A Randomized Active Controlled Clinical Trial to Evaluate Safety and Efficacy of a Topical Unani Formulation Marham Kharish Jadeed in the Management of Qūbā (Tinea Corporis)
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Introduction: Qūbā (Tinea Corporis) is a very common disease widely prevalent worldwide. 20 – 25 % individuals suffer for this stubborn disease. Unani System of Medicine offers its treatment. There are many pharmacopoeial formulations indicated for various types of dermatophytic infections. In this study clinical efficacy and safety of the topical Unani formulation Marham Kharish Jadeed (a compound drug in the dosage form of an ointment) was assessed and compared with a standard conventional medicine. Materials and methods: A clinical study was conducted on 60 participants of qūbā randomized into test and control groups (n=30 in each group). The participants were clinically diagnosed and confirmed by microscopy of skin scrapings. The efficacy of the Unani formulation was assessed in terms of TSS score and elimination of fungal elements from the skin lesions. The data collected were analyzed statistically. Results and discussion: The study showed that the Unani formulation had comparatively better efficacy clinically than conventional medicine Terbinafine hydrochloride 1% cream in terms of reduction of itching, erythema, scaling, peripheral raised margins of the lesion comparing to baseline. In this study, 27 participants in test group and 18 participants in control group were completely cured (≥75% reduction in TSS Score with Mycological Cure) after 4 weeks of treatment. The efficacy of the Unani formulation was found significant statistically. The individual drugs of the formulations having analgesic (Musakkin), blood purifier (Muṣaffi-i-Dam), demulcent (Mulaṭṭif), antifungal (Qātil-i-fafūndῑ), detergent (Jālῑ), refrigerant (Mubarrid) and antiseptic (Dāfiʻ-i-ʻUfūnat) properties might be responsible for the efficacy of Unani formulation. Conclusion: The findings of the study suggested that the Unani formulation was found effective and safe in the management of qūbā. No local and systemic adverse effect was reported during the study.
Abstract
Introduction: Qūbā (Tinea Corporis) is a very common disease widely prevalent worldwide. 20 – 25 % individuals suffer for this stubborn disease. Unani System of Medicine offers its treatment. There are many pharmacopoeial formulations indicated for various types of dermatophytic infections. In this study clinical efficacy and safety of the topical Unani formulation Marham Kharish Jadeed (a compound drug in the dosage form of an ointment) was assessed and compared with a standard conventional medicine. Materials and methods: A clinical study was conducted on 60 participants of qūbā randomized into test and control groups (n=30 in each group). The participants were clinically diagnosed and confirmed by microscopy of skin scrapings. The efficacy of the Unani formulation was assessed in terms of TSS score and elimination of fungal elements from the skin lesions. The data collected were analyzed statistically. Results and discussion: The study showed that the Unani formulation had comparatively better efficacy clinically than conventional medicine Terbinafine hydrochloride 1% cream in terms of reduction of itching, erythema, scaling, peripheral raised margins of the lesion comparing to baseline. In this study, 27 participants in test group and 18 participants in control group were completely cured (≥75% reduction in TSS Score with Mycological Cure) after 4 weeks of treatment. The efficacy of the Unani formulation was found significant statistically. The individual drugs of the formulations having analgesic (Musakkin), blood purifier (Muṣaffi-i-Dam), demulcent (Mulaṭṭif), antifungal (Qātil-i-fafūndῑ), detergent (Jālῑ), refrigerant (Mubarrid) and antiseptic (Dāfiʻ-i-ʻUfūnat) properties might be responsible for the efficacy of Unani formulation. Conclusion: The findings of the study suggested that the Unani formulation was found effective and safe in the management of qūbā. No local and systemic adverse effect was reported during the study.
참고문헌 (19)
- Anonymous, "National Formulary of Unani Medicine, Vol -5", pp.115~117 (2008), Central Council for Research in Unani Medicine
- Anonymous, "Qarabadeen Majeedi" (1986), All India Unani Tibbi Conference
- AfzalM, "Preliminary phytochemical screening and antimicrobial activities of various fractions of Mallotus philippensis Muell", Journal of Medicinal Plants Research, 7(41), pp.3066~3070 (2013)
- Banerjee M, "Comparative evaluation of effectivity and safety of topical amorolfine and clotrimazole in the treatment of tinea corporis", Indian Journal of Dermatology, 56(6), pp.657~ (2011)
- Bhatia VK, "Epidemiological studies on dermatophytosis in human patients in Himachal Pradesh, India", SpringerPlus, 3(1), pp.1~7 (2014)
- Fratini F, "Beeswax: A minireview of its antimicrobial activity and its application in medicine", Asian Pacific Journal of Tropical Medicine, 9(9), pp.839~843 (2016)
- Ghani HN, "Khazainul Advia", pp.1276~1277, Idara Kitab-UL-Shifa
- Hakim HMA, "Bustanul Mufridaat", pp.339~ (2002), Idara Kitab-UL-Shifa
- JamesonJL, "Harrison’s Principles of Internal Medicine Vol -2" (2015), McGraw Hill
- Jerajani H, "Comparative assessment of the efficacy and safety of sertaconazole (2%) cream versus terbinafine cream (1%) versus luliconazole (1%) cream in patients with dermatophytoses: A pilot study", Indian Journal of Dermatology, 58(1), pp.34~ (2013)
- Jerajani HR, "Evaluation of clinical efficacy and safety of once daily topical administration of 1% oxiconazole cream and lotion in dermatophytosis : an open label, non-comparative multicentre study", Indian Journal of Dermatology, Venereology and Leprology, 66(4), pp.188~18892 (2000)
- Kabiruddin, H, "Mukhzinul Mufridaat", pp.346~347, Faisal Brothers
- Lakshmi CPV, "Clinical Efficacy of Topical Terbinafine Versus Topical Luliconazole in Treatment of Tinea Corporis", Tinea CrurisPatients, 2013, pp.3, ~
- Nadkarni AK, "Indian Materia Medica, Vol -Two", pp.86~ (2010), Popular Prakashan Private Limited
- Poluri LV, "Clinicomycological Study of Dermatophytosis in South India", Journal of Laboratory Physicians, 7(02), pp.084~089 (2015)
- Singh P, "Antimicrobial and antifungal potential of zinc oxide nanoparticles in comparison to conventional zinc oxide particles", Journal of Chemical and Pharmaceutical Research, 5(11), pp.457~463 (2013)
- Suleiman EA, "Vitro Activity of Lawsonia inermis (Henna)on Some Pathogenic Fungi", Journal of Mycology (2014)
- SumyukthaJ, "A comparative trial between the therapeutic efficacy of topical 2% sertaconazole cream and 1% terbinafine cream in the treatment of tinea cruris", tinea corporis, 2017, pp.3(1), 59~
- Tripathi KD, "Essentials of Medical Pharmacology", pp.795~796 (2015), Jaypee Brothers Medical Publishers (P) Ltd
