Evidence supporting the use of: Blend (herb/botanical)
For the health condition: Anal Fistula or Fissure

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Synopsis

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

Herbal and botanical blends are commonly used in traditional medicine systems such as Ayurveda and traditional Chinese medicine to support or treat anal fistula and fissure. Ingredients like Neem (Azadirachta indica), Turmeric (Curcuma longa), and Triphala are often included due to their purported anti-inflammatory, antimicrobial, and wound-healing properties. Historical texts and traditional practices suggest topical application or oral ingestion of such herbs can reduce pain, promote wound healing, and prevent infection. However, while these uses are well-documented in ethnobotanical literature and traditional practices, robust scientific evidence from controlled clinical trials is lacking or limited to small studies or case reports. The available scientific literature offers some support for the individual properties of these herbs (e.g., turmeric’s anti-inflammatory effects), but there is insufficient direct evidence for their effectiveness specifically in anal fistula or fissure. Therefore, the primary justification for their use is traditional, with a moderate level of evidence based on long-standing use rather than high-quality clinical data.

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