Synopsis

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

Bai Ji (白芨, Rhizoma Bletillae) is a traditional Chinese herb primarily used in Traditional Chinese Medicine (TCM) for its astringent, hemostatic, and wound-healing properties. Its use in the treatment or support of anal fistula and fissure is justified mainly by tradition rather than robust modern scientific evidence. According to TCM theory, Bai Ji is believed to "stop bleeding," "reduce swelling," and "promote tissue regeneration." It has long been incorporated into topical preparations and poultices aimed at accelerating the healing of wounds, ulcers, and fissures, including those occurring in the anorectal region. Historical materia medica texts, such as the "Ben Cao Gang Mu" (Compendium of Materia Medica), document its use for various types of external injuries, persistent bleeding, and ulcerative conditions. Modern pharmacological studies have confirmed some hemostatic and wound-healing effects in vitro and in animal models, but there is a lack of high-quality clinical trials specifically evaluating Bai Ji for anal fistula or fissure. Therefore, while its application persists in TCM practice for these conditions, the evidence remains largely anecdotal and based on traditional usage patterns rather than rigorous scientific validation.

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