Effectiveness of Centella asiatica Extract Cream in Reducing Symptoms of Atopic Dermatitis

Authors

  • Nutcha Tengtermwong Chulabhorn International College of Medicine Thammasat University, Pathum Thani Province
  • Sucharat Tungsukruthai Division of Health and Applied Sciences, Faculty of Science, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand
  • Sucharat Tungsukruthai Chulabhorn International College of Medicine Thammasat University, Pathum Thani Province
  • Parunkul Tungsukruthai Chulabhorn International College of Medicine Thammasat University, Pathum Thani Province

Keywords:

Centella asiatica, atopic dermatitis, herb

Abstract

The aim of this study was to investigate the efficacy of Centella asiatica extract cream in alleviating
diverse symptoms among pediatric patients diagnosed with atopic dermatitis at Chao Phraya Abhaibhubejhr
Hospital. The study employed a double-blind design and included a sample of 40 Thai children ranging
in age from 1 to 17 years. The participants were randomly allocated into two groups: Centella asiatica
extract cream and placebo group. The cream was administered twice daily for a consecutive period
of 28 days. The clinical manifestations including swelling, dryness, oozing/crusting, scratch marks,
lichenification and redness were investigated. The itch severity and sleep quality were assessed by visual
analog scale and the appearance of the skin was also observed at each interval of 7 days. The collected
data were subjected to statistical analysis (Wilcoxon Signed rank test and Mann Whitney U test). The
results revealed that participants who were administered Centella asiatica extract cream exhibited a
significant decrease in severity of the disease (p<0.05). Furthermore, it was observed that the participants
experienced a decrease in loss of sleep and exhibited enhanced clinical results, particularly in relation to
symptoms of swelling. However, there was no significant difference between the two groups. The present
investigation successfully validated the efficacy of utilizing a cream containing Centella asiatica extract
cream in alleviating symptoms and lowering the severity of atopic dermatitis. Our data demonstrated that
Centella asiatica cream could be a potential therapeutic alternative for the treatment of atopic dermatitis.

Downloads

Download data is not yet available.

References

Wang L, Xian YF, Loo SKF, Ip SP, Yang W, Chan WY,et al. Baicalin ameliorates 2,4-dinitrochlorobenzene-induced

atopic dermatitis-like skin lesions in mice throughmodulating skin barrier function, gut microbiota and JAK/

STAT pathway. Bioorg Chem 2022;119:105538.

Kim J, Kim BE, Leung DYM. Pathophysiology of atopicdermatitis: Clinical implications. Allergy Asthma Proc

;40(2):84-92.

Tsai TF, Rajagopalan M, Chu CY, Encarnacion L, Gerber RA, Santos-Estrella P, et al. Burden of atopic dermatitis

in Asia. J Dermatol 2019;46(10):825-34.

Gür Çetinkaya P, şahiner ÜM. Childhood atopic dermatitis: current developments, treatment approaches, and

future expectations. Turk J Med Sci 2019;49(4):963-84.

Lobefaro F, Gualdi G, Di Nuzzo S, Amerio P. Atopic Dermatitis: Clinical Aspects and Unmet Needs. Biomedicines

;10(11):2927.

Thomsen SF. Atopic dermatitis: natural history, diagnosis,and treatment. ISRN Allergy 2014;2014:354250.

Coondoo A, Phiske M, Verma S, Lahiri K. Side-effects of topical steroids: A long overdue revisit. Indian Dermatol

Online J 2014;5(4):416-25.

Adler-Neal AL, Cline A, Frantz T, Strowd L, Feldman SR, Taylor S. Complementary and Integrative therapies

for childhood atopic dermatitis. Children (Basel) 2019;6(11):121.

Lu Cl, Liu XH, Stub T, Kristoffersen AE, Liang SB, Wang X, et al. Complementary and alternative medicine

for treatment of atopic eczema in children under 14 years old: a systematic review and meta-analysis of randomized

controlled trials. BMC Complement Altern Med 2018;18(1):260.

Sun B, Wu L, Wu Y, Zhang C, Qin L, Hayashi M, et al. Therapeutic potential of asiatica and its triterpenes:

a review. Front Pharmacol 2020;11:568032.

Lee Y, Choi HK, N’Deh K PU, Choi YJ, Fan M, Kim EK, et al. Inhibitory effect of Centella asiatica extract on

dncb-induced atopic dermatitis in HaCaT cells and BALB/c mice. Nutrients 2020;12(2):411.

Park JH, Choi JY, Son DJ, Park EK, Song MJ, Hellström M, et al. Anti-inflammatory effect of titrated extract of

Centella asiatica in phthalic anhydride-induced allergic dermatitis animal model. Int J Mol Sci 2017;18(4):738.

Ratz-Lyko A, Arct J, Pytkowska K. Moisturizing and antiinflammatory properties of cosmetic formulations

containing Centella asiatica extract. Indian J Pharm Sc 2016;78(1):27-33.

Jenwitheesuk K, Rojsanga P, Chowchuen B, Surakunprapha P. A prospective randomized, controlled, doubleblind trial of the efficacy using centella cream for scar improvement. Evid Based Complement Alternat Med 2018;2018:9525624.

Gohil KJ, Patel JA, Gajjar AK. Pharmacological review on Centella asiatica: a potential herbal cure-all. Indian J

Pharm Sci 2010;72(5):546-56.

Hashim P, Sidek H, Helan MH, Sabery A, Palanisamy UD, Ilham M. Triterpene composition and bioactivities

of Centella asiatica. Molecules 2011;16(2):1310-22.

Qiu J, Yu L, Zhang X, Wu Q, Wang D, Wang X, et al. Asiaticoside attenuates lipopolysaccharide-induced acute

lung injury via down-regulation of NF-κB signaling pathway. Int Immunopharmacol 2015;26(1):181-7.

Bandopadhyay S, Mandal S, Ghorai M, Jha NK, Kumar M, Radha, et al. Therapeutic properties and pharmacological

activities of asiaticoside and madecassoside: a review. J Cell Mol Med 2023;27(5):593-608.

Kim K. Influences of environmental chemicals on atopic dermatitis. Toxicol Res 2015;31(2):89-96.

Tamagawa-Mineoka R, Katoh N. Atopic dermatitis: identification and management of complicating factors.

Int J Mol Sci 2020;21(8):2671.

Published

2025-09-30

How to Cite

เต็งเติมวงศ์ ณ., ตั้งสุขฤทัย ส. ., จำปาเงิน พ. ., & ตั้งสุขฤทัย ป. (2025). Effectiveness of Centella asiatica Extract Cream in Reducing Symptoms of Atopic Dermatitis. Journal of Health Science of Thailand, 34(Supplement 1), S70 - S79. Retrieved from https://www.thaidj.org/index.php/JHS/article/view/14846

Issue

Section

Original Article (นิพนธ์ต้นฉบับ)