Synopsis

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

Indian bael (Aegle marmelos), commonly known as bael fruit, has a long-standing place in traditional Indian medicine, particularly in Ayurveda. Its use for anorectal disorders such as anal fissures and fistulas is primarily based on its reputed properties as a mild laxative and its ability to promote wound healing. Classical Ayurvedic texts mention bael as part of formulations (often with isabgol and ghee) to soothe the digestive tract, regulate bowel movements, and reduce strain during defecation, which can be beneficial in managing symptoms and preventing aggravation of fissures and fistulas. The fruit pulp is sometimes used to prepare decoctions or consumed directly to soften stools and promote regularity. There is limited direct scientific validation for the use of bael specifically in anal fistula or fissure. However, some laboratory and animal studies indicate that bael fruit possesses anti-inflammatory, antimicrobial, and wound-healing properties, which could theoretically aid in the management of these conditions. Nonetheless, robust clinical trials in humans targeting anal fistula or fissure are lacking, and the evidence remains largely anecdotal or extrapolated from its general use in digestive health. In summary, the use of Indian bael for anal fissure or fistula is rooted in traditional practice rather than strong scientific evidence, and its efficacy in these contexts is yet to be substantiated through modern clinical research.

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