Synopsis

Source of validity: Traditional
Rating (out of 5): 2

Slippery elm bark (Ulmus rubra) has a long history of use in traditional North American herbal medicine, particularly among Indigenous peoples and later by settlers. It was commonly used as a topical poultice for burns, scalds, wounds, and other skin irritations. The inner bark contains mucilage—a slippery, gel-like substance—when mixed with water, which is soothing and protective. The mucilage is thought to create a physical barrier over damaged skin, potentially reducing irritation and drying while promoting comfort. Historical records from the 19th and early 20th centuries describe its application to minor burns and scalds, both in poultice form and as a component in salves. However, modern scientific evidence supporting its efficacy for burns and scalds is limited. There are no robust clinical trials or systematic reviews assessing slippery elm bark specifically for these conditions in humans. Most references to its use remain anecdotal or are based on traditional practices. The bark is generally considered safe when used externally, but there is not enough evidence to assign it a higher rating for effectiveness. While its soothing mucilage may offer temporary relief for minor skin irritations, it should not be used as a substitute for medical treatment in cases of severe burns or scalds. In summary, the justification for using slippery elm bark for burns and scalds is traditional rather than scientific.

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