Indian herbal formulation for the management of haemorrhoids/Piles: A systematic review

Piles is a common disorder of gastrointestinal tract also known as haemorrhoids or tissue clumps in the rectum. Haemorrhoids are defined as the symptomatic enlargement and distal displacement of the normal anal cushions. Piles symptoms include prolapsed lump, painful bleeding, discomfort while passing stool, soiling, or itchiness. Piles can cause severe discomfort to the patients, hampering their daily activities thus reducing their quality of life. Majority of the people experience the disease at least once in their lifetime. People maintain secrecy about this disease due to social stigma in the initial stages, and then they must resort to surgery in the chronic stage when haemorrhoids become worse. The disease, due to its recurrent nature, needs new treatment modalities. The aim of this review is to determine the importance of herbal formulation, Hapéloo Piles relief capsule, for the management of haemorrhoids. The herbal formulation contains unique combination of plant-based ingredients like Azadiracta indica, Terminalia chebula, Symplocos racemosa, Curcuma longa, Aegle marmelos, Glycyrrhiza glabra and Foeniculum vulgare which are beneficial in management of piles by reducing the symptoms, thus contributing to the healing of haemorrhoidal oedema.