Synopsis

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

Balsam, in various forms such as Peru balsam and Tolu balsam, has a long history of traditional use for skin conditions, including dermatitis. Historically, these balsams have been used in folk medicine as topical remedies for wounds, eczema, and other inflammatory skin conditions. The rationale for their use is largely based on their reputed antiseptic, anti-inflammatory, and soothing properties, which were observed anecdotally in community and herbal medicine practices. Some early medical texts and pharmacopeias list balsams among recommended treatments for chronic skin irritations and sores.

However, modern scientific evidence supporting the efficacy and safety of unspecified balsams in treating dermatitis is limited. While some constituents of balsams, such as benzoic acid and cinnamic acid derivatives, possess mild antimicrobial and anti-inflammatory effects in vitro, clinical trials specifically examining their benefit for dermatitis are scarce. Moreover, balsams are well-known potential allergens and can themselves cause or exacerbate contact dermatitis, particularly in individuals with sensitive skin or preexisting dermatitis. Thus, contemporary dermatology guidelines generally caution against their use in this context.

In summary, the use of balsam for dermatitis is rooted in tradition and historical practices rather than robust scientific validation. Current evidence and expert opinion do not endorse their use due to the risk of allergic reactions and a lack of proven benefit.

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