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Research · Systematic review

Horse chestnut seed extract for chronic venous insufficiency

What it found

Reduced leg pain (most placebo-controlled trials) and leg volume (pooled −32 mL); a consistent short-term benefit, though Cochrane rated the underlying evidence low quality.

Design
Systematic review
Year
2012
Sample size
1,518
Population
adults with chronic venous insufficiency (17 RCTs)
Intervention
oral horse chestnut seed extract standardized to escin, ~2–16 weeks
Outcome
leg pain, leg volume/edema, pruritus
Journal
Cochrane Database of Systematic Reviews

Citation last checked 2026-06-21.