What oral medication is good for hemorrhoids?

Nov 14, 2025 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
Commonly used oral medications for hemorrhoids include Diosmin tablets, Horse Chestnut Seed Extract tablets, Huaijiao Pills, Melilotus officinalis liquid extract tablets, and Huazhiling tablets. The choice of medication should be based on the type of symptoms and made under medical guidance, primarily aiming to improve venous circulation, reduce swelling and pain, cool the blood, and stop bleeding. If symptoms fail to improve or worsen after taking the medication, prompt medical consultation is recommended. Strict adherence to the prescribed dosage is required during treatment.

Oral medications commonly used for hemorrhoids include Diosmin tablets, Mairoxilin tablets, Huaijiao Pills, Melilotus extract tablets, and Huazhiling tablets. The choice of medication should be made according to symptom type under medical guidance, primarily aiming to improve venous circulation, reduce swelling and pain, cool the blood, and stop bleeding. If symptoms fail to improve or worsen after taking the medication, prompt medical consultation is recommended.

1. Diosmin tablets: These enhance venous tone, improve microcirculation, reduce venous congestion, and help relieve swelling, pain, and bleeding caused by hemorrhoids. They are especially suitable for the acute phase and can rapidly alleviate symptoms.

2. Mairoxilin tablets: These promote venous blood return, reduce vascular permeability, and alleviate tissue edema. They are effective in improving prolapsed internal hemorrhoids and perianal heaviness, making them suitable for long-term adjunctive treatment in patients with mild to moderate hemorrhoids.

3. Huaijiao Pills: A traditional Chinese medicine formulation that cools the blood, stops bleeding, clears the intestines, and dispels wind. It is effective for hemorrhoidal bleeding and swelling due to blood heat, relieving symptoms such as bloody stool and anal burning. It is particularly appropriate for hemorrhoids of the damp-heat pattern.

4. Melilotus extract tablets: These reduce capillary permeability and promote blood circulation, helping to relieve postoperative swelling, pain, and bleeding associated with hemorrhoids. They are also suitable for controlling symptoms during acute episodes and are generally well tolerated.

5. Huazhiling tablets: This traditional Chinese medicine has properties that cool the blood, constrict tissues, and reduce inflammation. It provides supportive treatment for swelling, pain, and bleeding caused by various types of hemorrhoids. Suitable for daily management in mild cases, optimal results are achieved when combined with dietary control.

During medication, it is essential to strictly follow prescribed dosages and avoid adjusting the dose without medical advice. Avoid spicy and greasy foods, increase intake of dietary fiber, maintain regular bowel movements, and avoid prolonged squatting to enhance the effectiveness of the treatment.