Affiliation:
1. Center of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University , Bangkok , Thailand
2. Department of Dermatology , Faculty of Medicine Siriraj Hospital, Mahidol University , Bangkok , Thailand
3. Department of Pharmacology , Faculty of Medicine Siriraj Hospital, Mahidol University , Bangkok , Thailand
Abstract
Abstract
Objectives
Medicated oil has been traditionally used as an analgesic medicine to relieve pain by applying to the skin over painful muscles, and has been established in The National List of Essential Medicines (2556 B.E.). Traditional Medicated oil (TMO) consists of cassumunar ginger, Wan En Lueang, and Wan Ron Thong. It is prepared by frying herbs in coconut oil which is a traditional method. Thai Herbal Medicated oil formula (MOF) comprises cassumunar ginger, sweet flag, lesser galangal, wild turmeric, Wan En Lueang, and Wan Ron Thong. Its preparation by maceration with methyl salicylate is modified method to avoid the heat in the traditional preparation. Since both recipes have different methods of extraction and compositions, it is necessary to determine the chemical constituents and acute skin irritation potential of MOF and TMO.
Methods
This study applied Gas Chromatography-Mass Spectrometry (GC-MS) for quality assessment of MOF extract and TMO extract. The mass spectra of the compounds matched with authentic standards from the NIST library. The compounds were identified by comparing their retention time and peak area, and the percentage of matched factor was more than 80%. The safety assessment on acute skin irritation used the 4 h human patch test (4 h HPT) in 36 healthy subjects.
Results
The 37 compounds were found in MOF extract. The most common chemical constituents were terpene derivatives; monoterpenes and sesquiterpenes, and others, namely benzene derivatives, ester, phenylpropanoid, and other compounds. The 33 compounds were found in TMO extract and the chemical groups were similar to MOF extract. The 4 h HPT demonstrated that the MOF extract, TMO extract, methyl salicylate solvent, and coconut oil solvent, did not induce skin irritation. However, the vehicle of the formulae and the whole formulae as MOF and TMO clinically induced skin irritation and accorded with rubefacient. The characteristic as mild erythema or dryness, but not erythema with edema, could appear after the use of rubbing skin products.
Conclusions
The chemical constituents found in MOF and TMO extracts were partially different and their acute skin irritation reactions were not significantly different. A study on the efficacy of both remedies should be performed in the future, as well as a study on active chemical constituents. This study provides scientific evidences of quality and safety, including GC-MS condition for poly-herbal medicated oil standardization.
Subject
Complementary and alternative medicine
Reference22 articles.
1. Pichiensoonthorn, C, Chawalit, M, Jeerawong, W. Kam atibai tamra phra o-sot phra narai [Explanation of King Narai’s Medical Treatise]. Bangkok: Amarin; 2001:18–24 pp.
2. National Drug List Development, Committee. National Drug List 2013. Bangkok: Food and Drug Administration; 2013.
3. SEA, WHO. Traditional medicine in Kingdom of Thailand. The integration of Thai traditional medicine in the national health care system of Thailand. Bangkok: Department of Thai Traditional and Alternative Medicine; 2005.
4. Chan, TY. Review: potential dangers from topical preparations containing methyl salicylate. Hum Exp Toxicol 1996;15:747–50. https://doi.org/10.1177/096032719601500905.
5. Mason, L, Moore, RA, Edwards, JE, McQuay, HJ, Derry, S, Wiffen, PJ. Systematic review of efficacy of topical rubefacients containing salicylates for the treatment of acute and chronic pain. BMJ 2004;328:995. https://doi.org/10.1136/bmj.38040.607141.ee.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献