African trypanosomes are transmitted biologically by tsetse flies (Glossina spp) to humans and animals to cause African trypanosomiasis or trypanosomosis (sleeping sickness or Ngana). The pathology associated with the disease includes blood dyscrasia (anemia, leucopenia, thrombocytopenia), organ damage and inflammation. The infected host's metabolism is altered in response to the disease. The biochemical configuration and functions of the cell membrane, mitochondria, and cytosolic components are deranged by the infection. Cells of the infected host respond biochemically by producing chemical signals which regulate biochemical pathways, influence inflammatory responses and modify structural components. Several biochemical tools have been used to elucidate the biomolecules expressed in the disease. These biomolecules are also markers for diagnostic purposes and pathophysiological evaluations. The technologies involved in the biochemical studies are expanding from basic techniques of colorimetry, spectophotometry, and chromatography to sophisticated mass spectrometry. There are new trends employing systematics such as genomics, proteomics and metabolomics (metabonomics). The goal is to identify molecules and biochemical loci which can provide avenue for anti-disease strategies needed to treat and control the disease.