Synopsis

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

Myrrh has been used traditionally for centuries in various cultures to manage hemorrhoids, primarily due to its reputed anti-inflammatory, analgesic, and astringent properties. Historical texts, especially in traditional Chinese medicine and ancient Middle Eastern medicine, describe the external application of myrrh as a remedy for swelling and discomfort associated with hemorrhoids. It was often combined with other botanicals such as frankincense and aloe vera in ointments and suppositories. The rationale behind its use was its ability to reduce inflammation, promote wound healing, and provide mild antiseptic effects, which can be beneficial for irritated hemorrhoidal tissue. However, while traditional use is well-documented, modern scientific evidence supporting myrrh’s efficacy for hemorrhoids is limited. A few small, non-randomized clinical studies and case reports suggest some benefit of topical preparations containing myrrh (often combined with other herbs) in reducing symptoms like pain, bleeding, and swelling. The mechanism is thought to involve myrrh’s anti-inflammatory and antimicrobial compounds, such as sesquiterpenes and resin acids. Nonetheless, high-quality clinical trials are lacking, and most contemporary guidelines do not endorse myrrh as a standard treatment due to insufficient evidence. In summary, myrrh's use for hemorrhoids is primarily justified by traditional practices rather than robust scientific validation, and the strength of supporting evidence is modest at best.

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