Synopsis

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

Ash, typically wood ash or plant ash, has been used in traditional medicine in various cultures as a topical remedy for skin ailments, including scabies. The rationale behind its use is largely based on empirical knowledge passed down through generations rather than on scientific validation. Folk practices in parts of Africa, Asia, and rural communities elsewhere have sometimes involved mixing ash with water, oils, or animal fat to create a paste applied to the skin, including scabies-infected areas. The alkaline nature of ash is believed to have cleansing and antiparasitic effects, possibly irritating or desiccating mites.

However, the evidence supporting ash's efficacy is limited to anecdotal reports and ethnomedical records. No robust clinical trials or controlled scientific studies have demonstrated that ash is effective or safe for scabies treatment. Some laboratory studies have shown that high alkalinity can harm mites, but these findings have not translated into validated human therapies. Moreover, topical application of ash can cause skin irritation or burns, particularly on already inflamed scabietic skin.

In summary, while the use of ash for scabies is justified by tradition and ethnomedical usage, there is little to no scientific evidence supporting its efficacy, and its safety is questionable. Modern treatments, such as topical permethrin or oral ivermectin, are far more effective and preferable.

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