Topical medicines for wound healing: A systematic review of Unani literature with recent advances.

Abstract:

ETHNOPHARMACOLOGICAL RELEVANCE:Wound healing is an important area of research in contemporary medicine. Unani is a traditional medicine system based on hundreds of years of observations and experiences. Wounds are described under the headings qarha (arabic) and jarāhat (persian) in classical Unani texts. Several drugs of herbal, mineral and animal origin are described in Unani texts as having wound healing properties. Many of these drugs have been screened on various scientific parameters but the potential of most drugs remains unexplored. METHODOLOGY:The study was aimed at summarizing the topical wound healing drugs mentioned in classical Unani books. The topical wound healing drugs were first identified in classical texts. Then 20 drugs were selected for detailed review on the basis of clinical relevance and wide availability. OBSERVATIONS AND RESULTS:Seventy drugs were identified in Unani texts after removal of duplicacy. Most of the drugs (85.71%) were of herbal origin, while 10% were of mineral origin and the rest 4.28% were of animal origin. Most of the herbal drugs belonged to the Fabaceae (10%) and Rosaceae (8.33%) families. Biologically active compounds such as phenols, sterols, hydrocarbons, anthocyanidins, flavonoids and tannins have been identified in almost all drugs which support classical literature. CONCLUSION:Unani system of medicine has a rich legacy of effective wound healing drugs, which is reinforced by modern researches. Most drugs exert their action on multiple phases of wound healing. In addition, most drugs have no reported adverse effects in laboratory and clinical studies. Hence, Unani medicine may offer the much-needed affordable and effective wound care in a wide range of clinical settings.

journal_name

J Ethnopharmacol

authors

Fazil M,Nikhat S

doi

10.1016/j.jep.2020.112878

subject

Has Abstract

pub_date

2020-07-15 00:00:00

pages

112878

eissn

0378-8741

issn

1872-7573

pii

S0378-8741(19)34982-7

journal_volume

257

pub_type

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