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Chinese herbal medicine (CHM) improved AD symptoms but had no significant impact on patients' quality of life or IgE levels suggesting CHM's potential as an AD treatment with further research.
2022 Frontiers in Pharmacology Efficacy and safety of Chinese herbal medicine for atopic dermatitis: Evidence from eight high-quality randomized placebo-controlled trials Cai X, Sun X, Liu L, Zhou Y, Hong S, Wang J, et al.
Systematic Review Eczema
CHM showed benefits in improving AD symptoms, such as itching and skin appearance, compared to placebos. However, it didn't significantly affect patients' quality of life or IgE levels. CHM was safe, with only minor side effects. These findings suggest CHM could be a useful treatment for AD, but more standard guidelines are needed due to variations in herbal ingredients and dosages in different studies.
Oral administration of Tremella fuciformis polysaccharides may constitute a new, effective therapy for Atopic dermatitis, improving both immune response and intestinal microbiota.
2022 Frontiers in Pharmacology Tremella fuciformis polysaccharides alleviate induced atopic dermatitis in mice by regulating immune response and gut microbiota Xie L, Yang K, Liang Y, Zhu Z, Yuan Z, Du Z
Experimental Study Eczema Gut Microbiota Polysaccharides
In the methodology of this study, the therapeutic effects of Tremella fuciformis polysaccharides (these have multiple biological activities), on Atopic dermatitis, were examined through both topical application and oral administration on mice induced with Atopic dermatitis-like disorder. The changes across transdermal water loss, epidermal thickening, and ear edema in the affected mice were observed. Notably, the study also considered the polysaccharides' impacts on the proportion of specific regulatory T cells in the mesenteric lymph nodes of the mice.
The results showed that both therapeutic methods positively impacted the conditions of the affected mice, with oral administration offering superior efficacy over topical application. The oral administration of the polysaccharides led to an increase of specific regulatory T cells, evidence of immune regulation. Further, non-targeted metabolomics and sequencing of certain DNA amplicons pointed towards observable modulation in fecal metabolites and a changed composition of gut microbiota in the mice following the oral treatment.
Acupuncture might be effective at reducing itch intensity and may be more effective than conventional medicine at reducing eczema area and severity index (EASI) and improving the global symptoms of atopic eczema.
2019 Acupuncture in Medicine The effectiveness and safety of acupuncture for patients with atopic eczema: a systematic review and meta-analysis Jiao R, Yang Z, Wang Y, Zhou J, Zeng Y, Liu Z
Systematic Review Eczema Facial Conditions
Acupuncture might be an effective treatment capable of reducing itch intensity, and may be more effective than conventional medicine at reducing EASI and improving global symptoms for patients with AE. Acupuncture is a safe treatment for patients with AE, but the available data are too few to suggest that acupuncture alone is effective at improving quality of life and recurrence rate. More high-quality trials with larger sample sizes are needed to confirm the effects of acupuncture on AE.
Acupuncture may improve symptoms in patients with mild-to-moderate atopic dermatitis.
2018 Complementary Therapies in Medicine Acupuncture improves symptoms in patients with mild-to-moderate atopic dermatitis: A randomized, sham-controlled preliminary trial Smith CA, Armour M, Lee MS, Wang LQ, Hay PJ
Randomised Controlled Trial Eczema Skin Conditions
The SCORing Atopic Dermatitis (SCORAD), VAS (Pruritus), VAS (Insomnia), Patient Oriented Eczema Measure (POEM), Dermatology Life Quality Index (DLQI), and Eczema Area and Severity Index (EASI) were significantly improved in the real acupuncture groups.
There is at least some level I evidence to support the use of acupuncture and acupressure as adjuncts to conventional treatment of atopic dermatitis.
2016 American Journal of Clinical Dermatology Complementary and Alternative Medicine for Atopic Dermatitis: An Evidence-Based Review Vieira BL, Lim NR, Lohman ME, Lio PA.
Systematic Review Eczema Skin Conditions
There is at least some level I evidence to support the use of acupuncture and acupressure, stress-reducing techniques such as hypnosis, massage, and biofeedback, balneotherapy, herbal preparations (with many important caveats), certain botanical oils, oral evening primrose oil, vitamin D supplementation, and topical vitamin B12. Many other therapies either have sufficient data to suggest that they are ineffective, or simply do not have enough evidence to formulate a verdict.
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