Indications
Chebulic myrobalan (Terminalia chebula, haritaki or horitoki) is a dried fruit widely used in Ayurvedic and Unani medicine, alone or in mixtures such as triphala. It is traditionally used for:
- Constipation, as a gentle laxative
- Indigestion, wind and poor appetite
- Piles (haemorrhoids), mainly by keeping stools soft
- Mouth and gum problems, as a gargle or mouthwash ingredient
Scientific evidence for these uses is limited. It should not replace medical assessment of bowel problems.
How It Works
The fruit contains tannins (which tighten and tone tissues), along with anthraquinone-like substances and fibre that gently stimulate bowel movement. Tannins also give it an astringent effect, which is why it is used for gums and piles. It is regarded as an antioxidant in laboratory studies.
Dosage and Administration
Use as directed on the label or by a registered Ayurvedic or Unani practitioner. Powders and tablets are usually taken with warm water, often at bedtime when used for constipation. Do not use for more than 1 to 2 weeks without advice. Not recommended for children unless a practitioner advises it.
Interactions
Because it can loosen stools, it may reduce the absorption of other medicines taken at the same time; keep a gap of at least 2 hours. Tannins may reduce iron absorption. It may add to the effect of other laxatives and of medicines that lower blood sugar. Tell your doctor about all herbal products you use.
Contraindications
- Pregnancy
- Diarrhoea, dehydration or severe weakness
- Bowel blockage, or stomach pain of unknown cause
- Known allergy to any ingredient
Side Effects
Possible side effects include:
- Loose stools, stomach cramps or wind
- Nausea
- Dehydration and weakness with overuse
Get urgent medical help if you have severe stomach pain, blood in the stools, persistent vomiting, or signs of dehydration such as dizziness, very little urine or confusion.
Pregnancy and Lactation
Do not use during pregnancy. Ask a doctor before use during breastfeeding, as safety has not been established.
Precautions and Warnings
- See a doctor if constipation is new, lasts more than 2 weeks, or comes with weight loss, bleeding or a change in bowel habit, especially after age 40.
- Long-term laxative use can upset body salts; drink plenty of fluids.
- Elderly people and those with kidney or heart disease should use only with advice.
- Buy from a reliable source.
Overdose
Taking too much may cause diarrhoea, stomach cramps and dehydration. Drink fluids and seek medical help if symptoms are severe or a child has taken it.
Therapeutic Class
Ayurvedic and Unani herbal preparation (mild laxative, digestive)
Storage
Store below 30°C in a dry place, away from light and out of the reach of children. Keep tightly closed to protect from moisture.
Prepared by the Oshud Alo team from standard drug references. For information only; always follow your doctor's advice.