Synopsis

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

Gotu kola (Centella asiatica) has a long history of traditional use in herbal medicine systems such as Ayurveda and Traditional Chinese Medicine. It is commonly used for conditions related to poor circulation, wound healing, and skin health. The rationale for its use in the treatment and support of hemorrhoids is based on its reputed ability to strengthen blood vessels, improve venous tone, and promote tissue repair. Traditional practitioners have used gotu kola orally or topically to reduce swelling, inflammation, and discomfort associated with hemorrhoids.

There is some limited scientific research suggesting that gotu kola extracts (often standardized to triterpenoid content) may have beneficial effects on venous insufficiency and microcirculation, which are relevant to hemorrhoid pathophysiology. Small clinical studies and reviews, mainly from the 1980s and 1990s, showed modest improvements in symptoms such as pain, edema, and bleeding in people with chronic venous insufficiency and, to a lesser extent, hemorrhoids. However, these studies are few, often lack rigorous methodology, and typically involve small sample sizes.

Overall, evidence for gotu kola's effectiveness in treating hemorrhoids is primarily traditional, with some preliminary clinical support for related venous conditions. The evidence quality is low to moderate (rated 2/5), and more robust, modern clinical trials are needed to confirm its efficacy and safety for hemorrhoid treatment.

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