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Pimento Leaves are used mainly as a tea to treat bacterial and fungal infections, reducing blood sugars and occasionally for rheumatism. They are reputed to be an effective deterrant for the urge to smoke; chewing a few leaves is supposed to reduce the cravings. They most certainly act as a digestive and calm upset stomachs from over indulgence. Traditionally, in the Caribbean, women infuse the leaves in white rum for menstrual pain. The leaves contain trace amounts of Eugenol which is an anti microbial agent.
The leaves and wood both are used in smoking jerk seasoning, but they are traditionally used for medicinal purposes as described.
Whilst the fruit (the berries and its ground version) are well known in the West, The leaves are relatively unknown outside the Caribbean except where migratory patterns have introduced them in our multi cultural society.