Synopsis

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

Anthraquinone derivatives, such as those found in herbal laxatives like senna and cascara sagrada, have been used traditionally to support or treat hemorrhoids. The rationale is not that anthraquinones directly treat hemorrhoids, but rather that their stimulant laxative effect softens stool and facilitates easier bowel movements, thereby reducing straining and irritation of hemorrhoidal tissue. Historically, traditional medical systems and herbalists have recommended anthraquinone-containing plants to people with hemorrhoids primarily for this stool-softening effect. However, the direct evidence supporting anthraquinone use specifically for hemorrhoids is limited. Most scientific studies focus on their efficacy as laxatives, not as a targeted hemorrhoid therapy. There is some indirect support: reducing constipation and straining is a well-recognized method to prevent and alleviate hemorrhoid symptoms, and anthraquinone-based laxatives are effective for short-term constipation relief. No high-quality clinical trials exist directly assessing anthraquinones for hemorrhoids, and their long-term use is discouraged due to potential side effects like electrolyte imbalance or dependency. In summary, the use of anthraquinones for hemorrhoids is justified primarily by tradition and indirect logic rather than direct scientific validation for this specific indication.

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