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Development and Clinical Evaluation of an Ayurvedic Herbal Scar Removal Cream Using the Manchester Scar Scale (MSS)

U.D. Withanachchi, D.H.G.A.N. Keerthirathne, M.S.F. Fasla

Abstract


Scar formation is a phase of the natural phenomenon of the wound healing process. It can cause a significant influence on the appearance of an individual. The scar appearance can vary depending on age, sex, genetics, size of the wound, and location. There are many cosmetic treatments/ surgeries and products intended to remove scars. This study was designed to develop a cream with a selected formula from traditional medicine and to evaluate its effectiveness in reducing scar marks. Exclusion criteria were keloids, and hypertrophic scars while stretch marks, post-inflammatory hyperpigmentation (PIH), acne scars, and contracture scars were included. The cream was developed with selected ingredients in standard quantities. The aqueous phase contained the decoction of Velmadata (Rubia cordifolia), dry turmeric (Curcuma longa), Venivelgeta (Coscinium fenestratum) mixed with purified Manoseela (Arsenic disulfide/Realgar). The oil phase contained Ayurvedic herbal oil: Pinda oil and ghee. Bee Wax, Emulsifying wax dissolved with purified Lakada (Shellac), potassium sorbate as a preservative, and essential oil as fragrances were used. 60 individuals with scars were selected within the inclusion criteria. They were divided into two groups. Group A was advised to use the provided cream twice a day for three months while Group B was to use a chemical base product from the market. Manchester Scar Scale (MSS) was used to assess the overall appearance of the scar recovery. Data was analyzed with SPSS and the repeated measured t- test revealed a significant difference between the before and after scores. The null hypothesis was rejected (p=0.001 < 0.05). Independent sample t-test indicated the significant difference between the mean(M) and standard deviations (SD) values of the A and B groups. All the results directed to the conclusion that the developed herbal cream for scar removal is effective in subsiding the scar marks and improving the overall appearance of the scar site improving it to normal skin appearance. Further studies can be suggested with larger samples and laboratory investigations.


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References


Goyal, A., Sharma, P., & Kumar, N. (2022). Ayurvedic herbal oils: A review on their medicinal properties and dermatological applications. Journal of Herbal Medicine, 32, 101-115. https://doi.org/10.1016/j.jherb.2022.101115

Kumar, S., & Pandey, A. K. (2021). Natural skincare: Advances in herbal emulsion formulations. Phytomedicine, 85, 153-167. https://doi.org/10.1016/j.phymed.2021.153167

Mishra, R., & Tripathi, K. (2019). Medicinal benefits of Coscinium fenestratum and its bioactive components. International Journal of Ayurveda Research, 10(2), 75-89. https://doi.org/10.4103/ijar.ijar_75_19

Sharma, V., Gupta, R., & Singh, S. (2020). Herbal emulsions: An alternative approach to synthetic formulations in dermatology. Journal of Natural Products Research, 26(4), 523-539. https://doi.org/10.1080/14786419.2020.1728123

Singh, M., Patel, R., & Mehra, A. (2023). Preservation strategies in natural cosmetics: Role of potassium sorbate and essential oils. Cosmetics and Formulation Science, 14(1), 45-62. https://doi.org/10.3390/cosmet14a10045

Anon., 2003. Aushadeeya shaka samgrahaya,study, compendium of Medicinal plants a Sri Lankan. 1 ed. Colombo: Department of Ayurveda.

Ayurveda, D. o., 2003. Compendium of Medicinal Plants. III ed. s.l.:Department of Ayurveda.

Ayurveda, D. o., n.d. Ayurveda Aushada Samgrahaya. 2 ed. Colombo: Department of Ayurveda.

D.M.A.Jayaweera, 2006. Medicinal Plants used in Ceylon. Nugegoda: The National Science Foundation.

K.R.Kirtikar, 1918. Indian Medicinal Plants. 2 ed. Delli: International Book Distributors.

Khanna, D. S., 1973. Charmaroga vijnan (skin dideases). Varanasi: Chowkhamba vidyabhavan.

Kulasekara, D. B. P., n.d. Ayurveda vaidya vidyawe bahulawa yedena aushada pelati. Colombo: S Godage & brothers.

Lenora, D. R., n.d. Text Book of Clinical Medicine. Colombo: M.D.Gunasena.

Murthy, P. K. s., n.d. Susruta Samhita. Bangalore: Chaukhambha Orientalia.

Perera, A. N., n.d. Osuthuru Wisithuru. Colombo: Department of Ayurveda.

Rajamanna, D. H., n.d. sri lankawe osu shaka saha ewye wedagathkama. Colombo: S. Godage & Bro..

Sharma, D. R. K., 1972. Caraka Samhita. New Delhi: Chowkhamba Sanskrit Seres Office.

Shastry, D. J., n.d. Illustrated Dravyaguna Vijnana. s.l.:s.n.

Treesirichod.A,Chansakulporn.S &Wattanapan.P,(2014).Correlation between skin color evaluation by skin color scale chart and narrowband reflectance spectrophotometer, Investigative Dermatology. Indian Journal of Dermatology [online].Vol59. p339342.Availablefrom:http://www.eijd.org/article.asp?issn=00195154;year=2014;volume=59;issue=4;spage=339;epage=342;aulast=Treesirichod

Varteer, P., 1996. Indian medicinal plants. kottakal: Orient Longman.


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