Evidence supporting the use of: Aerva lanata
For the health condition: Anal Fistula or Fissure

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Synopsis

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

Aerva lanata, commonly known as "Mountain Knotgrass" or "Polpala," has a long history of use in traditional medicine systems such as Ayurveda and Siddha. In these traditions, it is recognized for its anti-inflammatory, diuretic, and wound-healing properties. It is often incorporated into formulations intended to address urinary tract disorders, kidney stones, and wound healing. Specifically for anal fistula and fissure, classical herbal texts sometimes mention Aerva lanata as a supportive ingredient in pastes or decoctions aimed at reducing local inflammation, promoting healing, and soothing discomfort. The plant is believed to help by reducing infection risk and enhancing tissue repair, though these claims are based on empirical, anecdotal, or historical use rather than modern clinical trials.

Scientific validation for its efficacy in treating anal fistula or fissure is lacking. While some laboratory studies have demonstrated anti-inflammatory and antimicrobial activities in Aerva lanata extracts, there are no clinical studies directly assessing its effect on anal fistula or fissure in humans. Thus, its use in this context remains grounded in tradition and practitioner experience rather than robust scientific evidence. The evidence rating is therefore moderate for tradition (2/5) but very low for modern scientific validation.

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