Synopsis

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

Gotu kola (Centella asiatica) has a long history of use in traditional medicine systems, particularly Ayurveda and Traditional Chinese Medicine. It has been used topically and internally to support skin health, including for conditions like eczema, wounds, and minor burns. The traditional rationale is based on gotu kola's reputed anti-inflammatory, wound-healing, and soothing properties. The plant contains triterpenoid saponins (asiaticoside, madecassoside, etc.) believed to promote collagen synthesis and modulate inflammation, which could, in theory, benefit eczema sufferers by helping to repair the skin barrier and reduce irritation.

However, while there are some small studies and preclinical evidence supporting gotu kola's general skin-healing effects, direct scientific evidence specifically supporting its use for eczema is limited. Most available studies focus on wound healing or general dermatitis, not eczema per se. As such, while traditional use is strong and there is plausible biological rationale, rigorous clinical trials in eczema patients are lacking. Thus, the evidence rating is moderate (2/5), reflecting traditional use with some preclinical support but insufficient high-quality clinical data for eczema.

In summary, gotu kola's use for eczema is mainly justified by tradition, with limited scientific validation to date. Those considering its use should do so as a complementary strategy and consult with a healthcare professional, especially if using it topically on broken skin or in conjunction with other eczema treatments.

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