The relative frequency of children with normal temperature in the group receiving Marshmallow body wash was significantly higher than the control group from the 15th minute until the 6th hour. In line with the findings of the present study in the study of Ebadinejad and colleagues, in the Marshmallow body wash group, the relative frequency of children with normal temperature was higher than in the control group [ 43]. Jafarimanesh and colleagues reported less relative frequency of people with latex allergy symptoms in the Marshmallow group [ 44]. In evaluating the effectiveness and safety of anti-cough granules containing Marshmallows, Ivy, and Sorrel plants, Khan and colleagues found that more people improved in the intervention group [ 45]. Thus, it can be concluded that Marshmallow extract, which is absorbed through the skin and is effective on the symptoms of skin inflammation, possibly also be absorbed through the skin when used as body wash and reduce fever as a systemic sign of inflammation. The Hand & Nail Cream is presented in the signature Marshmallow pink in a tube that is gold screen printed and foiled and luxuriously capped by a gold metal like lid. Mardaninejad S, Janghorban M, Vazirpour M. Collection and identification of medicinal plants used by the indigenous people of Mobarakeh (Isfahan), southwestern Iran. J Herb Drugs (An Int J Med Herbs). 2013;4(1):23–32. Juniper Berry Oil (Juniperus Communis Fruit Oil): Juniper Berry oil contributes a fresh and uplifting scent while potentially providing additional skin benefits such as antioxidants and soothing properties. Sullivan JE, Farrar HC. Section on Clinical Pharmacology and Therapeutics, Committee on Drugs. Fever and antipyretic use in children. Pediatrics. 2011;127(3):580–7.

Simpson N, Pearce A, Finlay F, Lenton S. The use of complementary medicine in paediatric outpatient clinics. Ambul Child Health. 1998;3(4):351–6. Inclusion criteria were; the children’s age of between 6 months and 10 years; having a tympanic temperature of above 38.3 °C, and having a prescription for acetaminophen suppository and body wash in case of fever. Children with a history of febrile seizure, chronic illness, using corticosteroids, allergy to acetaminophen and herbs (Marshmallow) in them or their families, had prescriptions for antipyretic drugs other than acetaminophen and those who were dehydrated were not included in the study. Also, those who showed signs and symptoms of allergies or peripheral circulatory collapse or seizures during the study; had a fever of above 40 °C resistant to treatment, and finally children or parents did not cooperate to continue participating in the study were excluded. The sample size was calculated to be 40 people in each group based on a similar study by Ebadinejad et al. [ 43], α = 0.05, β = 0.2, CI = 0.95, power = 0.8 and using PASS software version 15, however, after taking into account the probability of 20% sample drop, 49 people were considered for each group (Fig. 1). Study arms, randomization and blinding A captivating feminine fragrance in full bloom where flirty floral notes of Snow Musk, Jasmine, White Carnation and English Rose gloriously rapture. Mingled beautifully with delicate Marshmallow and Madagascan Vanilla, this sophisticated floral scent is an opulent bouquet of both elegance and sweetness. National Collaborating Centre for Women’s and Children’s Health (UK. Feverish illness in children: assessment and initial management in children younger than 5 years. 2013. https://pubmed.ncbi.nlm.nih.gov/25340238/.Ilina T, Skowrońska W, Kashpur N, Granica S, Bazylko A, Kovalyova A, Goryacha O, Koshovyi O. Immunomodulatory activity and phytochemical profile of infusions from Cleavers herb. Molecules. 2020;14(16):3721. 25(. Avicenna H. The canon of medicine (Al-Qanon fi al-Tibb). Beirut: Dar Ihyaa al-Turaath al-Arabi; 2005. Potassium Cocoate (Organic Coconut Oil): Organic Coconut Oil, transformed into Potassium Cocoate, acts as a natural cleanser while also providing moisturizing benefits. It helps protect your skin's moisture balance, keeping it supple and hydrated.

Potassium Oleate (Sunflower Oil): Derived from Sunflower Oil, Potassium Oleate acts as a gentle surfactant, helping to cleanse your skin effectively without causing dryness. Lauryl Betaine: Lauryl Betaine is a natural foaming agent that assists in creating a rich lather, enhancing the cleansing experience. Vitamin E (Tocopherol): Vitamin E is a powerful antioxidant that helps protect your skin from free radicals and supports overall skin health. ALCOHOL · AQUA (WATER) · PARFUM (FRAGRANCE) · PEG-40 HYDROGENATED CASTOR OIL · DISODIUM EDTA · CITRONELLOL · GERANIOL · HYDROXYISOHEXYL 3-CYCLOHEXENE CARBOXALDEHYDE · EUGENOL · BUTYLPHENYL METHYLPROPIONAL · HYDROXYCITRONELLAL · COUMARIN Ali Shah SM, Akhtar N, Akram M, Akhtar Shah P, Saeed T, Ahmed K, Asif HM. Pharmacological activity of Althaea officinalis L. J Med Plants Res. 2011;5(24):5662–6.

ALCOHOL · AQUA(WATER) · PARFUM(FRAGRANCE) · BHA · EUGENOL · HYDROXYCITRONELLAL · GERANIOL · HYDROXYISOHEXYL 3-CYCLOHEXENE CARBOXALDEHYDE · BUTYLPHENYL METHYLPROPIONAL · CITRONELLOL Decyl Glucoside: Decyl Glucoside is a mild, plant-derived surfactant that aids in effective yet gentle cleansing. Sadighara P, Gharibi S, Jafari A, Khaniki G, Salari S. The antioxidant and Flavonoids contents of Althaea officinalis L. flowers based on their color. Avicenna J phytomedicine. 2012;2(3):113–7. Benzyl Alcohol: Benzyl Alcohol is a preservative used to maintain the freshness and shelf life of the product.

Medicinal plants are widely used as complementary and alternative medicines in the treatment of children [ 19]. Parents often use them for their children, because they believe that herbal remedies are more natural and safer than conventional medications [ 20]. People avoid chemical drugs due to the fear of side effects and are more interested in using herbal medicines [ 21, 22]. Various plants can have a positive effect on fever including Viola Odorata L [ 23], Beetroot, Chicory, Coriander, Leeks, Licorice, Chamomile, Mint, Turmeric, Willow, and Marshmallow [ 24]. Ebadinejad Z, Dashtgard A, Mohseni Zade M. The effect of Wet spong with Luke warm water and marsh mallow on reducing body temperature of children admitted to the Teaching Hospital-Shohada Qaen. Iran J Pediatr Nurs. 2017;4(2):9–16.

Fever is one of the most important symptoms of the disease [ 1] and the most common reason for children’s visits to health centers [ 1, 2]. The prevalence of children’s visits to a physician due to fever has been reported in some sources to be 19 to 30% [ 3]. Fever occurs as a result of the reaction to the pyrogenic agents during infection and inflammatory processes [ 4]. Fever increases body metabolism, anorexia, heart rate, and dehydration. It can lead to sleep disturbances, seizures, brain damage, and death in children [ 5, 6, 7]. Fear of fever, which is a persistent problem among parents and health care providers [ 8], causes parents to pay frequent visits to health care centers, spend time and money, use inappropriate treatment, and poison children due to the non-standard use of drugs [ 9]. Fever management is one of the most important duties of pediatric nurses [ 10, 11]. They manage fever in children in both pharmacological and non-pharmacological methods [ 10]. Acetaminophen and ibuprofen are two approved drugs for treating fever in children. Non-pharmacological treatments include rest, adequate nutrition, and cooling measures such as body wash and bathing with a sponge, removal of children’s clothes, and oral or intravenous hydration. The body wash is one of the physical and non-pharmacological measures, which is done with a sponge and different solutions such as cold water, alcohol [ 16, 17], lukewarm water [ 18], and medicinal plants [ 1].

Fields E, Chard J, Murphy MS, Richardson M. Assessment and initial management of feverish illness in children younger than 5 years: summary of updated NICE guidance. BMJ. 2013;346:f2866. Gentle Cleansing: We believe in the power of gentle yet effective cleansing. Our body wash features mild cleansing agents that remove dirt and impurities without stripping your skin of its natural oils, leaving you feeling clean, refreshed, and comfortable. Rosemary Leaf Oil (Rosmarinus officinalis): Rosemary oil is known for its antioxidant properties, helping to protect your skin from environmental stressors and promoting a healthy, radiant appearance. Hammond N, Boyle M. Pharmacological versus non-pharmacological antipyretic treatments in febrile critically ill adult patients: a systematic review and meta-analysis. Australian Crit Care. 2011;24(1):4–17. Treat yourself or someone special to the ultimate pampering with our marshmallow-infused body wash today. Your skin will thank you for it!Razi Herbal Medicines Research Center, Department of pediatrics nursing, School of Nursing and Midwifery, , Lorestan University of Medical Sciences, Khorramabad, Iran Delfan B, Kazemeini H, Bahmani M. Identifying effective medicinal plants for cold in Lorestan province, West of Iran. J evidence-based Complement Altern Med. 2015;20(3):173–9. The mean time duration to resolve fever in the intervention group was shorter than in the control group (B = 8.181, 95% CI 3.778–12.584, p < 0.001). The frequency of the children without fever was higher in the intervention group during different times of the study (p < 0.001). The mean value of temperature reduction in the intervention group was higher than the control group (B = -0.27 °C, 95% CI: -0.347 to -0.193, P < 0.001), although, after adjusting the effect of confounding variables it was not significant (P = 0.127). The mean of adjusted heart rate change (p = 0.771), the time of fever recurrence (P = 0.397), and the frequency of children requiring the next dose of acetaminophen (p = 0.397) did not show a significant difference between the groups. Conclusion Naseri V, Chavoshzadeh Z, Mizani A, Daneshfard B, Ghaffari F, Abbas-Mohammadi M, et al. Effect of topical marsh mallow (Althaea officinalis) on atopic dermatitis in children: A pilot double‐blind active‐controlled clinical trial of an in‐silico‐analyzed phytomedicine. Phytother Res. 2021;35(3):1389–98.