Objective: Eczema (Nār-Farsi), is a chronic, relapsing inflammatory skin disorder, significantly impairs patients' quality of life. In Unani system of medicine cause of Nār-Farsi is attributed to the excessive production of abnormal Sāfrā and Sāwda-e-Muhtariqā (yellow and burnt black bile). The treatment strategy primarily emphasizes Istifragh-e- Sāfrā and Sāwda (evacuation of yellow and black bile) and Ta‘dīl-i-Mizāj (moderation of temperament).
Case report: This case report presents a 59-year-old female who attended the outpatient department (OPD) at the JJ Co-location Centre, Byculla -Mumbai, with complaints of persistent lesions on the right foot for the past two years. Symptoms included intense itching, skin roughness, pigmentation, and thickening. Based on clinical presentation, the condition was diagnosed as eczema resembling Nār-Farsi in the Unani system of medicine. The patient was managed with Unani formulations Itrīfal-i-Shāhtra, Sharbat-i‘Unnāb orally and Mārham-e-Kafoor topically. Treatment efficacy was evaluated using standardized tools, eczema area and severity index (EASI), patient-oriented eczema measure (POEM), and scoring atopic dermatitis (SCORAD), both before and after the intervention.
Conclusion: This case demonstrated that Unani formulation effectively improves clinical symptoms such as itching, scaling, and pigmentation and may offer effective complementary management of eczema