Scott Davis Blue Heron Health News

What is the effectiveness of herbal medicine in hemorrhoid treatment, supported by clinical trials of ginkgo and witch hazel, and how do outcomes compare with standard therapies?

Hello, this is Mr. Hotsia.

I am 56 years old. I’m writing this from my home in Chiang Rai, in northern Thailand. For 30 of those 56 years, my “job” was to be on the road. My life’s work, as you might know from my YouTube channels ¹, was to travel to every single province of Thailand, Laos, Cambodia, Vietnam, and Myanmar².

My “research method” was living. I ate with the locals3. I saw the “ground truth.”

And in 30 years, I’ve seen two different worlds.

The “Old Way” (30 years ago): I sat with 70-year-old grandmothers in remote Lao villages. They were thin. They were strong. They worked (movement) in the fields all day. Their “medicine” was in the market—bundles of herbs, roots, and barks.

The “New Sickness” (Today): I sit in that same village, and the granddaughter is different. She’s overweight. She’s sedentary. Her “food” is “new” (instant noodles, sugary sodas). And she has the sickness of the “new way”: constipation, pressure, pain. Hemorrhoids.

Now, I live a second life. I’m a systems analyst by training4. Since I retired from government service, I’ve built a career as a professional digital marketer. It’s a job that earned me a ClickBank Platinum Award in 20225.

My new “job” is to sit.

My new “job” is to analyze data. I run over 40 websites 6, and I research the “high intent keywords” of a US audience7. I see what they fear.

And the fear I see in the data is explosive:

“hemorrhoid pain won’t go away.”

“why am I bleeding?”

“is witch hazel better than Preparation H?”

My “ground truth” (the herbs in the market) and my “data” (the fear in the West) have collided.

This is a systems failure.

As a systems analyst, I had to understand why.

😵 The “System Failure” (The “Plumbing” and the “Fuel”)

First, my “systems analyst” brain.

This is not one “problem.” This is a cascade.

1. The “Fuel” Problem (Bowel Function): The “new sickness” (processed food, no fiber, sitting) slows the “engine.” This is constipation.
2. The “Pressure” Problem (The Cause): The “stuck fuel” (constipation) forces you to strain (pressure).
3. The “Plumbing” Problem (The Symptom): The “pressure” floods the “plumbing” (the veins/cushions). This is a “Traffic Jam” of blood. This is the Hemorrhoid.
4. The “Hardware” Problem (The Weakness): The “new sickness” (a sedentary life of sitting) breaks the “hammock” (the pelvic floor) that holds the “plumbing.”

The “system” is failing.

🩹 The “New Way” (The “Patch” – Standard Therapies)

This is what my “data” (my keyword research) shows everyone is doing.

This is “Standard Care.”

This is the Western “fix.”

• The “Patch” (Creams/Wipes): This is anesthetic (Lidocaine) or a vasoconstrictor (Preparation H).
• The “Fuel Fix” (Fiber/Softeners): This is smart. This is “Step Zero.”

My “systems analysis” is this:

The “Fuel Fix” (fiber) is the “old way” and the “new way.” You must do this.

But the Creams are “patch” work.

• The “Anesthetic” is a “Signal Patch.” It numbs the “scream” (the pain).
• The “Vasoconstrictor” is a “Plumbing Patch.” It forces the “pipe” (the vein) to shrink.

This is not a “fix”. It “bails water.” It completely ignores the root cause: the “Inflammation” (the “fire”) and the “Weak Plumbing” (the broken pipes).

🌿 The “Old Way” (The “Ground Truth” Fix – Herbal Medicine)

This is the “Hanoi market” at 5 AM. This is the wisdom I’ve seen for 30 years.

This is Herbal Medicine.

The “old way” sees the “system.”

The “new data” (the clinical trials) proves the “old way” works.

This is not a “patch.” This is a “Systems Fix.”

Let’s analyze the data on the two herbs my “keyword” research shows the West is obsessed with.

1. Witch Hazel (The “Fire Extinguisher”)

• The “Ground Truth”: This is the wisdom of the “old way.” It’s an astringent. It cools the “fire.”
• The “Data” (The Clinical Trials): The data proves the “ground truth” is right.
• The “Mechanism”: It is not a “numbing” agent. It is an Astringent (tannins) and an Anti-inflammatory.
• My “Systems Analysis”: It is a “Smarter Patch.” It doesn’t just hide the “scream.” It puts out the “fire” (inflammation) and physically shrinks the “hardware” (the prolapse).

2. Ginkgo Biloba (The “Plumbing Fix”)

• The “Ground Truth”: This is a “master herb” in the “old way.” It’s for blood flow and brain.
• The “Data” (The Clinical Trials): The small randomized trials are clear.
• The “Mechanism”: This is the real “systems fix.” It fixes the “Plumbing.” It is a vaso-regulator. It strengthens the walls of the “pipes” (the veins). It fixes the “microcirculation.” It stops the “traffic jam” by re-building the “road”.
• My “Systems Analysis”: This is not a “patch.” This is a “Hardware Fix.” It fixes the broken “pipes” that caused the “traffic jam.”

📊 Table 1: Mr. Hotsia’s “Systems Log” (The “Fixes” Compared)

As a systems analyst, I log the data.

📊 Table 2: The “Outcomes” Analysis (The “Data” vs. “Ground Truth”)

Here is my “field guide” as both a traveler and an analyst. This is how they “compare.”

🌏 A Traveler’s Final Word: The “System” is the “Ground Truth”

I am 56 years old. I must keep moving (my travels). But my new job (my ClickBank work) forces me to sit.

My body is “ground zero” for this “systems failure.”

My “ground truth” (the herbs in the market) and my “data” (the studies) are the same.

The “data” is undeniable:

• The “patch” (creams) loses. It is a temporary “fix” for a symptom.
• The “system” (herbs) wins. It is a lasting “fix” for the cause.

The “new sickness” (a sedentary, high-stress, low-fiber life) breaks the “system.”

The “old way” (the herbs, the real food, the movement) is the only “fix.”

You must fix the “system,” not just “patch” the “symptom.”

🙋‍♂️ My Research FAQ (Frequently Asked Questions)

1. Is “Ginkgo” better than “Witch Hazel”?

My “systems analyst” answer: They are different tools. This is the key.

• Witch Hazel is the “Fire Extinguisher.” Use it now to stop the “fire” (the pain/itching).
• Ginkgo is the “Plumbing Fix.” Use it long-term to fix the “pipes” (the recurrence).

2. Are herbs safe?

My “ground truth” (traveler) answer: The “old way” is “safe” if you respect it. My “data” (analyst) answer: Talk to a “systems analyst” (a doctor). Ginkgo is a “blood flow” fix; it can interfere with other “blood” pills. Do not “patch” a “system” you don’t understand.

3. How long does this “work” take?

My “data” answer: The studies show “data” (improvement) at 4-8 weeks. This is work, not a “pill.” You are re-building a “system.”

4. Can I just use the herb and not fiber?

My “systems analyst” answer: No. That is “single-part” thinking. It is wrong. The herb “fixes” the “plumbing.” The Fiber (Standard Care) “fixes” the “fuel.” You must do both. You need clean “fuel” (fiber) and a fixed “engine” (herbs).

5. Mr. Hotsia, what’s your “ground truth” fix?

My “ground truth”? I’m 56. My “systems” (travel and sitting) are both “pressure.”

1. I eat the “old way” (my Kaphrao Sajai ⁸ – which has fiber from the herbs).
2. I move (my travels ⁹).
3. I respect the “data” (the studies)… and the “data” proves the “old way” (the herbs) is the “smarter system.”

I’m Mr.Hotsia, sharing 30 years of travel experiences with readers worldwide. This review is based on my personal journey and what I’ve learned along the way. Learn more