This study shows that ethnomedicine and ethnobotany have gained great relevance for their role in preserving ancestral knowledge about the use of medicinal plants. Despite the benefits, such as cultural preservation and biodiversity, new challenges arise, such as the lack of standardization and scientific validation, which limits their integration into modern medicine. Therefore, this systematic review aims to assess the documentation, evaluation, and conservation of medicinal plants and their therapeutic applications across different cultures, using the systematic literature review (SLR) methodology. The searches were conducted in electronic databases, such as Scopus, EBSCO, and Web of Science, following PRISMA protocol guidelines and focusing on studies published between 2007 and 2024. Research gaps were identified, and questions were developed to better understand ethnomedicinal practices, their validation, and conservation. A total of seventy studies were selected, documenting a wide diversity of medicinal plants, with a significant focus on the conservation of traditional knowledge. However, critical gaps were identified in the scientific validation and integration of this knowledge into conservation policies. The results of the thematic analysis highlight the need for standardized protocols and a multidisciplinary approach to validate and preserve ethnomedicinal knowledge, ensuring its relevance in modern medicine and its transmission to future generations.
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