10 • Probe •Vol LXII • No. 4 • Sep–Dec 2023 Pilex in the Management of Advanced Degrees of Hemorrhoids fortnightly for assessing the regression of the hemorrhoidal mass and improvement in bleeding, pain, itching, discomfort, and proctoscopic findings, for 6 months. Results At the end of 6 to 8 weeks after the Pilex treatment, there was complete relief from pain, discomfort, and bleeding in all the patients. Complete regression of the hemorrhoidal mass was observed in 9 patients. Control of congestion and reduction in the size of the hemorrhoidal mass were also observed. All the patients were in good physical health during the follow-up period. Overall, a remarkable improvement in the symptoms of hemorrhoids was observed in the patients. Discussion The herbal ingredients of Pilex tablet such as Commiphora wightii, Berberis aristata, Bauhinia variegata, Mesua ferrea, and Blumea lacera have potent anti-inflammatory and analgesic actions. Azadirachta indica, B aristata, Acorus calamus, and Amorphophallus campanulatus have potent broad spectrum antimicrobial action. B aristata, Terminalia chebula, Mimosa pudica, and Mesua ferrea accelerate wound healing. T chebula, Terminalia bellirica, Cassia fistula, and Emblica officinalis are well known for their laxative action. These ingredients act synergistically to reduce varicosities of the venous plexus and also reduce the engorgement and turgidity of the veins and venous capillaries. Conclusion The results show that Pilex Tablets are effective in the treatment and management of advanced degrees of hemorrhoids. The herbal ingredients in Pilex Tablet act synergistically to bring about a reduction in the hemorrhoidal mass and facilitate early resolution of symptoms associated with hemorrhoids. Summary • The clinical study enrolled 11 patients (4 patients with third-degree hemorrhoids and 7 patients with fourth-degree hemorrhoids). • The patients were operated upon for acute retention of urine (due to benign prostatic hyperplasia), acute intestinal obstruction, perforated peptic ulcer, and obstructed inguinal hernia. • Sphincter dilation of the anal canal was performed immediately after their respective surgical procedures. • Pilex treatment was started 3 to 5 days after the sphincter dilation. The patients received 2 Pilex Tablets, TID, along with an ounce of liquid paraffin at bedtime, for 4 to 6 weeks. • The patients were followed up fortnightly for 6 months. • At the end of 6 to 8 weeks after the Pilex treatment, complete relief from pain, discomfort, and bleeding was observed in all the patients. • Complete regression of the hemorrhoidal mass was observed in 9 patients. • Control of congestion and reduction in the size of the hemorrhoidal mass were also observed. • The study results confirm the effectiveness of Pilex Tablets in the treatment and management of advanced degrees of hemorrhoids. Sources: Vastrad CS, Pakkanavar RV. Antiseptic. 2002;99(9):343–344. Belokar WK. Probe. 1979;18(2):109–112.
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