Hemorrhoids are a common ailment. According to the National Digestive Diseases Information Clearinghouse, about half of people over 50 years old have hemorrhoids. Hemorrhoids, also known as piles, are defined by the Merck Manual as swollen and inflamed veins around the anus or inside the rectum. A study published in the April 2001 issue of "Alternative Medicine Review" suggests that herbal hemorrhoids treatment is effective.
The Study
The study, "Hemorrhoids and varicose veins: a review of treatment options," examined the effectiveness of traditional and supplement therapies for hemorrhoids and varicose veins. A researcher at Thorne Research in Portland, Oregon, found that herbal and bioflavonoid supplementation effectively prevents and treats hemorrhoids and varicose veins. According to the study author, Douglas J. MacKay, ND candidate, supplementing with the herbs horse chestnut (Aesculus hippocastanum), butcher's broom (Ruscus aculeatus), gotu kola (Centella asiatica) and witch hazel (Hamamelis virginiana) can help treat and prevent complications of hemorrhoids.
Horse Chestnut
Horse chestnut extract, derived from Aesculus hippocastanum, contains a saponin (a foaming phyto-chemical found in most vegetables, beans and herbs) known as aescin, which has anti-inflammatory properties and reduces swelling. Aescin promotes circulation through the veins and can strengthen the walls of the veins. Studies suggest that oral horse chestnut can reduce hemorrhoidal swelling and pain. Horse chestnut is generally safe when taken in recommended amounts. The Dietary Supplement Information Bureau recommends taking standardized extracts of horse chestnut, 300 mg two to three times a day.
Butcher's Broom
Butcher's broom extract, derived from Ruscus aculeatus, contains the saponin known as ruscogenin, which has anti-inflammatory properties and vein-constriction effects. Supplementation with Butcher's Broom helps tighten and strengthen veins. Butcher's broom has traditionally been used to treat venous problems including hemorrhoids. Butcher's Broom is generally safe when taken in recommended amounts of 1,000 mg three times a day.
Gotu Kola
Gotu kola (Centella asiatica) contains saponins known as triterpenic acids that enhance connective tissue structure and improve blood flow. Gotu kola has been traditionally used to improve and support venous function and treat hemorrhoids. In one double-blind study reported in the March-April 1988 issue of the "Italian Journal of Biochemistry," gotu kola topical application helped improve hemorrhoid symptoms. Butcher's Broom is generally safe when taken in recommended amounts of 60 mg one to two times a day.
Witch Hazel
Witch hazel (Hamamelis virginiana) is a natural astringent traditionally used in herbal medicine to strengthen veins. Witch hazel contains tannins that have an astringent effect. Witch hazel extract is applied to hemorrhoids to reduce swelling and inflammation. The Dietary Supplement Information Bureau recommends applying witch hazel extract on hemorrhoids twice a day.
