant enters into a medicine against arthritis, which is rubbed into scarifications. In DR Congo and eastern Tanzania the pounded plant is applied to snakebites. In Rwanda the plant is used to treat diseases affecting the spine. In Benin, Uganda and other parts of Africa the roots are used in medical rituals to treat mental problems such as psychoses. In Nigeria the rhizome is sometimes used in the preparation of arrow poison. In Kenya crushed rhizomes are applied to the skin of goats to remove insect parasites. The stems of Cissampelos mucronata are commonly used for tying and binding and in wickerwork; in DR Congo stems are used to make fishing lines. Production and international trade Cissampelos mucronata is mainly traded in local markets. It may enter wider markets by the name 'pareira brava'. True 'pareira brava' however is made from the South American Chondrodendron tomentosum Ruiz & Pav.; in some