Comparative Efficacy of Traditional Unani Medicine Formulations Versus Apremilast for Chronic Plaque Psoriasis: A Randomized Controlled Trial.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Sabreena Bashir, Muzafar Din Ahmad Bhat, Mohd Arshad Jamal, Ruksar Ayesha
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引用次数: 0

Abstract

Background: Psoriasis remains an incurable and recurrent condition despite modern treatment. Traditional Unani Medicine recommends numerous formulations for psoriasis, but with little supporting scientific evidence.

Primary study objectives: The study aimed to evaluate the efficacy and safety of Majoon Mundi and Roghan Gul compared to apremilast and coconut oil in managing chronic plaque psoriasis (CPP).

Methods/design: The study was a randomized, open-label, standard-controlled clinical trial, with 33 participants. 20 patients completed the 6-week treatment course in the test group, while 10 patients completed the 6-week treatment course in the control group.

Setting: The study was conducted at the National Institute of Unani Medicine (NIUM), Bangalore, India, from June 2021 to December 2021.

Participants: Participants aged 18-60 years, of either gender, diagnosed with CPP, and based on psoriasis area and severity index (PASI) score.

Interventions: The participants in the test group received 10 g of Majoon Mundi orally twice daily after meals and Roghan Gul for topical use twice daily, while the participants in the active control group received apremilast orally in a titrated dose and coconut oil as a topical application twice daily.

Outcome measures: The primary outcome of the study was a reduction in PASI score, and the secondary outcome was a reduction in dermatology life quality index (DLQI) score. Photographic assessments were conducted at the 14th, 28th, and 42nd day of the follow-up period.

Results: Intragroup analyses revealed that the test and control groups experienced a statistically significant reduction in PASI and DLQI scores (P < .001). Intergroup analysis showed no statistically significant difference in the reduction of PASI and DLQI scores between groups (P = .772 and .775, respectively).

Conclusion: This study found that together, Majoon Mundi and Roghan Gul are as effective as apremilast and coconut oil in decreasing PASI and DLQI scores for managing CPP.

Keywords: apremilast, comparative study, herbal medicine, psoriasis, unani medicine.

传统Unani药物制剂与阿普米司特治疗慢性斑块型银屑病的疗效比较:一项随机对照试验。
背景:尽管有现代治疗,牛皮癣仍然是一种无法治愈和复发的疾病。传统的Unani医学推荐了许多治疗牛皮癣的配方,但几乎没有支持的科学证据。主要研究目标:该研究旨在评估majoron Mundi和Roghan Gul在治疗慢性斑块性银屑病(CPP)方面的疗效和安全性,并与阿普米司特和椰子油进行比较。方法/设计:该研究是一项随机、开放标签、标准对照的临床试验,共有33名参与者。试验组20例患者完成6周疗程,对照组10例患者完成6周疗程。背景:该研究于2021年6月至2021年12月在印度班加罗尔的国立Unani医学研究所(NIUM)进行。参与者:年龄在18-60岁之间,男女不限,诊断为CPP,基于牛皮癣面积和严重程度指数(PASI)评分。干预措施:试验组的参与者在饭后口服10克曼迪,每日两次,局部使用Roghan Gul,每日两次,而积极对照组的参与者口服阿普雷米司特,剂量为滴剂,椰子油作为局部应用,每日两次。结局指标:研究的主要结局是PASI评分的降低,次要结局是皮肤病生活质量指数(DLQI)评分的降低。随访期第14、28、42天进行影像学评估。结果:组内分析显示,实验组和对照组的PASI和DLQI评分均有统计学意义的降低(P < 0.001)。组间分析显示,两组患者PASI和DLQI评分的降低差异无统计学意义(P = .772和。775年,分别)。结论:本研究发现,majon Mundi和Roghan Gul在降低PASI和DLQI评分治疗CPP方面与阿普米司特和椰子油一样有效。关键词:阿普米司特,比较研究,草药,银屑病,乌纳尼药。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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