Evidence supporting the use of: Boerhavia diffussa
For the health condition: Anal Fistula or Fissure

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Synopsis

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

Boerhavia diffusa, commonly known as "Punarnava," has a long history of use in traditional Ayurvedic medicine, primarily for its anti-inflammatory, diuretic, and rejuvenative properties. In the context of anal fistula and fissure, its use is based mainly on traditional formulations where Punarnava is included as a supportive herb for wound healing, reducing inflammation, and improving overall tissue health. There are classical Ayurvedic references that mention Boerhavia diffusa in herbal combinations (for example, in decoctions or topical applications) used for various anorectal disorders, though it is rarely the main or sole ingredient.

However, scientific evidence directly supporting the efficacy of Boerhavia diffusa for the treatment or management of anal fistula or fissure is lacking. While the plant has demonstrated anti-inflammatory, analgesic, and wound healing effects in some in vitro and animal studies, these have not been specifically evaluated in the context of anorectal conditions in rigorous clinical trials. Therefore, its use for anal fistula or fissure remains anchored in traditional practice rather than validated by modern research. The overall evidence is weak, and more focused studies would be needed to substantiate its direct therapeutic role for these specific conditions.

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