Synopsis

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

Baphicacanthus cusia (also known as Strobilanthes cusia or Qing Dai) is a traditional medicinal plant extensively used in Chinese medicine. Its use in the management of anal fistula and fissure is primarily rooted in traditional practices rather than robust scientific validation. In traditional Chinese medicine (TCM), Qing Dai is believed to have heat-clearing, detoxifying, and anti-inflammatory properties. These attributes have led to its inclusion in certain topical or internal formulations aimed at reducing inflammation, promoting wound healing, and controlling infection associated with anorectal conditions such as anal fistula and fissure.

Although there are anecdotal and case-based reports of its use, scientific evidence supporting the effectiveness of Baphicacanthus cusia specifically for anal fistula or fissure is limited. Some in vitro and animal studies have demonstrated anti-inflammatory and antimicrobial properties of extracts from this plant, but these studies do not directly address its efficacy in treating anal fistula or fissure in humans. Most references to its use in this context are found in compilations of traditional formulas and TCM pharmacopeias, rather than in controlled clinical trials or systematic reviews. Therefore, while traditional use is well-documented, the evidence base remains weak, justifying a score of 2 out of 5.

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