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*Corresponding Author: Mihir Y. Parmar, Head & Professor, Department of Pharmacology.
Citation: Mihir Y. Parmar, Kautuk Shah, Zalak D. Dave, Palak Landge, (2024), Creation and Valuation of Ayurvedic Herbal Soothing Balm for Chemical Induced Wound, J, Clinical Case Reports and Studies, 5(8); DOI:10.31579/2690-8808/219
Copyright: ©, 2024, Mihir Y. Parmar. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: 31 August 2024 | Accepted: 18 September 2024 | Published: 30 September 2024
Keywords: excision; herbal soothing balm; o/w emulsion; wound
Wounds are physical injuries that results in a breach or observance of the skin. Proper heal of wounds is very essential for the restoration of disrupted anatomical stability and disturbed functional status of the skin. Wound healing is a multifaceted but generally orderly process. Chronological impressions of dedicated cell types first clear the provocative injury and then progressively build the scaffolding to fill in any resulting defect. Cream is defined as semisolid emulsions which may be oil in-water (o/w) or water- in- oil (w/o) type and these semisolid emulsions are meant for external applications. Presently whole world including the developed country recognized the importance of traditional medicine and encouraging the research on herbal or ethnomedicine as they safe and less toxic. In this study we have formulated an herbal cream (o/w) type satisfying almost all the pharmaceutical parameters which showed better tissue restoration and healing capacity. The wound healing activity of herbal cream was experimentally evaluated by excision wound model. The experimental data of wound size area and histopathologcal study expressed that, healing in the cream treated group of animal was significant as compared to control group of animal.
Wound may be defined as a loss or breaking of cellular and anatomic or functional continuity of living tissue. It is produced by physical,chemical, thermal, microbial, or immunological damage to the tissue. Wound healing or wound repair is the body’s natural process of regenerating dermal and epidermal tissue.
Healing requires the collaborative efforts of various tissues and cell lineages. It involves aggregation of platelets, clotting of blood, fibrin formation, and an inflammatory response to injury, alteration in the ground substances, angiogenesis and re-epithelialisation. Healingprocess is not complete until the disrupted surfaces are firmly knit by collagen[1-3a, 4].
Cream is definedas semisolid emulsionswhich are oil in-water (o/w) or water- in- oil (w/o) type and these semisolid emulsions are intended for external applications. Creams are often composed of two phases. Oil-in-water (o/w) emulsions are most useful as water-washable bases, whereas water-in-oil (w/o) emulsions are emollient and cleansing agents.An emulsifying agent is used to dispersethe aqueous phase in the oily phase or vice versa [5-8].
World Health Organization (WHO) as well our countryhas been promotingtraditional medicine becausethey are less expensive, easily available and comprehensive, especially in developing countries[3, 5].
It is also true that eight percent of the world’s population relies on medicinal plants for their primary health care. Whole world includingthe developed countryrecognized the importance of traditional medicine and has treatmentstrategies, guidelines and standard for ethnomedicine [6, 9, 9a].
Although various types of cream is considered for wound healing but these are still appearsto be limited in rate of tissue regeneration. Henceafter a depth review regarding pathogenesis as well as different traditional and alternative therapy for wound healing, we have taken up the project to develop and formulate an herbal cream which will be effectiveand has betterrate of tissue regeneration [2, 3]. The herbal cream that is planned to be formulated for wound healingwill be oil/water (o/w) emulsion type which will be less oily, less greasyand less stickyin nature so that patientcompliance is more and will be beneficial for all kind of people in our society.
After thorough review of Traditional System of Ayurvedic and Homeopathic system of medicine we have selected following herbs to formulate the cream for wound healing action.
In Our research our attempt to formulate most complete Herb-O-Seal cream that contains herbs which will satisfy almost all the mechanism to heal a wound effectively.
Collection of Plant Materials
The dried crude drugs of Calendula officinalis, Arnica Montana and extracted powder of Aloe verawere collected from G Hakim supplier, Vadodara. The fresh leaves of Clerodendrum indicum was collected from Silvasa, Gujarat. The dried root of Panax ginsengwas collected from G Hakim supplier, Vadodara. Rose hip oil was collected from Vasu Pharma, Vadodara.
Chemicals
The Chemicals used during the experiments were of analytical grade. Lanolin (Lions & Co), White Petroleum (Chemfine), Tween 60, Stearic acid (Hi-media Lab), Mineral oil, Triethanolamine, Propylene Glycol (Merck Lab), Betadine; Povidone- iodine IP 5%w/w, (Cipla medicare) etc were used.
Instruments
Freeze Dryer, Homogenizer, Centrifuge (REMI), Viscometer (Brookfield DV-E viscometer), Digital Balance (Delux Instrument), Digital pH meter (Sigma) etc were used.
Extraction of plant materials
The extractions of crude drugs were carriedout by Simple Maceration method using water (aqueous extract) as menstruum with occasional stirring.Liquid mixture is then pressedand filtered to get a clear liquid extract.The clear liquidis then subjected to freezedrying in order to get a solid mass [19, 20].
Formulation of herbal cream (O/W emulsion)
Ingredient of oil phase (A) was melted in a beaker by using water bath on constant stirring. Components of aqueous phase (B) were mixed together and warmed to about same temperature of oil phase (up to 700C). The preservative methyl paraben and concentrated aqueous extract of the plants were added into aqueous phase and heated. Then oil phase was added to water phase little by little on constant stirring and perfume was added to it when the temperature was 350C - 400C. Six different formulations (F1-F6) were prepared by using varying concentration of aqueous extract, stearic acid and liquid paraffin [8, 21, 22].
Pharmaceutical evaluation of cream
The formulations or creams were evaluated for different pharmaceutical parameters: such as Type of emulsion (Dye method and Dilution method), Homogeneity, Appearance, After feel, Type of smear, Removal, Creaming or coalescence, Globule size analysis, pH (Digital pH meter, systronics), Extrudability, Viscosity,(Brookfield Viscometer), stability testing and Spreadability. The best formulation was selectedon basis of their pharmaceutical parameters and evaluated for wound healingactivity [7, 23-25].
In Vivo Evaluation of Herbal Cream
Skin irritation Test
The cream was evaluated for primary skin irritation test on experimental animals (shaved back of the rats) to evaluate the safety of cream[3,5, 6,].
Evaluation of wound healingactivity
Wistar albino rats of either sex, weighing between 200-250 gm, were kept under standard environmental conditions of temperature, humidity (25±0.5oC) and 12 hr light/dark cycle. Animals were fed with standard pellet diet and water ad libitum. The research was conducted in accordance to the protocol approved by Institute Animal Ethics Committee (IAEC), Krishna School of Pharmacy & Research, KPGU (Registration no- 1372/c/10/CCSEA).
The rats were separated into three groups i.e. Group 1-Control (Base Cream treated /no extract), Group 2-Standard (Povidone-Iodine treated/Betadine) and Group 3- Test (Formulated Herbal Cream). On the day of experiments rats were anesthetized by administering Ketamine (50 mg/kg/ip). A full thickness of the excision wound with circular area of 176 mm2 (width 1.5 cm and depth 0.2 cm) was made on the shaved back (dorsal thoracic region) of the rats. The wounding day was considered as day 0. The wounds were treated with topical application of the cream once daily till complete epithelisation. The wounds were monitored and the area of wound size was measured on 3, 6, 9, 12, 15 & 18th of post-wounding day. The wound size area and mean % wound closure/contraction were noted. The results were reported in Mean±SEM and the data was analyzed using ANOVA [2, 3, 26-29, 29a].
Histopathological studies of wounded skin
On day 18th the experiment was terminated and tissue of wound area was removed from the surviving animals for histopathological examination. Sample tissues were fixed in 10% formalin and were embedded in paraffin wax. Serial sections (5μm thickness) of paraffin embedded tissues were cut. The tissues stained by haematoxylin and eosin, (H & E) and after that they were examined by electronic microscope [29-31].
Pharmaceutical evaluation of herbal cream
F6 Herb-O-Seal Cream was found to be best and satisfactory compared to all other formulations. It had light Yellow appearance, gave a cool and smooth feel on application which was maintained after tested the stability study. Stability was determined by exposing the formulation to various temperatures such as 4°C, 27°C & 37°C for specified period. The pH of the formulation was found to be 6.60 which is good for skin (pH=6.8). The creams also showed good Spreadability (16.17 g.cm/sec) when measured using slides. Lesser the time taken for separation of two slides resultant better Spreadability. Spreadability was calculated by using the formula. (S= M.L/T). Where S= Spreadability, M= Weight tied to upper slide, L= Length of glass slides and T= Time taken to separate the slides completely from each other. After application of the cream the type of smear formed on the skin was found to be non-greasy and easily removed on washing with tap water. The viscosity of the creams was found to be 17,650 cps, with 25 rpm, which indicates that the prepared cream was easily spreadable with small amount of shear [Table 1].
| Ingredients | Formulation (% w/w gm) |
| Aq. Extract of Panax ginseng | 5.0 |
| Aq. Extract of Calendula officinalis | 5.0 |
| Aq. Extract of Arnica Montana | 2.0 |
| Aq. Extract of Clerodendrum indicum | 1.0 |
| Aloe vera | 3.0 |
| Rose hip oil | 4.0 |
| White petrolatum | 0.8 |
| Liquid paraffin | 8.3 |
| Lanolin | 0.8 |
| Stearic acid | 16.7 |
| Propylene glycol | 3.5 |
| Triethanolamine | 1.0 |
| Tween 60 | 5.0 |
| Methyl paraben | 0.1 |
| Water | q.s |
Table 1: Final composition of Herbal Cream (Formulation F6)
Skin irritation test
This test was conducted to evaluate the irritation caused by the prepared cream on the intact skin of animals. The results showed that the formulation (F6) was devoid of any primary skin irritation or sensation or erythema, or edema even after 48 hrs of application on the rat skin. None of the animal showed any skin reaction.
Wound healing activity
The results of wound healing activity by excision wound model are presented in Table 2 and Figure 1A, 1B, 1C. The values of wound area are presented in mm2 at 0, 3, 6, 9, 12, 15 and 18th days. The results indicate that standard cream and test herbal cream both significantly (P < 0>
Figure 1A: Wound at day 0:
Figure.1B: Wound size area (mm2) at different days interval
Figure 1C: Wound at day 0;
| Groups | Wound size area in mm2 (Mean ± SEM) | ||||||
| Day 0 | Day 3 | Day 6 | Day 9 | Day 12 | Day 15 | Day 18 | |
| Control | 176.60 ± 0.93 | 162.45 ± 0.83 | 113.00 ± 0.85 | 63.58 ± 0.65 | 38.46 ± 0.93 | 19.62 ± 0.95 | 10.36 ± 0.33 |
| Standard | 172.44 ± 0.83 | 136.66 ± 0.85 | 66.44 ± 0.89 | 30.13 ± 0.63 | 13.83 ± 0.91 | 3.10 ± 0.33 | 0.26 ± 0.05** |
| Test | 174.24 ± 0.85 | 136.78 ± 1.21 | 72.34 ± 0.89 | 30.17 ± 0.63 | 16.62 ± 1.06 | 3.20 ± 0.35 | 0.28 ± 0.05** |
The treated, standard groups are compared with the control group. *** P < 0>P < 0>P < 0>
Table 2: Effect of herbal cream on Wound size at different day’s interval
Table 3 and Figure 2 represents percentage (%) wound healing (wound contraction) at 9 and 18th days for control, standard and the test groups. It is observed that wound contracting rate of animals treated with herbal cream and standard cream significantly higher (P < 0>Groups % Wound contraction of excision wound (Mean ± SEM) Day 0 Day 9 Day 18 Control 0 39.96 ± 3.83 75.33 ± 3.85 Standard 0 58.33 ± 1.66 95.53 ± 3.85 ** Test 0 57.66 ± 2.33 95.53 ± 3.85 **
The treated, standard groups are compared with the control group. *** P < 0>P < 0>P < 0>
Table 3: Effect of herbal cream on % wound contraction of excision wound at different days interval
Figure 2: % Wound contraction of excision wound at different days interval
Histopathological study
The characteristics observed during histopathological examination were the proliferation of fibroblasts, granulation tissue, collagen fibre and tissue remodelling etc. Compared to control groups the above mentioned
parameters were more conclusive and decisive in case of both standard and test group. This histopathological observation also provided additional evidence for the experimental wound healing activity. The details of histopathological data are given in Figure 3, 4 & 5.
Figure. 3/4/5: Histological image of Control, Standard and Test at HEX20
The prepared cream was pleasant, coolant, easily spreadable and washable thereby there is a chance of increased the patient compliance. Formulated cream significantly promotes wound healing than control or non-medicated group. The activity may be mainly due to free radical scavenging activity, antioxidant activity and anti-inflammatory effect of the polyphenols and flavonoids present in the different extract. Some of herbs reported to act by supplying Vitamin C and by promoting tissue regeneration. However, further depth and structured study, would be beneficial to assess its usefulness and mechanisms more exactly. This study can be helpful for upcoming researchers to select these herbs for the formulation and evaluation of other cosmetic applications which can be claimed for their efficacy with scientific data.
MP*, KS, ZD, PL
Disclosures
No conflicts of interest, financial or otherwise, are declared by the authors.
Author Contributions
MP, PL had done review of literature and experimental work. MP drafted manuscript; MP, KS, ZD, evaluated and analyze the data. MP & PL edited and revised manuscript; MP approved final version of manuscript.
The authors are thankful to Management of Krishna School of Pharmacy & Research, Dr. Kiran and Pallavi Patel Global University (KPGU), Vadodara, Gujarat, India for providing all the supports to carry out the research work.
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