Synopsis

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

Caesalpinia crista (commonly known as fever nut or "Kuberaksha" in Ayurveda) has a long history of use in traditional Indian medicine for various ailments, including digestive, inflammatory, and skin conditions. Its use for anal fistula and fissure is primarily based on Ayurvedic principles, where the seed powder is an ingredient in formulations like "Kuberaksha vati" or is used as a local application (poultice) to promote wound healing, reduce inflammation, and alleviate pain. The rationale behind its use lies in its described properties of being astringent, anti-inflammatory, and wound healing, which are believed to help with the symptoms and healing process of anal fistula and fissure.

However, the scientific evidence supporting its efficacy for these specific anorectal disorders is limited. There are very few (if any) controlled clinical studies evaluating Caesalpinia crista for anal fissure or fistula in modern biomedical literature. Most of the support comes from anecdotal reports, traditional Ayurvedic texts, and small, non-systematic clinical observations. Some in vitro and animal studies suggest the plant has anti-inflammatory, antimicrobial, and wound-healing properties, but direct evidence for effectiveness in treating anal fistula or fissure in humans is lacking.

In summary, the use of Caesalpinia crista for anal fistula or fissure is justified mainly by tradition, with a low level of scientific evidence (rated 2/5), and it should be used cautiously and preferably under the supervision of a qualified healthcare provider.

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