Evidence supporting the use of: Buckthorn (unspecified)
For the health condition: Hemorrhoids

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Synopsis

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

Buckthorn refers to several species, most commonly Rhamnus cathartica (common buckthorn) and Rhamnus frangula (alder buckthorn). The use of buckthorn in treating or supporting hemorrhoids is primarily justified by traditional herbal medicine rather than robust scientific validation. Historically, buckthorn bark and berries have been used as stimulant laxatives due to their anthraquinone content, which promotes bowel movements. In traditional European medicine, gentle laxatives were often recommended for hemorrhoids to avoid straining and further irritation during defecation. Buckthorn, therefore, was used to help soften stools and reduce constipation—an important contributing factor to hemorrhoid development and discomfort.

However, while this historical use is well-documented in herbal texts, there is little direct scientific evidence specifically supporting buckthorn’s efficacy for hemorrhoids. Most studies and pharmacological data focus on its general laxative effect rather than any direct action on hemorrhoidal tissue or symptoms. Furthermore, the use of buckthorn as a laxative has safety concerns, including possible cramping, dependency, and, with long-term use, electrolyte imbalance. Modern guidelines do not recommend stimulant laxatives as a first-line approach for hemorrhoids.

In summary, buckthorn’s role in hemorrhoid management is rooted in traditional use as a stool-softening agent rather than direct scientific validation. Its evidence rating is moderate for its laxative effect, but low for specific hemorrhoid benefits.

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