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

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Synopsis

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

Myrobalan, commonly known as Haritaki (Terminalia chebula), has a long history of use in traditional systems of medicine such as Ayurveda and Unani. In these traditions, Haritaki is considered to have healing, anti-inflammatory, and wound-cleansing properties. Classical Ayurvedic texts recommend its use in the management of various anorectal disorders, including anal fissures and fistulas, often as an ingredient in oral formulations or topical pastes. The rationale is that Haritaki supports digestive health, relieves constipation, and helps cleanse wounds, which can theoretically promote healing of anorectal lesions. Some small clinical studies and case reports from India suggest symptom relief and enhanced wound healing in anal fissure patients using Haritaki-based preparations, but these lack robust methodology and sample sizes. There is limited direct scientific validation from modern clinical trials regarding its efficacy specifically for anal fistula or fissure. The evidence for its use, therefore, stems primarily from documented traditional practices and anecdotal reports rather than rigorous scientific research. Thus, while Myrobalan is traditionally used for these conditions, current scientific evidence supporting its effectiveness is limited, and more high-quality clinical studies are needed to confirm its therapeutic benefits in this context.

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