Synopsis

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

The use of "Huang Hua" to support or treat anal fistula or fissure is justified primarily by tradition, not by rigorous scientific evidence. "Huang Hua" can refer to several plants in Chinese medicine, but most commonly refers to the flower of Carthamus tinctorius (safflower, "Hong Hua") or Lonicera japonica (honeysuckle, "Jin Yin Hua") or Daylily (Hemerocallis fulva). In some traditional Chinese medicine (TCM) texts, the term has been ambiguously used, but in the context of treating anal fistula or fissure, the most likely reference is to honeysuckle, known for its "heat-clearing" and "detoxifying" properties in TCM theory. Historical records indicate that preparations containing "Huang Hua" have been used in poultices, washes, or decoctions to address inflammation, infection, and promote healing in perianal conditions. However, the evidence for its efficacy is based on traditional practice and anecdotal reports rather than controlled clinical studies. There are a few modern studies exploring the antimicrobial and anti-inflammatory effects of honeysuckle extracts, but direct validation for anal fistula or fissure is lacking. Thus, while its use is rooted in historical and traditional applications within TCM, there is insufficient scientific evaluation (randomized controlled trials, systematic reviews) specifically for this condition.

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