Synopsis

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

Plantain, which may refer to either Plantago species (such as Plantago major) or the cooking banana (Musa spp.), has a history of traditional use in various cultures for wound healing and soothing mucous membranes. In the context of anal fistula or fissure, it is typically the herb Plantago major that is referenced. Traditional medicine systems, including European folk medicine and some Asian practices, have used plantain leaves topically or as poultices to promote healing of minor wounds, skin irritations, and inflammation, owing to its mucilage content and purported anti-inflammatory and antimicrobial properties. Some herbal texts and anecdotal reports suggest its application for minor anal lesions, including fissures, to reduce discomfort and promote healing.

However, scientific validation for its effectiveness specifically in anal fistula or fissure is minimal. While there are a few laboratory and animal studies indicating that plantain extracts can promote wound healing and reduce inflammation, there are no robust clinical trials or systematic reviews supporting its direct use for anal fistula or fissure in humans. Therefore, its use is primarily justified by tradition rather than scientific evidence, and the quality of supporting evidence is low.

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