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Neem teas and Neem leaf extract have traditionally been used to treat a wide range of intestinal parasites (Pinworm, Dog Roundworm, Whip worm, Chagas disease, Malaria, Encephalitis). A topical application of Neem oil either in shampoo, lotion, cream, or salve form, coupled with Neem leaf extract, has traditionally been used to combat external parasites (lice, scabies). Use Neem leaf extract two times a day. Apply Neem oil, lotion, cream, or salve to the areas affected by external parasites.