Abstract. Pulmonary tuberculosis (TB) remains a major global health challenge, particularly in low- and middle-income countries. Despite the effectiveness of standard anti-tubercular therapy (ATT), limitations such as drug resistance, long treatment duration, toxicity, and poor patient compliance necessitate alternative or complementary therapeutic strategies. Herbal medicine, a cornerstone of traditional medicine systems, has emerged as a promising adjunct in TB management. This review explores the pharmacological potential of medicinal plants with antimycobacterial, immunomodulatory, and anti-inflammatory properties. Key herbs, their active constituents, and mechanisms of action are discussed. Integration of herbal medicine in TB treatment may enhance therapeutic efficacy, reduce adverse effects, and improve patient outcomes, though more clinical trials are required to validate efficacy and safety.