Synopsis

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

Borate compounds, most notably boric acid, have a long history of traditional use in the treatment of external ulcerations and wounds. Historically, boric acid solutions and ointments have been applied as antiseptics and mild astringents, aimed at preventing infection and promoting healing in superficial skin lesions, ulcers, and minor burns. This traditional use is well-documented in older medical texts and pharmacopoeias from the late 19th and early 20th centuries, when boric acid was commonly included in first-aid kits and household remedies.

However, the scientific evidence supporting the efficacy and safety of borate compounds for ulcerations is limited. While boric acid does possess mild antibacterial and antifungal properties, modern clinical studies on its use for external ulcerations are sparse, and concerns about toxicity—particularly with improper or prolonged use—have led to a decline in its recommendation for this purpose. Regulatory agencies in several countries now restrict the use of boric acid in topical medications due to potential adverse effects, especially in children and on open wounds.

In summary, the use of borate for external ulcerations is primarily based on tradition, with limited and dated scientific evidence. Modern wound care generally favors other agents with better-established efficacy and safety profiles.

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