Journal of Pharmacopuncture (대한약침학회지)

KOREAN PHARMACOPUNCTURE INSTITUTE (대한약침학회)
권호 표지
DOI QR코드

DOI QR Code

Non-Pharmacological Treatments of Psoriasis in Persian Medicine a Narrative Review

  • Rasanan, Farshad Mohammadian (Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences) ;
  • Kenari, Hoorieh Mohammadi (Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences) ;
  • Ghassemi, Mohammadreza (Department of Dermatology, Rasool Akram Medical Complex Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences (IUMS)) ;
  • Sabbagh, Ali Jabbari (Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences) ;
  • Aliasl, Jale (Traditional Medicine Clinical Trial Research Center, Shahed University) ;
  • Ghobadi, Ali (Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences)
  • Received : 2021.04.23
  • Accepted : 2021.12.29
  • Published : 2022.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Psoriasis is a chronic disease that has no definitive cure. In this review study, the main sources of Persian Medicine (PM) such as the Canon of Medicine (by Avicenna) and Al-Havi (by Rhazes) were assessed to identify non-pharmacological treatments for psoriasis. Several treatments that are recommended for this disease include nutritional advice, lifestyle modifications, and manipulation therapy such as wet cupping (Hijamah), leech therapy, and phlebotomy (Fasd). These recommendations may help to prevent recurrence and be useful in improving psoriasis. The efficacy of PM recommendations to improve psoriasis should be evaluated in future studies.

Keywords

Acknowledgement

This paper is based on the findings of a PhD thesis entitled 'Efficacy of Flax seed oil in treating mild to moderate Psoriasis Vulgaris comparing with topical Betamethasone: A randomized, double-blind, clinical trial' Granted by School of Persian Medicine and Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences.

References

  1. Rendon A, Schakel K. Psoriasis pathogenesis and treatment. Int J Mol Sci. 2019;20(6):1475. https://doi.org/10.3390/ijms20061475
  2. Zhang P, Wu MX. A clinical review of phototherapy for psoriasis. Lasers Med Sci. 2018;33(1):173-80. https://doi.org/10.1007/s10103-017-2360-1
  3. Zorlu O, Bulbul Baskan E, Yazici S, Sigirli D, Budak F, Saricaoglu H, et al. Predictors of drug survival of biologic therapies in psoriasis patients. J Dermatolog Treat. 2022;33(1):437-42. https://doi.org/10.1080/09546634.2020.1763240
  4. Korman NJ, Zhao Y, Li Y, Liao M, Tran MH. Clinical symptoms and self-reported disease severity among patients with psoriasis - Implications for psoriasis management. J Dermatolog Treat. 2015;26(6):514-9. https://doi.org/10.3109/09546634.2015.1034074
  5. Ogawa E, Sato Y, Minagawa A, Okuyama R. Pathogenesis of psoriasis and development of treatment. J Dermatol. 2018;45(3):264-72. https://doi.org/10.1111/1346-8138.14139
  6. Blome C, Gosau R, Radtke MA, Reich K, Rustenbach SJ, Spehr C, et al. Patient-relevant treatment goals in psoriasis. Arch Dermatol Res. 2016;308(2):69-78. https://doi.org/10.1007/s00403-015-1613-8
  7. Golbari NM, Porter ML, Kimball AB. Current guidelines for psoriasis treatment: a work in progress. Cutis. 2018;101(3S):10-2.
  8. Gisondi P, Del Giglio M, Girolomoni G. Treatment approaches to moderate to severe psoriasis. Int J Mol Sci. 2017;18(11):2427. https://doi.org/10.3390/ijms18112427
  9. Mosca M, Hong J, Hadeler E, Brownstone N, Bhutani T, Liao W. Scalp psoriasis: a literature review of effective therapies and updated recommendations for practical management. Dermatol Ther (Heidelb). 2021;11(3):769-97. https://doi.org/10.1007/s13555-021-00521-z
  10. Armstrong AW, Read C. Pathophysiology, clinical presentation, and treatment of psoriasis: a review. JAMA. 2020;323(19):1945-60. https://doi.org/10.1001/jama.2020.4006
  11. Sutaria N, Au S. Failure rates and survival times of systemic and biologic therapies in treating psoriasis: a retrospective study. J Dermatolog Treat. 2021;32(6):617-20. https://doi.org/10.1080/09546634.2019.1688756
  12. Di Caprio R, Caiazzo G, Cacciapuoti S, Fabbrocini G, Scala E, Balato A. Safety concerns with current treatments for psoriasis in the elderly. Expert Opin Drug Saf. 2020;19(4):523-31. https://doi.org/10.1080/14740338.2020.1728253
  13. Lin LW, Ananthakrishnan A, Teerawattananon Y. Evaluating traditional and complementary medicines: where do we go from here? Int J Technol Assess Health Care. 2021;37:e45. https://doi.org/10.1017/S0266462321000179
  14. Bodeker G, Ryan TJ, Volk A, Harris J, Burford G. Integrative skin care: dermatology and traditional and complementary medicine. J Altern Complement Med. 2017;23(6):479-86. https://doi.org/10.1089/acm.2016.0405
  15. Wood E, Shields BE. Use of complementary alternative medicine and supplementation for skin disease. Cutis. 2021;108(2):78-83.
  16. Ayati MH, Pourabbasi A, Namazi N, Zargaran A, Kheiry Z, Kazemi AH, et al. The necessity for integrating traditional, complementary, and alternative medicine into medical education curricula in Iran. J Integr Med. 2019;17(4):296-301. https://doi.org/10.1016/j.joim.2019.04.005
  17. Avicenna H. [The Canon of Medicine]. Beirut: Alaalami library; 2005. Arabic.
  18. Jorjani E. [Zakhireye Kharazm Shahi (Treasure of Kharazm Shah)]. Tehran: Iranian Medical Academy; 2001. Persian.
  19. Aghili Shirazi MH. [Summary of wisdom]. Quom: Esmailian; 2006. Persian.
  20. Razi M. [Liber Continents]. Beirut: Darolkotob-e-elmia; 2000. Arabic.
  21. Shirbeigi L, Zarei A, Naghizadeh A, Vaghasloo MA. The concept of temperaments in traditional Persian medicine. Trad Integr Med. 2017;2(3):143-56.
  22. Kermani N. [The Book of Causes and Symptoms]. Qom: Jalaledin; 2009. Arabic.
  23. Azam Khan M. [The Great Panacea]. Tehran: The Institute for Medical History-Islamic and Complementary Medicine, Tehran University of Medical Sciences; 2004. Persian.
  24. Arzani M. [Akbari's Medicine]. Qo,: Jalaledin; 2008. Persian.
  25. Rahbar M, Zarei A, Ranjbar M, Tabarrai M, Shirbeigi L. Etiology, clinical manifestation and natural treatments of psoriasis from the perspective of Persian medicine. Trad Integr Med. 2020;5(4):221-9.
  26. Zaheri Z, Ezzati A, Amini F, Ghanavati R, Shirbeigi L, Namjoyan F. Traditional Persian medicine (TPM) approach to psoriasis treatment. Avicenna J Phytomed. 2015;5:151-2.
  27. Rezaeizadeh H, Alizadeh M, Naseri M, Shams Ardakani M. The traditional Iranian medicine point of view on health and disease. Iran J Public Health. 2009;38(Suppl 1):169-72.
  28. Polo TCF, Corrente JE, Miot LDB, Papini SJ, Miot HA. Dietary patterns of patients with psoriasis at a public healthcare institution in Brazil. An Bras Dermatol. 2020;95(4):452-8. https://doi.org/10.1016/j.abd.2020.02.002
  29. Rzadkowolska K, Zebrowska A. The influence of dietary and lifestyle factors on psoriasis. Long Term Care Nurs. 2019;4(3):51-8.
  30. Siddiqui DE, Afroz S, Khan RA. Preventive and therapeutic effects of aqueous extract of Spinacia oleracea on psoriatic patches in albino rats. Pak J Pharm Sci. 2019;32(1):35-42.
  31. Parvizi MM, Nimrouzi M, Bagheri Lankarani K, Emami Alorizi SM, Hajimonfarednejad M. Health recommendations for the elderly in the viewpoint of traditional Persian Medicine. Shiraz E-Med J. 2018;19(1):e14201.
  32. Fahimi M, Kazemikhoo N, Dabaghian FH, Iravani A, Vahabi F, Azadi M, et al. Effects of wet cupping on blood components specially skin-related parameters of healthy cases: a case control metabonomic study. J Skin Stem Cell. 2016;3(2):e12654.
  33. Cao H, Han M, Li X, Dong S, Shang Y, Wang Q, et al. Clinical research evidence of cupping therapy in China: a systematic literature review. BMC Complement Altern Med. 2010;10:70. https://doi.org/10.1186/1472-6882-10-70
  34. Al-Bedah AMN, Elsubai IS, Qureshi NA, Aboushanab TS, Ali GIM, El-Olemy AT, et al. The medical perspective of cupping therapy: effects and mechanisms of action. J Tradit Complement Med. 2018;9(2):90-7. https://doi.org/10.1016/j.jtcme.2018.03.003
  35. Aida Maranduca M, Liliana Hurjui L, Constantin Branisteanu D, Nicolae Serban D, Elena Branisteanu D, Dima N, et al. Skin - a vast organ with immunological function (Review). Exp Ther Med. 2020;20(1):18-23.
  36. Chen C, Zheng X, Duan Q, Yang P, Zheng Y. High serum IgE concentration in patients with psoriasis. Clin Res Dermatol. 2017;4(4):1-4.
  37. Kasumagic-Halilovic E. Total serum immunoglobulin E levels in patients with psoriasis. Mater Sociomed. 2020;32(2):105-7. https://doi.org/10.5455/msm.2020.32.105-107
  38. Malik IA, Akhter S, Kamal MA. Treatment of psoriasis by using Hijamah: a case report. Saudi J Biol Sci. 2015;22(1):117-21. https://doi.org/10.1016/j.sjbs.2014.09.004
  39. Xing M, Yan X, Yang S, Li L, Gong L, Liu H, et al. Effects of moving cupping therapy for plaque psoriasis: study protocol for a randomized multicenter clinical trial. Trials. 2020;21(1):229. https://doi.org/10.1186/s13063-020-4155-0
  40. Iqbal A, Shah A, Quraishi HA, Rather SA, Raheem A. Effect of leech therapy in the management of psoriasis. J Res Tradit Med. 2018;4(1):16-20. https://doi.org/10.5455/JRTM.2018/297947
  41. Panigrahi HK. Efficacy of Ayurvedic compounds and leech therapy in Kitibha (Psoriasis)- a case report. Int J Ayurveda Pharma Res. 2020;8(4):19-22.
  42. Sig AK, Guney M, Uskudar Guclu A, Ozmen E. Medicinal leech therapy- an overall perspective. Integr Med Res. 2017;6(4):337-43. https://doi.org/10.1016/j.imr.2017.08.001
  43. Assi TB, Baz E. Current applications of therapeutic phlebotomy. Blood Transfus. 2014;12(Suppl 1):s75-83.
  44. Beaton M, Chakrabarti S, Levstik M, Speechley M, Marotta P, Adams P. Phase II clinical trial of phlebotomy for non-alcoholic fatty liver disease. Aliment Pharmacol Ther. 2013;37(7):720-9. https://doi.org/10.1111/apt.12255
  45. Kim KH, Oh KY. Clinical applications of therapeutic phlebotomy. J Blood Med. 2016;7:139-44. https://doi.org/10.2147/jbm.s108479