A tea of witch hazel can be made by steeping 2–3 grams of the leaves or bark in 150 ml of boiled water for 10 to 15 minutes. The tea can be drunk two to three times daily between meals. A tincture, 2–4 ml three times per day, is also occasionally used.
In combination with warm, moist compresses, witch hazel extracts can be applied liberally at least twice each day (in the morning and at bedtime) on hemorrhoids. For other skin problems, ointment or cream can be applied three or four times a day, or as needed.