Synopsis

Source of validity: Traditional
Rating (out of 5): 1

Malva sylvestris, commonly known as common mallow, has a long history in traditional medicine for its soothing and anti-inflammatory properties. Traditionally, preparations of Malva sylvestris—such as poultices, ointments, and infusions—have been applied topically to treat a variety of skin and mucosal conditions, including wounds, inflammation, and irritation. In the context of anal fissures and fistulas, its use is primarily based on its mucilaginous content, which may help to soothe and protect irritated tissues, reduce local inflammation, and promote healing.

Despite this traditional use, there is limited scientific evidence directly supporting the efficacy of Malva sylvestris specifically for anal fissures or fistulas. Most available evidence is anecdotal or extrapolated from studies examining its anti-inflammatory, demulcent, and wound-healing effects in other contexts. A few preclinical studies have highlighted the plant's ability to reduce inflammation and promote tissue repair, but clinical trials in the context of anal conditions are lacking. Therefore, while its use persists in herbal and traditional medicine, and some practitioners may recommend it as an adjunct to standard care, the quality of evidence supporting its use remains low and largely historical.

In summary, the use of Malva sylvestris for anal fissures or fistulas is justified by traditional practice, with a weak evidence base and a need for more targeted clinical research.

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