Synopsis

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

Bletilla striata (commonly known as Baiji in Traditional Chinese Medicine) has a long history of use in East Asian medicine, primarily for its hemostatic (stopping bleeding), wound healing, and anti-inflammatory properties. For conditions such as anal fistula and anal fissure, Bletilla is traditionally applied topically or included in herbal formulations to help stop bleeding, promote tissue regeneration, and reduce inflammation and pain. Historical texts and modern traditional practices reference the use of Bletilla as a poultice or powder for wounds and ulcers, which are physiologically similar to anal fissures and fistulae in terms of tissue damage and risk of infection. However, while these traditional uses are well-documented, there is limited modern scientific evidence specifically validating its efficacy for anal fistulas or fissures. Most available studies focus on its general wound-healing effects in animal models or in vitro systems, showing some promise in accelerating healing and reducing inflammation. Rigorous clinical trials in humans, specifically targeting anal fistula or fissure, are lacking. Thus, the support for Bletilla’s use in these conditions remains primarily traditional, with a moderate degree of anecdotal and historical evidence, but not robust contemporary clinical validation.

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