Review of Medicinal Remedies on Hand Eczema Based on Iranian Traditional Medicine: A Narrative Review Article
Abstract
Background: Hand Eczema (HE) is a dermatological disorder with frequent relapses and multiple causes such as atopic, allergic and irritant contact dermatitis. The management is complex because of the wide range of different pathogenesis. Efficacy of some of available treatments is not well established and it can affect patients’ quality of life significantly.
Methods: Reports on HE such as diagnosis, pathophysiology, pharmacological and nonpharmacological therapy that described in medieval Iranian medicine, were gathered and analyzed from selected medical and pharmaceutical textbooks of Iranian Traditional Medicine (ITM). The search of databases such as PubMed, EMBASE/Excerpta Medica, Science direct, Scopus, Google scholar, Web of science, Sid, Iran medex, Irandoc, was performed to reconfirm the efficacy of ITM remedies in conventional medicine from 1980-Jan-1 to 2015-Dec-30.
Results: According to their opinion, HE is highly associated with liver function. This disorder was categorized into two main types as wet and dry ones. Most Iranian textbook explained signs of HE, as excessive skin itching, redness, burning and dryness. Treatments recommended by Iranian scientists were lifestyle modification, dietary intervention and performing the rules of prevention as well as herbal therapy and special manipulations.
Conclusion: Iranian practitioners believed that, six essential principles, diet therapy and medicinal plants have high impact on treatment of HE. These remedies based on Iranian scholar’s experiences might be useful for further studies to the management of HE.
de Leon FJ, Berbegal L, Silvestre JF (2015). Management of Chronic Hand Eczema. Actas Dermosifiliogr, 106 (7): 533-44.
Thyssen JP, Johansen JD, Linneberg A, Menne T (2010). The epidemiology of hand eczema in the general population--prevalence and main findings. Contact Dermatitis, 62 (2): 75-87.
Coenraads PJ (2007). Hand eczema is common and multifactorial. J Invest Dermatol, 127 (7): 1568-70.
Lan CC, Tu HP, Wu CS, Ko YC, Yu HS, Lu YW, Li WC, Chen YC, Chen GS (2011). Distinct SPINK5 and IL-31 polymorphisms are associated with atopic eczema and non-atopic hand dermatitis in Taiwanese nursing population. Exp Dermatol, 20 (12): 975-9.
Proksch E, Folster-Holst R, Jensen JM (2006). Skin barrier function, epidermal proliferation and differentiation in eczema. J Dermatol Sci, 43 (3): 159-69.
Coenraads PJ (2012). Hand eczema. N Engl J Med, 367 (19): 1829-37.
Diepgen TL, Andersen KE, Chosidow O, Coenraads PJ, Elsner P, English J, Fartasch M, Gimenez-Arnau A, Nixon R, Sasseville D, Agner T (2015). Guidelines for diagnosis, prevention and treatment of hand eczema. J Dtsch Dermatol Ges, 13 (1): e1-22.
Landis ET, Davis SA, Feldman SR, Taylor S (2014). Complementary and alternative medicine use in dermatology in the United States. J Altern Complement Med, 20 (5): 392-8.
Aghili Khorasani S (2008). Moalejate Aghili. Institute for Islamic and Complementary Medicine,Tehran university of Medical Science; Tehran, pp.: 976-981.
Kermani NIE (2009). Sharh al-Asbab va al-Alamat (Arabic). Jalaleddin Publications, Qom, p:391.
Zargaran A, Zarshenas MM, Mehdizadeh A, Mohagheghzadeh A (2012). Oxymel in medieval Persia. Pharm Hist (Lond), 42 (1): 11-3.
Zarshenas MM, Zargaran A, Muller J, Mohagheghzadeh A (2013). Nasal drug delivery in traditional persian medicine. Jundishapur J Nat Pharm Prod, 8 (3): 144-8.
Avicenna (2005) .Al Qanun Fi Al-Tibb (Arabic). Alaalami library, Beirut, P:158.
Avicenna (2005) .Al Qanun Fi Al-Tibb (Arabic). Alaalami library, Beirut, PP: 393-6.
Jorjani S (2006). Al-Aghraz al- Tibbva val Mabahess al- Alaiia. University of Tehran, Tehran , P:172.
Arzani H (2008). Tebb akbari. 1st ed. Jalal al- Din, Qom, pp: 1156-7.
Azam Khan M ( 2004). Aksir Azam (Persian). The Institute for Medical History-Islamic and Complementary Medicine, Tehran University of Medical Sciences; Tehran, pp.: 270-5.
Razi M (2000). Alhavi( Arabic). Dar Al- Kotob Al- ilmiyah, Beyrouth- Lebanon, p.: 305.
Aghili M (2004). Makhzan al adviye (Persian). Sabz Arang, Tehran, pp.: 145- 450.
Soltani A (2004). Dictionary of Medicinal Plants. Arjmand. Tehran.
Mozaffarian V (2006). Dictionary of Iranian Plant Names. Farhang Moaser, Tehran.
Amin G (2005). Popular Medicinal Plants of Iran. The Institute for Medical History -Islamic and Complementary Medicine, Tehran University of Medical Sciences, Tehran.
Ghahraman A, Okhovvat A (2004). Matching the Old Medicinal Plant Names with Scientific Terminology. The Institute for Medical History -Islamic and Complementary Medicine, Tehran University of Medical Sciences, Tehran.
Agarwal US, Besarwal RK, Gupta R, Agarwal P, Napalia S (2014). Hand eczema. Indian J Dermatol, 59 (3): 213-24.
Willan R. (1808). On Cutaneous Diseases. Johnson, London, England.
Sehgal VN, Srivastava G, Aggarwal AK, Sharma AD (2010). Hand dermatitis/eczema: current management strategy. J Dermatol, 37 (7): 593-610.
Arshah T, Shambesh M, Grera A, Albaccush M (2008). Eczema in north west of libya. Libyan J Med, 1;3(3):134-5.
Charan UP, Peter CV, Pulimood SA (2013). Impact of hand eczema severity on quality of life. Indian Dermatol Online J, 4 (2): 102-5.
Diepgen TL, Agner T, Aberer W, Berth-Jones J, Cambazard F, Elsner P, McFadden J, Coenraads PJ (2007). Management of chronic hand eczema. Contact Dermatitis, 57 (4): 203-10.
Heymann WR (2006). Hand dermatitis. J Am Acad Dermatol, 54 (6): 1078-80.
Cipriani F, Dondi A, Ricci G (2014). Recent advances in epidemiology and prevention of atopic eczema. Pediatr Allergy Immunol, 25 (7): 630-8.
King T, McKenna J, Alexandroff AB (2014). Alitretinoin for the treatment of severe chronic hand eczema. Patient Prefer Adherence, 25;8:1629-34.
Molin S, Vollmer S, Weiss EH, Weisenseel P, Ruzicka T, Prinz JC (2011). Deletion of the late cornified envelope genes LCE3B and LCE3C may promote chronic hand eczema with allergic contact dermatitis. J Investig Allergol Clin Immunol, 21 (6): 472-9.
Diepgen TL, Andersen KE, Brandao FM, Bruze M, Bruynzeel DP, Frosch P, Goncalo M, Goossens A, Le Coz CJ, Rustemeyer T, White IR, Agner T (2009). Hand eczema classification: a cross-sectional, multicentre study of the aetiology and morphology of hand eczema. Br J Dermatol, 160 (2): 353-8.
Lerbaek A, Kyvik KO, Ravn H, Menne T, Agner T (2007). Incidence of hand eczema in a population-based twin cohort: genetic and environmental risk factors. Br J Dermatol, 157 (3): 552-7.
Bryld LE, Hindsberger C, Kyvik KO, Agner T, Menne T (2003). Risk factors influencing the development of hand eczema in a population-based twin sample. Br J Dermatol, 149 (6): 1214-20.
English J, Aldridge R, Gawkrodger DJ, Kownacki S, Statham B, White JM, Williams J (2009). Consensus statement on the management of chronic hand eczema. Clin Exp Dermatol, 34 (7): 761-9.
Hegde P, Hemanth DT, Emmi SV, Shilpa MP, Shindhe PS, Santosh YM (2010). A case discussion on eczema. Int J Ayurveda Res, 1 (4): 268-70.
Emtiazy M, Keshavarz M, Khodadoost M, Kamalinejad M, Gooshahgir SA, Shahrad Bajestani H, Hashem Dabbaghian F, Alizad M (2012). Relation between Body Humors and Hypercholesterolemia: An Iranian Traditional Medicine Perspective Based on the Teaching of Avicenna. Iran Red Crescent Med J, 14 (3): 133-8.
Bujalkova M, Straka S, Jureckova A (2001). Hippocrates' humoral pathology in nowaday's reflections. Bratisl Lek Listy, 102 (10): 489-92.
Rezaeizadeh H, Alizadeh M, Naseri M, Ardakani MS (2009). The traditional Iranian medicine point of view on health and disease. Iran J Publ Health, 38 (Suppl. 1): 169-72.
Razi B (2000). Kholasat ol-Tajarob. (Persian). The Institute for Medical History-Islamic and Complementary Medicine, Tehran University of Medical Sciences, Tehran, pp.: 134-153.
Fallahi F, Namdar H, Emaratkar E, Nazem E, Nikbakht Nasrabadi A, Choopani R, Movahhed M, Gooshah Gir AA (2013). Avicenna's view of reperfusion in myocardial infarction. Int J Cardiol, 165 (2): 393-4.
Brasch J, Becker D, Aberer W et al. (2014). Guideline contact dermatitis: S1-Guidelines of the German Contact Allergy Group (DKG) of the German Dermatology Society (DDG), the Information Network of Dermatological Clinics (IVDK), the German Society for Allergology and Clinical Immunology (DGAKI), the Working Group for Occupational and Environmental Dermatology (ABD) of the DDG, the Medical Association of German Allergologists (AeDA), the Professional Association of German Dermatologists (BVDD) and the DDG. Allergo j int, 23 (4): 126-38.
Meding B, Wrangsjö K (2014). Scope of the Problem: Epidemiology of Hand Eczema. Textbook of Hand Eczema. Springer, pp 75-84.
Siahpoosh MB (2012). Six essential principles of Iranian traditional medicine for maintaining health from the Quran’s point of view. Quran and Medicine, 1 (4): 101-07.
Baghdadi S (1998). Al-moghni fi tadbirelamraz va marefatol ellal valaraz (Arabic). Darroalnafaes, Beirut, pp.:217-218.
Mencherini T, Cau A, Bianco G, Della Loggia R, Aquino RP, Autore G (2007). An extract of Apium graveolens var. dulce leaves: structure of the major constituent, apiin, and its anti-inflammatory properties. J Pharm Pharmacol, 59 (6): 891-7.
Ukiya M, Akihisa T, Yasukawa K, Tokuda H, Toriumi M, Koike K, Kimura Y, Nikaido T, Aoi W, Nishino H, Takido M (2002). Anti-inflammatory and anti-tumor-promoting effects of cucurbitane glycosides from the roots of Bryonia dioica. J Nat Prod, 65 (2): 179-83.
Lin J-Y, Li C-Y, Hwang I-F (2008). Characterisation of the pigment components in red cabbage (Brassica oleracea L. var.) juice and their anti-inflammatory effects on LPS-stimulated murine splenocytes. Food Chem, 109 (4): 771-81.
Thejass P, Kuttan G (2007). Immunomodulatory activity of Sulforaphane, a naturally occurring isothiocyanate from broccoli (Brassica oleracea). Phytomedicine, 14 (7-8): 538-45.
Shin J-S, Yun CH, Cho Y-W, Baek N-I, Choi M-S, Jeong T-S, Chung H-G, Lee K-T (2011). Indole-containing fractions of Brassica rapa inhibit inducible nitric oxide synthase and pro-inflammatory cytokine expression by inactivating nuclear factor-κB. J Med Food, 14 (12): 1527-37.
Jafarian-Dehkordi A, Zolfaghari B, Mirdamadi M (2013). The effects of chloroform, ethyl acetate and methanolic extracts of Brassica rapa L. on cell-mediated immune response in mice. Res Pharm Sci, 8 (3): 159-65.
Faridi B, Zellou A, Touati D, Alaoui K, Cherrah Y (2014). Toxicité aiguë et activité anti-inflammatoire des graines de Delphinium staphysagria. Phytothérapie, 12 (3): 175-80.
Daoudi A, Aarab L, Abdel-Sattar E (2013). Screening of immunomodulatory activity of total and protein extracts of some Moroccan medicinal plants. Toxicol Ind Health, 29 (3): 245-53.
Yesilada E, Tanaka S, Tabata M, Sezik E (1989). Antiinflammatory effects of the fruit juice of Ecballium elaterium on edemas in mice. Phytoth Res, 3 (2): 75-76.
Attard E, Brincat MP, Cuschieri A (2005). Immunomodulatory activity of cucurbitacin E isolated from Ecballium elaterium. Fitoterapia, 76 (5): 439-41.
Diwakar BT, Ramaswamy Lokesh B, Naidu KA (2011). Modulatory effect of α-linolenic acid-rich garden cress (Lepidium sativum L.) seed oil on inflammatory mediators in adult albino rats. Br J Nutr, 106 (04): 530-9.
Files | ||
Issue | Vol 45 No 8 (2016) | |
Section | Review Article(s) | |
Keywords | ||
Hand eczema Herbal medicine Iranian traditional medicine Medicinal remedies Diet therapy Lifestyle modification |
Rights and permissions | |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |