Résumé
Hemorrhoids are an abnormal swelling of the blood vessels in the anal canal; treatment is indicated only when they become symptomatic. Conservative treatment typically consists of increasing dietary fiber, oral fluids to maintain hydration, nonsteroidal anti-inflammatory drugs (NSAIDs), sitz baths and rest. Surgery is indicated when conservative treatment fails; but, the results are often unsatisfactory and recurrence may occur. However, in the general management of hemorrhoids, colorectal surgeons agree that severe painful thrombosed hemorrhoids should be excised. The main ingredients of Pilex tablet are Terminalia chebula, Cassia fistula, Emblica officinalis, which improve appetite, correct hepatic function and have mild laxative properties thereby facilitating bowel evacuation and reducing local trauma to the hemorrhoidal vessels. The main ingredients of Pilex ointment are Mimosa pudica, Vitex negundo, Eclipta alba and Solanum nigrum. These herbs possess styptic and antiinflammatory properties and help in regeneration of the vascular endothelium. Pilex tablets orally and ointment locally have been very favorably reported for the amelioration and treatment of piles in various clinical trials and also established by a large number of clinicians and surgeons. This review summarizes the effects of the polyherbal formulations Pilex tablets and ointment in patients of hemorrhoids.