
Erika Krumbeck, ND, FABNP
Read time: 4 minutes

Atopic dermatitis (AD) can be a challenging condition to manage, especially when traditional treatments don’t offer the relief patients seek. Could herbal medicine provide a promising alternative or complement to conventional therapies? Let’s dive into the latest research.
Herbal Medicine in the Treatment of Atopic Dermatitis
Atopic dermatitis (AD), commonly known as eczema, is a chronic inflammatory skin condition that affects both children and adults, leading to discomfort, itching, and skin irritation. Despite the availability of various conventional treatments like corticosteroids, many patients continue to struggle with flare-ups and side effects. This has sparked growing interest in complementary treatments, particularly herbal medicine, as a potential solution for managing atopic dermatitis symptoms.
Incorporating herbal remedies alongside traditional therapies could offer patients a more holistic approach to managing atopic dermatitis. Recent systematic reviews and meta-analyses have begun to shed light on the efficacy of various herbal treatments, from topical applications to systemic interventions, in treating this prevalent condition.
Let’s dive into the research and see what we can learn from recent studies.
What the research shows
- Topical Herbal Treatments – Promising Results for Atopic Dermatitis Relief: A variety of topical herbal remedies have shown potential for reducing the severity of atopic dermatitis. For example, herbs like sunflower, licorice, indigo naturalis, and coconut have demonstrated benefits in alleviating symptoms of skin irritation and inflammation. In particular, a combination of aloe vera and olive oil has also been found to provide relief and support healing in the affected areas.
- Evening Primrose Oil – Limited Evidence for Systemic Use: While topical treatments have shown some promise, the use of evening primrose oil (EPO) as a systemic treatment has yielded mixed results. A meta-analysis evaluating evening primrose oil found no significant difference in the severity of atopic dermatitis compared to a placebo. Despite this, evening primrose oil is still commonly recommended in clinical practice for its anti-inflammatory properties, but further studies are needed to better understand its full potential.
- Reducing Adverse Effects of Conventional Treatments: One of the biggest advantages of herbal medicine is its potential to reduce the need for conventional medications, which often come with unwanted side effects such as skin thinning, acne, or long-term dependency. By incorporating herbal remedies, many patients may find they can lower their reliance on corticosteroids or other pharmaceutical treatments, thus reducing their risk of side effects.
Key Herbal Ingredients for Atopic Dermatitis
- Evening Primrose Oil (EPO): Often taken orally, evening primrose oil is a common remedy used to improve skin hydration and reduce itching, though its systemic benefits remain inconclusive based on recent research.
- Sunflower Oil: Known for its anti-inflammatory properties, sunflower oil has been shown to reduce symptoms of atopic dermatitis, particularly in infants and children.
- Licorice: The glycyrrhizin compound in licorice is believed to help soothe the skin and reduce inflammation associated with atopic dermatitis flare-ups.
- Indigo Naturalis: A traditional Chinese herb, indigo naturalis has shown effectiveness in treating moderate to severe atopic dermatitis when applied topically.
The Bottom Line: Moving Toward Integrative Approaches
While the systematic review and meta-analysis show that individual herbal treatments have demonstrated efficacy in managing the symptoms of atopic dermatitis, it’s important to note that more robust, large-scale studies are needed to confirm the long-term benefits and safety of these remedies. As we await further data, integrating herbal medicine into the treatment plan for atopic dermatitis could serve as an effective complementary approach, particularly for patients who experience side effects from conventional therapies.
Takeaway
Herbal medicine is not a one-size-fits-all solution, but its potential in managing atopic dermatitis is becoming clearer. Topical remedies, like sunflower and licorice, may offer significant relief, while systemic treatments like evening primrose oil require more research to understand their full impact. In the meantime, combining these herbal options with conventional treatments could provide a well-rounded, effective strategy for managing this chronic skin condition.
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