This blend is usually recommend along with one of the herba-rhoid blends to help heal the veins that get swollen and casue hemorroid pain. The FDA does not approve of these statements and you are taking this remedy at your own risk. You may not feel immediate relief on this formula but you know it is helping to clean out the veins in your body. PATO V-100 capsules (Portal system congestion); 528*PATO V-100 (Portal system congestion); contains: barbed skullcap fruit, pau d'arco bark, calendula flower, cranesbill root, Chinese peony root, gardenia fruit and 2 more herbs.