Clinical Evaluation of a Polyherbal Ayurvedic Formulation in the Management of Early Piles (Grade I and II Hemorrhoids) and Early Fissure: A Randomized Controlled Trial

Abstract

Background: Early stages (Grade I and II) of hemorrhoids (piles) and early anal fissure are common anorectal disorders causing pain, bleeding, and discomfort. Conventional therapies include lifestyle modification, fiber supplements, and topical agents, but recurrence is frequent. Ayurvedic polyherbal formulations have been traditionally used, yet high-quality  randomized evidence is limited.