Evidence supporting the use of: Terminalia
For the health condition: Hemorrhoids

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Synopsis

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

Terminalia, particularly Terminalia chebula (commonly known as Haritaki), has a long-standing use in traditional Ayurvedic and Unani medicine for the management of hemorrhoids (piles). Its use is primarily based on its reputed properties as a mild laxative, astringent, and anti-inflammatory agent. According to classical texts, Haritaki is believed to help “cleanse” the bowels, reduce constipation (a major aggravating factor for hemorrhoids), and promote wound healing due to its tannin content. Several Ayurvedic formulations for hemorrhoids include Terminalia species as a core ingredient, often in combination with other botanicals. However, scientific validation for these effects is limited. While some animal studies and in vitro research suggest anti-inflammatory and antioxidant activities of Terminalia extracts, there are no robust clinical trials directly supporting its efficacy for hemorrhoids in humans. The evidence mainly consists of historical reports and small case series rather than rigorously controlled studies. Therefore, the use of Terminalia for hemorrhoids is best characterized as traditional, with modest evidence and limited scientific corroboration.

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