Due mostly to the actions of asiaticoside and madecassoside that it contains, gotu kola may prevent, delay and treat a condition known as chronic venous insufficiency. This occurs when valves in the veins that carry blood back to the heart are weak or damaged and blood collects in the veins of the legs. This collection of blood can lead to varicose veins, spider veins, or sores on the legs. More serious results can include blood clots in the legs. Asiaticoside and madecassoside may help keep veins and other blood vessels from leaking. Because it strengthens the walls of blood vessels, gotu kola may also be effective for slowing retinopathy, the gradual break down of the retina in the eyes. It may also help to relieve hemorrhoids. These same effects are tho