Synopsis

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

Red Horse Chestnut (Aesculus × carnea), a hybrid between the common horse chestnut (Aesculus hippocastanum) and the red buckeye (Aesculus pavia), has been used traditionally in some herbal medicine systems for circulatory disorders, including hemorrhoids. However, it is important to distinguish Red Horse Chestnut from the standard Horse Chestnut (Aesculus hippocastanum), which is far more widely studied and used for venous insufficiency and hemorrhoidal conditions. Most of the traditional and clinical evidence supporting the use of horse chestnut for hemorrhoids refers to Aesculus hippocastanum, not Red Horse Chestnut. The seeds and extracts of traditional horse chestnut contain aescin, a compound shown to reduce capillary fragility and inflammation, which may relieve hemorrhoid symptoms. There is little to no direct scientific research supporting the use of Red Horse Chestnut (Aesculus × carnea) for hemorrhoids, and its phytochemical profile and safety have not been as rigorously evaluated. Thus, any use of Red Horse Chestnut for hemorrhoids is based on generalization from its relation to the standard horse chestnut, rather than on direct scientific validation or a robust tradition specific to this hybrid. Caution should be exercised, and preference given to the better-studied Aesculus hippocastanum when considering herbal treatments for hemorrhoids.

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