Synopsis

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

Borage (Borago officinalis), particularly its seed oil, has been used traditionally for skin conditions such as rashes and hives (urticaria). The traditional use stems primarily from its content of gamma-linolenic acid (GLA), an omega-6 fatty acid thought to have anti-inflammatory effects. Herbal medicine traditions in Europe and the Middle East have employed borage preparations topically and orally for inflammatory skin problems. However, while some small studies and case reports suggest that borage oil may benefit certain inflammatory skin conditions (most notably atopic dermatitis), evidence specifically for rashes and hives is limited and not robust.

Systematic reviews of clinical trials usually focus on atopic dermatitis rather than acute rashes or hives, and results are mixed, with some showing modest improvement and others no significant effect. The mechanisms proposed involve the modulation of inflammatory responses due to GLA, but direct clinical evidence for hives (a histamine-driven allergic reaction) or generic rashes is lacking. Thus, the use of borage for rashes and hives remains rooted more in traditional practice than in strong scientific validation.

In summary, borage is traditionally used to support skin health, including rashes and hives, but the quality and quantity of clinical evidence for these specific conditions is low to moderate. More rigorous studies would be necessary to justify its use scientifically for these indications.

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