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Eczema and Herbal Remedies: What Science Says

Eczema, also known as atopic dermatitis, is a chronic, relapsing inflammatory skin condition characterized by redness, itching, and oozing, often triggered by exposure to irritants or allergens. The term “eczema” is derived from the Greek word meaning “to boil over,” reflecting the condition’s eruptive nature. It is histologically marked by spongiosis, which is the presence of intercellular edema in the epidermis, giving the skin a spongy appearance. Eczema can be subdivided into atopic and non-atopic types, with atopic eczema being associated with a higher likelihood of developing other allergic conditions such as asthma. Despite its prevalence, there is no universally accepted definition, and the term is often used interchangeably with dermatitis, although some experts argue for more precise terminology. The condition is not strictly a disease but rather an altered skin reaction to various internal and external stimuli, making it a complex trait influenced by genetic and environmental factors.

Types of Eczema

While all types of eczema share the hallmark symptoms of dry, itchy, and inflamed skin, the underlying causes and affected areas can vary widely. Understanding the different types of eczema is crucial for effective management and treatment. Here’s a look at the most common types of eczema and what sets them apart.

Common Causes of Eczema

Exact cause of eczema isn’t fully understood, certain factors are known to trigger or exacerbate the condition. Identifying and understanding these common causes is key to managing eczema and reducing flare-ups. Whether it’s due to environmental factors, allergens, or genetics, here’s a breakdown of the most common causes of eczema and how they impact your skin.

Best herbs for Eczema

Using herbs to care for eczema instead of conventional medication offers several advantages, particularly in terms of safety and holistic benefits. Conventional treatments, such as corticosteroids and immunosuppressive drugs, are effective but often come with significant side effects, making them unsuitable for long-term use. In contrast, Chinese herbal medicine (CHM) has been shown to improve the quality of life for eczema patients, including children, without the severe side effects associated with conventional treatments. Additionally, CHM has a long history of use and has been found to be generally safe, with minor and reversible adverse effects reported in clinical trials. The antioxidant properties of certain Chinese herbs also contribute to their effectiveness in reducing eczema symptoms, such as itching and inflammation. Furthermore, CHM can be used in various forms, including oral ingestion, topical applications, and even as part of a comprehensive therapy involving baths and creams, providing a versatile approach to managing eczema. Therefore, the use of herbs presents a promising alternative for those seeking safer and potentially more holistic treatments for eczema.

1. Evening Primrose Oil

Evening Primrose Oil, rich in gamma-linolenic acid (GLA), is particularly beneficial for managing eczema, a chronic skin condition characterized by inflammation, dryness, and itching. GLA, an omega-6 fatty acid, plays a crucial role in maintaining healthy skin by reducing inflammation and improving the skin’s moisture barrier. Regular application or ingestion of Evening Primrose Oil can help alleviate the symptoms of eczema, such as redness, itchiness, and scaling, by restoring the skin’s natural balance and promoting healing. Additionally, its anti-inflammatory properties help soothe irritated skin, making it a valuable natural remedy for those struggling with eczema.

What Research Says?

How to Consume

Evening Primrose Oil (EPO) can be consumed in capsule form to help manage eczema. A common dosage is 1-2 grams of EPO per day, divided into smaller doses, taken with meals to improve absorption. For adults, starting with 500 mg to 1,000 mg twice daily is typical, though some may increase the dosage under a healthcare provider’s guidance.

Potential Side Effects of Evening Primrose Oil

While Evening Primrose Oil (EPO) is generally considered safe, some individuals may experience side effects such as stomach upset, nausea, headache, or diarrhea. In rare cases, EPO has been associated with more serious side effects, including allergic reactions and an increased risk of bleeding due to its blood-thinning properties.

Who Should Avoid Evening Primrose Oil

Individuals with certain medical conditions or who are pregnant or breastfeeding should exercise caution when considering Evening Primrose Oil. Those with bleeding disorders, epilepsy, or a history of seizures should avoid EPO, as it may exacerbate these conditions. Additionally, individuals scheduled for surgery should stop using EPO at least two weeks prior to avoid increased bleeding risks. Pregnant women should consult with a healthcare provider before using EPO, as its safety during pregnancy is not well-established.

Interaction with Medications

Evening Primrose Oil may interact with certain medications, potentially altering their effects. It can increase the risk of bleeding when taken with anticoagulants (blood thinners) such as warfarin, clopidogrel, or aspirin. EPO may also interact with medications that affect the liver, such as phenothiazines, used for mental health disorders, which could heighten the risk of seizures.

2. Borage Oil

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Borage Oil, derived from the seeds of the borage plant, is highly beneficial for managing eczema due to its rich content of gamma-linolenic acid (GLA), an essential omega-6 fatty acid known for its potent anti-inflammatory properties. This oil helps to restore moisture to the skin, alleviating the dryness and itchiness commonly associated with eczema. By improving the skin’s barrier function, Borage Oil can reduce the frequency and severity of eczema flare-ups, promoting smoother, healthier skin. Its soothing properties also help to calm irritated skin, making Borage Oil a valuable addition to the skincare regimen of those dealing with eczema.

What Research Says?

How to consume

Borage oil, rich in gamma-linolenic acid (GLA), can be an effective supplement for managing eczema. To consume borage oil for eczema, start by taking it orally in softgel form, typically with a dosage of 1,000 to 2,000 mg per day, divided into two doses with meals. This helps to ensure the oil is absorbed efficiently. Consistency is key, so take the supplement daily for at least 8 to 12 weeks to observe noticeable improvements in skin hydration and inflammation. Additionally, you can complement the oral intake by applying borage oil topically to the affected areas, massaging it gently into the skin to help soothe irritation and redness.

Potential Side Effects of Borage Oil

Common side effects may include digestive issues such as nausea, bloating, or an upset stomach. In rare cases, more severe side effects like headaches, dizziness, or skin rashes may occur. Additionally, since borage oil contains small amounts of pyrrolizidine alkaloids (PAs), which can be toxic to the liver, it is essential to choose a high-quality product that is certified PA-free. If any unusual symptoms occur, it is advisable to discontinue use and consult a healthcare provider.

Who Should Avoid Borage Oil

Certain individuals should avoid using borage oil due to potential health risks. Pregnant or breastfeeding women should not take borage oil because it may have harmful effects on the fetus or infant. Individuals with liver conditions should also avoid it, as borage oil may exacerbate liver issues, particularly if the product is not PA-free. Those with a history of bleeding disorders or who are taking anticoagulant medications should exercise caution, as borage oil may increase the risk of bleeding.

Interaction with Medications

Borage oil may interact with certain medications, leading to adverse effects. It has blood-thinning properties, which can enhance the effects of anticoagulant or antiplatelet medications, such as warfarin or aspirin, increasing the risk of bleeding. Additionally, borage oil may lower blood pressure, so individuals taking antihypertensive drugs should monitor their blood pressure closely to avoid hypotension.

3. Liquorice Gel

Liquorice Gel is a natural remedy known for its beneficial effects on eczema, a skin condition marked by inflammation, dryness, and itchiness. The key active component in liquorice, glycyrrhizin, has potent anti-inflammatory and soothing properties that can help reduce the redness and irritation associated with eczema flare-ups. Additionally, Liquorice Gel’s antimicrobial properties can aid in preventing secondary infections that often accompany eczema due to scratching. Regular application of this gel not only calms the skin but also promotes healing, making it a gentle yet effective option for those seeking relief from the persistent symptoms of eczema.

What Research Says?

How to Use

To use liquorice gel for managing eczema, apply a small amount of the gel directly to the affected areas of the skin. Gently massage it into the skin in circular motions until fully absorbed. Liquorice gel, known for its anti-inflammatory and soothing properties, can help reduce redness, itching, and irritation associated with eczema. For best results, apply the gel two to three times daily, ideally after cleansing the skin to ensure optimal absorption.

Potential Side Effects of Liquorice Gel
Common side effects may include skin irritation, redness, or a burning sensation at the site of application, especially in those with sensitive skin. In rare cases, prolonged use of liquorice gel can lead to skin thinning or increased sensitivity to sunlight due to its cortisone-like properties.

Who Should Avoid Liquorice Gel:
People with extremely sensitive skin or conditions like rosacea should also exercise caution, as liquorice gel may exacerbate these conditions. Additionally, individuals with hormonal imbalances, such as those related to estrogen, should avoid using liquorice gel due to its potential to mimic estrogen-like effects. Pregnant or breastfeeding women should consult a healthcare provider before using liquorice gel, as its safety during pregnancy and lactation is not well established.

Interaction with Medications:
Liquorice gel is primarily used topically and has minimal systemic absorption, reducing the likelihood of interactions with oral medications. However, if the gel is applied extensively over large areas of the skin or used in conjunction with other topical medications, it could potentially enhance the effects of corticosteroids, leading to an increased risk of skin thinning or other corticosteroid-related side effects.

4. Burdock Root

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Burdock Root, a traditional herbal remedy, is highly beneficial for managing eczema due to its potent anti-inflammatory and detoxifying properties. Rich in antioxidants and essential fatty acids, Burdock Root helps to soothe the skin, reduce inflammation, and promote healing of the dry, itchy patches associated with eczema. It also supports the body’s natural detoxification processes, which can help in alleviating underlying triggers of eczema flare-ups. By purifying the blood and promoting overall skin health, Burdock Root not only addresses the external symptoms of eczema but also aids in preventing future outbreaks, making it a valuable addition to holistic eczema care.

What Research Says?

How to Use

To prepare burdock root tea, steep 1-2 teaspoons of dried burdock root in boiling water for about 10-15 minutes, then strain and drink. This tea can be consumed 2-3 times a day. Alternatively, you can find burdock root capsules or tinctures at health stores; follow the dosage instructions on the label. Additionally, you can add fresh burdock root to soups, stews, or stir-fries for its potential skin-soothing benefits.

Potential Side Effects of Burdock Root

While burdock root is generally considered safe for most people, it may cause some side effects, especially when consumed in large amounts. These can include dehydration due to its diuretic properties, allergic reactions in individuals sensitive to plants in the Asteraceae family, and gastrointestinal discomfort, such as nausea or bloating. In rare cases, contact dermatitis may occur from handling the plant.

Who Should Avoid Burdock Root

Burdock root should be avoided by individuals who are pregnant or breastfeeding, as its safety in these populations has not been established. People with known allergies to ragweed, chrysanthemums, marigolds, or daisies, which are also part of the Asteraceae family, should avoid burdock root to prevent potential allergic reactions.

Interaction with Medications

Burdock root may interact with certain medications, particularly those that affect blood sugar levels, such as insulin or oral hypoglycemic agents, potentially leading to hypoglycemia. It may also enhance the effects of diuretics, increasing the risk of dehydration and electrolyte imbalances. Additionally, burdock root can interact with blood-thinning medications like warfarin, increasing the risk of bleeding.

5. St. John’s Wort

St. John’s Wort is recognized for its potential benefits in treating eczema, a chronic skin condition characterized by inflammation, redness, and itching. The herb contains hypericin and hyperforin, compounds that have anti-inflammatory and antimicrobial properties. These properties help to reduce the inflammation and irritation associated with eczema, providing relief from itching and redness. Additionally, St. John’s Wort has been used topically in ointments and oils to soothe the skin, promote healing, and prevent infections that can exacerbate eczema symptoms. While more research is needed to fully understand its efficacy, many have found it to be a natural and gentle option for managing eczema.

What Research Says?

How to Use

To make a tea, steep 1-2 teaspoons of dried St. John’s Wort flowers in boiling water for about 10 minutes, then strain and drink up to twice daily. You can also take St. John’s Wort in capsule or tincture form, following the dosage instructions on the product label.

Potential Side Effects of St. John’s Wort
Common side effects include gastrointestinal symptoms like nausea, bloating, and diarrhea, as well as dizziness, dry mouth, and fatigue. Some individuals may experience photosensitivity, where the skin becomes more sensitive to sunlight, leading to sunburn or rash. Mood swings, restlessness, and headaches are also reported in some cases.

Who Should Avoid St. John’s Wort
St. John’s Wort should be avoided by individuals who are pregnant or breastfeeding, as its safety during these times has not been well established. People with a history of severe depression, bipolar disorder, or other mental health conditions should avoid St. John’s Wort, as it can potentially exacerbate these conditions.

Interaction with Medications
St. John’s Wort is known to interact with a wide range of medications, potentially reducing their effectiveness or increasing the risk of side effects. It can significantly decrease the effectiveness of birth control pills, blood thinners like warfarin, and certain medications used to treat HIV/AIDS, cancer, and organ transplant rejection. Additionally, St. John’s Wort may interfere with antidepressants, leading to a condition called serotonin syndrome, which can be life-threatening.

6. Witch Hazel

Witch Hazel (Hamamelis virginiana) is widely regarded as a beneficial natural remedy for eczema, owing to its potent anti-inflammatory and astringent properties. The plant’s bark and leaves contain tannins and other compounds that help to soothe irritated skin, reduce redness, and calm the inflammation characteristic of eczema. When applied topically, Witch Hazel acts to tighten the skin, decrease swelling, and alleviate itching, providing immediate relief from discomfort. Additionally, its mild antiseptic qualities can help prevent infection in broken skin, which is a common concern in eczema flare-ups. As a gentle, natural remedy, Witch Hazel is often recommended for those seeking to manage eczema symptoms without harsh chemicals or synthetic ingredients.

What Research Says?

How to Use

To use witch hazel for eczema, you can apply it topically as a soothing treatment. Start by thoroughly cleansing the affected area with mild, unscented soap and warm water. Pat the skin dry, then apply a small amount of witch hazel extract to a cotton ball or pad. Gently dab the witch hazel onto the eczema-affected areas, avoiding any broken or highly irritated skin.

Potential Side Effects of Witch Hazel:
When used topically, it can cause some side effects, particularly in individuals with sensitive skin. Common side effects may include mild redness, irritation, or dryness, especially with prolonged use or application to already inflamed or broken skin. In rare cases, allergic reactions such as rash, itching, or swelling may occur.

Who Should Avoid Witch Hazel:
People with known allergies to witch hazel or related plants should refrain from using it to prevent allergic reactions. Those with very sensitive or dry skin conditions, such as severe eczema or psoriasis, might find that witch hazel exacerbates their symptoms due to its astringent properties. Pregnant or breastfeeding women should consult a healthcare provider before using witch hazel, as there is limited research on its safety in these populations.

Interaction with Medications:
Witch hazel is primarily used topically and is not commonly associated with systemic interactions, but it’s still important to be aware of potential interactions, particularly if you are taking other medications that affect the skin. For instance, if you are using prescription topical treatments like retinoids, corticosteroids, or other potent anti-inflammatory agents, applying witch hazel might increase skin sensitivity or irritation. [Link]

7. Turmeric

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Turmeric (Curcuma longa) offers significant benefits for eczema due to its strong anti-inflammatory and antioxidant properties. The active ingredient, curcumin, helps reduce inflammation and soothe the irritated skin associated with eczema flare-ups. By applying turmeric topically or incorporating it into the diet, individuals can experience a decrease in redness, swelling, and itching. Its antioxidant effects also contribute to overall skin health, aiding in the healing process and reducing oxidative stress. Additionally, turmeric’s antimicrobial properties help prevent secondary infections that can exacerbate eczema symptoms. This natural remedy provides a holistic approach to managing eczema and supporting skin recovery.

What Research Says?

How to Consume

One effective method is to add turmeric to your meals, such as curries, soups, and smoothies. You can also make a turmeric tea by simmering a teaspoon of turmeric powder in hot water for about 10 minutes, and then straining and drinking it daily. For those who prefer supplements, turmeric capsules or tablets are available; however, it’s important to choose products with a high curcumin content, as curcumin is the active compound responsible for most of turmeric’s benefits. To enhance absorption, consume turmeric with black pepper or fat, such as in a warm drink with milk or a healthy oil.

Potential Side Effects of Turmeric

Common side effects may include gastrointestinal issues such as nausea, diarrhea, and stomach upset. High doses of turmeric can also lead to liver issues or allergic reactions in some individuals. Long-term or excessive use may cause stomach irritation or increase the risk of bleeding.

Who Should Avoid Turmeric

Turmeric should be used with caution by individuals with certain health conditions or those who are pregnant or breastfeeding. People with gallbladder disease, as turmeric can exacerbate gallbladder problems, should avoid it. Additionally, those with bleeding disorders or those who are on blood-thinning medications should be cautious, as turmeric can increase bleeding risk. Pregnant women are advised to avoid high doses of turmeric due to potential uterine stimulation.

Interaction with Medications

Turmeric can interact with various medications, potentially altering their effects. It may enhance the effects of blood-thinning medications such as warfarin or aspirin, increasing the risk of bleeding. Turmeric can also interfere with medications that reduce stomach acid, such as proton pump inhibitors, potentially decreasing their effectiveness. Additionally, it may interact with diabetes medications by affecting blood sugar levels.

8. Chamomile

Chamomile contains compounds like bisabolol, chamazulene, and flavonoids, which help reduce inflammation and irritation of the skin. When applied topically, chamomile can alleviate redness, itching, and discomfort associated with eczema flare-ups. Additionally, its natural antiseptic qualities aid in preventing infections that can occur due to scratching. Chamomile can be used in various forms, such as creams, ointments, or chamomile-infused baths, to provide relief and promote healing for individuals with eczema-prone skin.

What Research Says?

How to Use

For topical use, chamomile can be used in the form of creams, ointments, or diluted essential oils applied directly to the affected areas to reduce inflammation and soothe the skin. Chamomile-infused baths can also provide overall relief; simply add a few chamomile tea bags or a handful of dried chamomile flowers to warm bath water and soak for about 15-20 minutes. Additionally, drinking chamomile tea can help support internal healing by reducing stress and inflammation, which are known triggers for eczema flare-ups.

Potential side effects of Chamomile
Skin reactions like redness, itchiness, and irritation may occur, particularly for individuals with allergies to plants in the Asteraceae family, such as ragweed or marigolds. Ingesting chamomile may occasionally lead to gastrointestinal discomfort, like nausea or vomiting. Rarely, prolonged exposure to chamomile, especially in high doses, can lead to dizziness or drowsiness due to its mild sedative properties.

Who should avoid Chamomile
Pregnant or breastfeeding women should exercise caution, as the effects of chamomile on pregnancy and lactation are not fully understood. Moreover, those with existing medical conditions or those undergoing surgery should refrain from using chamomile, as it might interfere with medical treatments or anesthesia.

Interaction with medications
It may enhance the sedative effects of medications like benzodiazepines, barbiturates, or antihistamines, leading to excessive drowsiness. Additionally, chamomile could potentially interfere with anticoagulant medications, like warfarin, increasing the risk of bleeding. People taking medications for blood pressure or diabetes should also use caution, as chamomile might affect blood glucose and blood pressure levels. To prevent adverse interactions, consult with a healthcare professional before combining chamomile with any medications.

9. Aloe Vera

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Aloe vera is widely recognized for its beneficial properties in managing eczema, owing to its soothing and anti-inflammatory effects on the skin. The gel extracted from aloe vera leaves helps moisturize and cool irritated skin, thereby reducing the itching and inflammation associated with eczema flare-ups. In addition, aloe vera contains compounds like polysaccharides and glycoproteins, which promote healing and provide mild antibacterial benefits, protecting the skin from potential infections caused by scratching. The use of pure aloe vera gel, free from additives and preservatives, is recommended for those with sensitive skin conditions like eczema.

What Research Says?

How to use

For topical relief, apply pure, raw aloe vera gel directly from the plant to the affected areas of the skin. For oral consumption, aloe vera juice can be taken to support internal healing, potentially enhancing overall skin health and immune response. It’s important to start with small amounts to gauge any reactions, as aloe can have laxative effects.

Potential side effects of Aloe Vera:
Oral consumption may lead to abdominal cramps, diarrhea, and electrolyte imbalances due to its laxative properties. These side effects can exacerbate gastrointestinal issues if taken in large amounts or over extended periods.

Who should avoid Aloe Vera:
Pregnant and breastfeeding women are also advised against consuming aloe vera internally, as it can potentially influence uterine contractions and cause digestive disturbance. Those with known allergies to plants in the Liliaceae family should exercise caution, as they may react adversely to aloe vera.

Interaction with medications
Aloe vera can interact negatively with certain medications, particularly those used for diabetes, by potentially causing a significant drop in blood sugar levels. Additionally, its laxative effect can interfere with the absorption of oral medications, reducing their effectiveness. It is crucial for individuals on diuretics, anticoagulants, or other prescription medications to consult with a healthcare provider before integrating aloe vera into their health regimen.

FAQs

  1. Can herbal remedies completely cure eczema?

Herbal remedies can help manage the symptoms of eczema, such as inflammation, itching, and dryness, but they do not offer a complete cure. Eczema is a chronic condition that requires ongoing management, and while herbs can provide relief, they should be used in conjunction with other treatments and lifestyle modifications.

  1. How long does it take to see results from using herbal remedies for eczema?

The time it takes to see results from herbal remedies can vary depending on the individual, the severity of the eczema, and the specific remedy used. Some people may notice improvement within a few days, while others may need to use the remedy consistently for several weeks before seeing significant changes.

  1. Can children use herbal remedies for eczema?

Many herbal remedies are safe for children, but it is important to consult with a healthcare provider before starting any new treatment. Some herbs may need to be used in lower doses or with caution in children due to their developing bodies and potential sensitivities.

  1. Are there any dietary recommendations to follow alongside herbal remedies for eczema?

Yes, dietary changes can support the management of eczema. Eating a diet rich in anti-inflammatory foods, such as fruits, vegetables, and omega-3 fatty acids, can help reduce flare-ups. Avoiding common food triggers, such as dairy, gluten, and processed foods, may also be beneficial. Herbal remedies can be part of a holistic approach that includes diet and lifestyle changes.

  1. Can herbal remedies for eczema be used alongside prescription medications?

In many cases, herbal remedies can be used alongside prescription medications, but it is important to consult with a healthcare provider before combining treatments. Some herbs may interact with medications, potentially altering their effectiveness or causing side effects.

  1. Are there any specific lifestyle changes that can enhance the effectiveness of herbal remedies for eczema?

Yes, lifestyle changes such as reducing stress, avoiding known allergens, maintaining proper skin hydration, and using gentle skincare products can enhance the effectiveness of herbal remedies. Regular exercise and adequate sleep also contribute to overall skin health and can help manage eczema symptoms.

  1. Is it safe to use multiple herbal remedies for eczema at the same time?

While some herbal remedies can be used together, it is important to be cautious about combining multiple treatments. Certain herbs may have similar effects or interactions that could lead to side effects. It is advisable to consult with a healthcare provider or a herbalist to ensure safe and effective use of multiple remedies.

  1. Can herbal remedies be used during pregnancy for managing eczema?

Some herbal remedies may be safe to use during pregnancy, but others should be avoided due to potential risks. Pregnant women should always consult with a healthcare provider before using any herbal treatment to ensure it is safe for both the mother and the baby.

  1. What should I do if my eczema worsens after using an herbal remedy?

If your eczema symptoms worsen after using an herbal remedy, discontinue use immediately and consult with a healthcare provider. It is possible to have an allergic reaction or sensitivity to certain herbs, and a healthcare provider can help determine the cause and recommend alternative treatments.

  1. Can herbal remedies for eczema be used long-term?

Some herbal remedies can be used long-term to manage eczema symptoms, but it is important to monitor for any potential side effects or changes in effectiveness. Regular check-ins with a healthcare provider are recommended to ensure the continued safety and efficacy of long-term herbal treatment.

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