Synopsis

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

Butcher’s broom (Ruscus aculeatus) has a long history of traditional use for treating circulatory disorders, including hemorrhoids. More importantly, there is some scientific validation for its use in this context, though the evidence is not robust and is primarily based on small clinical studies and pharmacological investigations.

The active compounds in butcher’s broom, mainly ruscogenins, are thought to have vasoconstrictive and anti-inflammatory effects on blood vessels. These properties can theoretically reduce the swelling and discomfort associated with hemorrhoids. Several small, open-label and randomized controlled trials conducted primarily in Europe have examined the efficacy of butcher’s broom extracts (often in combination with other ingredients like hesperidin and vitamin C) for chronic venous insufficiency and hemorrhoidal symptoms. These studies generally report reductions in symptoms such as pain, itching, and swelling.

However, most of the clinical evidence suffers from methodological limitations, including small sample sizes and lack of rigorous blinding. Systematic reviews and monographs by agencies such as the European Medicines Agency (EMA) acknowledge its use for symptomatic relief, but also note the need for larger, high-quality studies to confirm efficacy. Butcher’s broom is generally considered safe with minimal side effects.

In summary, while butcher’s broom has a traditional basis and some scientific support for use in hemorrhoids, the overall quality of the evidence is modest, meriting a rating of 2 out of 5.

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