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

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Synopsis

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

Marshmallow (Althaea officinalis) has a long history of use in traditional herbal medicine, particularly for its soothing, demulcent (mucilage-forming) properties. In the context of anal fistula or fissure, marshmallow root or leaf preparations have been used in traditional European and Ayurvedic medicine as topical poultices or internal remedies to help soothe inflamed mucosal tissues and promote comfort. The rationale behind this use is that the mucilage in marshmallow can coat and protect irritated tissues, potentially reducing pain and discomfort associated with fissures or fistulas. However, while there are scattered historical accounts and herbal texts recommending marshmallow for various inflammatory conditions of the digestive tract and mucous membranes, there is a lack of robust clinical evidence specifically validating its efficacy in treating anal fistula or fissure. Most modern recommendations for anal fissure or fistula focus on medical or surgical interventions, with only anecdotal or traditional references to herbal options like marshmallow. Therefore, its use in this context is primarily justified by tradition, not by scientific validation.

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