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Bees has been in existence for 125 million years and their evolutionary success
has allowed them to become perennial species that can exploit virtually all habitats
on the earth. This success is largely because of the chemistry and application of the
specific products that bees manufacture: honey, beeswax, venom, propolis and
royal jelly.1
Human use of honey is traced to some 8000 years ago as depicted by Stone Age
paintings 2. The ancient Egyptians, Assyrians, Chinese, Greeks and Romans
employed honey for wounds and diseases of the gut 3
Honey is defined as the sweet liquid substance produced by the bees from the
nectar gathered from the flowers and stores by them for food.The color and flavor
are determined by the flowers used.It was the early mans source for sugar.About
80% of honey is levulose and dextrose, the remainder is mostly water.1
The usage of honey as a medicine is referred to in the most ancient written records,
it is being prescribed by the physicians of many ancient races of people for a wide
variety of ailments.4
It has continued its use in folk medicine ever since. Here are some of the
beneficial effects of honey which have been utilized by ancient races are
summarized.
In the earliest hindu vedic texts,honey and its evolution are described elaborately.It
is used as a metaphor to describe sun as honeycomb.The honeybees incubate in the
cells to form the honey,which is called the nectar of the sun11
Efem in 1988 reported clinical observations on the healing with honey of 59 cases
of wounds and skin ulcers that had not been healing for 124 months with
conventional treatment. The wounds were found to become sterile and odourless in
1 week, pus and gangrenous tissue separating by themselves painlessly. Swelling
and exudation of lymph subsided rapidly and there was rapid development of new
tissue to repair the wounds. The honey caused no adverse reactions.13
Also a study done by Efem in 1993 reported a trial where 20 cases of Fournier's
gangrene (a form of necrotising fasciitis) were treated by daily application of
honey with no surgery, compared with 21 similar cases treated by surgical removal
of infected tissue and systemic antibiotics. Similar outcomes were achieved with
both treatments but with a faster response to treatment with honey, the wounds
becoming sterile within 1 week with honey, and with the group treated with honey
not requiring plastic surgery.1
India has also shown a long standing history of using honey as a medicament and
one of the most persistent use has been the use of it for wound healing agent.
In a study conducted by Subrahmanyam (1991) he reported a randomised
controlled trial in which honey was compared with silver sulfadiazine for efficacy
as a dressing for burns. With silver sulfadiazine, the most widely used agent to
prevent or clear infection in burns, 7% of the patients had infection in the burns
controlled within 7 days, whereas with honey 91% of the wounds were sterile
within 7 days. Honey was observed to remove dead tissue and offensive smell from
the burns. Healthy granulation tissue was observed to appear nearly twice as fast
with honey, and new skin cover developed faster also. There was better relief of
pain, less exudation of lymph, and less irritation with honey. Honey also gave a
lower incidence of raised scars and contractures.15
A detailed review of the published literature on the use of honey in wound healing
has been published by Molan.16 This literature provides a convincing body of
evidence from clinical observation, clinical trials and experiments on animals for
the effectiveness of honey as a wound dressing.
Haffejee and Moosa (1985) reported a clinical trial in which honey was used in
place of glucose in a rehydration fluid (solution of electrolytes) given to infants
and children admitted into hospital with gastroenteritis. The treatment with honey
gave a statistically significant reduction in the duration of diarrhoea caused by
bacterial infection (58 hours cf 93 hours).17
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Journal of Surgery. 1991 Apr 1;78(4):497-8
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Med J (Clin Res Ed). 1985 Jun 22;290(6485):1866-7..
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preventing gingivitis and dental caries in patients undergoing orthodontic
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