Herb × Condition

Black Pepper for Hoarse Voice

Sanskrit: Maricha (meaning: sun due to its large | Pipernigrum Linn.

How Black Pepper helps with Hoarse Voice according to Ayurveda. Classical references, dosage, preparation methods, and what modern research says.

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Black Pepper for Hoarse Voice: Does It Work?

Does black pepper help a hoarse voice? In Ayurveda, yes. Ghee with black pepper is one of the three traditional remedies named for restoring the voice, alongside a licorice decoction and warm steam.

The remedy is specific and simple: 1/4 teaspoon of black pepper powder in 1 teaspoon of ghee, eaten slowly after lunch and dinner. It comes from the Ayurvedic cooking tradition, which lists black pepper among the foods for healing hoarseness.

The reasoning rests on black pepper's nature. It is pungent in taste, hot in potency and pungent after digestion, and it reduces Vata and Kapha, the two doshas behind most hoarseness. The Bhavaprakash Nighantu classes it as a reliever of breathing difficulty and cough (Shwasa-Kasa hara) and a calmer of Kapha and Vata.

The ghee is not an afterthought. Black pepper on its own is hot and drying; the ghee softens that heat and brings moisture, so the pairing works for a dry throat as well as a clogged one.

How Black Pepper Helps with Hoarse Voice

Ayurveda sees a hoarse voice as either dried out by Vata or clogged by Kapha, with Pitta also listed among the doshas involved. Black pepper speaks to the first two and needs care with the third.

Clearing a Clogged Voice

Kapha is cold, heavy and wet. Black pepper is the opposite: pungent in taste (Katu Rasa), hot in potency (Ushna Virya) and pungent after digestion (Katu Vipaka). It is described as an expectorant, a substance that helps loosen and move mucus.

That is why it suits the heavy, muffled voice where speaking takes effort. Its classical role as a reliever of cough and breathing difficulty points the same way.

Warming a Dry Voice, With Ghee

Black pepper reduces Vata through its warmth. On its own, though, its drying quality can eventually aggravate a dry, rough Vata state at higher doses.

Ghee solves that. It brings the moisture a dry throat lacks and softens the pepper's heat, which is why the voice remedy pairs the two rather than using pepper alone.

A Carrier for Other Herbs

Black pepper is a Yogavahi, a substance that carries and enhances other herbs. The Bhavaprakash Nighantu notes it enhances the bioavailability of other herbs and medicines, which is why it appears in so many formulas, including Trikatu.

Our sources contain no clinical trials of black pepper for hoarseness. Its use here rests on the Ayurvedic tradition.

How to Use Black Pepper for Hoarse Voice

For a hoarse voice, black pepper is taken with a fat or a sweet vehicle, never as a large dose on its own. The classic form is the ghee pairing.

Best Form: Black Pepper with Ghee

  • Mix 1/4 teaspoon of black pepper powder into 1 teaspoon of ghee.
  • Eat it slowly after lunch and after dinner.
  • Follow with a few minutes of warm steam if your throat feels tight.

Eating it slowly lets the mixture coat the throat on the way down.

FormDoseBest ForWhen
Black pepper with ghee1/4 tsp powder in 1 tsp gheeHoarse voice, both dry and clogged typesSlowly, after lunch and dinner
Milk decoction (Ksheerapaka)3 to 5 peppercorns simmered in milkDry, hoarse voiceWarm, before bed
Pepper with honey (Maricha-Madhu)1 to 2 g pepper with 1 tsp raw honeyCongestion and sore throatLicked slowly, after food

Choose the Vehicle by Type

The vehicle (Anupana) decides how the pepper acts. For a dry, rough Vata voice, use ghee or warm milk. For a heavy, clogged Kapha voice, raw honey is the classic carrier for cutting through mucus; do not heat the honey.

How Long

Medicinal doses of black pepper should not run beyond two to four weeks without a break. Hoarseness that lasts more than two to three weeks needs a doctor's examination.

Stop if you notice burning in the throat or chest, or heartburn. Those are listed signs of too much.

Frequently Asked Questions

How do I take black pepper for a hoarse voice?

Mix 1/4 teaspoon of black pepper powder with 1 teaspoon of ghee and eat it slowly after lunch and dinner. This is the traditional Ayurvedic voice remedy, and it uses what most kitchens already have.

Why ghee and not just pepper?

Black pepper is hot and drying. Ghee brings moisture to a dry throat and softens the heat, so the pair suits both the dry Vata voice and the clogged Kapha voice. Pepper alone in large amounts can dry the throat further.

Black pepper vs licorice for hoarse voice?

Licorice is the herb Ayurveda ties most closely to the voice and is soothing and moistening. Black pepper is warming and clearing, best when the voice feels heavy and congested. Many people use both: licorice decoction plus ghee with pepper. Ginger is another warming option for congestion.

Who should avoid black pepper for the voice?

Anyone with high Pitta signs, acid reflux, ulcers or other digestive inflammation should keep to culinary amounts. Piperine in black pepper can raise blood levels of many prescription drugs, so talk to your doctor before taking medicinal doses alongside long-term medication. In pregnancy, stick to cooking amounts.

Safety & Precautions

Black Pepper at culinary doses, a pinch or two in food, is safe for almost everyone and is used daily across billions of meals. At medicinal doses (0.5 g and above, concentrated and taken alone), the picture changes. Its heat is intense, its penetration deep, and its interaction profile with modern pharmaceuticals is significant. Here is what to watch for:

Pitta Aggravation

Black Pepper is classified as VK- P+, it pacifies Vata and Kapha, but increases Pitta. People of Pitta prakriti (constitution), or anyone with active Pitta-type symptoms, burning sensations, skin rashes, heat intolerance, red eyes, irritability, should avoid medicinal doses. Culinary pinches are usually fine, but dose escalation quickly becomes counterproductive.

GERD, Ulcers, and Hyperacidity

The Ayurveda Encyclopedia lists "digestive inflammations and high Pitta" as direct contraindications. If you have acid reflux (Amlapitta), peptic ulcers, gastritis, or H. pylori infection, Black Pepper can worsen symptoms meaningfully. Its pungent taste and hot potency directly stimulate acid secretion and can irritate already-inflamed mucosa.

Bleeding Conditions and Hemorrhoids

Black Pepper's penetrating (Tikshna) and heating qualities can aggravate bleeding hemorrhoids (Arsha), peptic ulcers, and any active Pitta-type bleeding disorder. Classical texts make this exception explicit: while pepper is indicated for dry, non-bleeding hemorrhoids, it worsens the bleeding, inflamed kind.

Drug Interactions (Critical)

This is where Black Pepper's Yogavahi property becomes a double-edged sword. Piperine inhibits multiple CYP450 liver enzymes and P-glycoprotein efflux pumps, meaning it can raise the blood levels of many prescription drugs substantially, sometimes into toxic range. Documented interactions include:

  • Phenytoin (seizure medication), levels can rise significantly
  • Rifampin (antibiotic), blood concentration increases
  • Propranolol (beta-blocker), bioavailability enhanced
  • Theophylline (asthma medication), similar enhancement
  • Carbamazepine, diclofenac, and many CYP3A4/CYP2D6 substrates, altered clearance

If you take any prescription medication long-term, do not supplement with high-dose Black Pepper, piperine extract, or sustained Trikatu use without first discussing it with your physician. Occasional culinary pepper is not a concern; daily medicinal doses are.

Pregnancy and Medicinal Use

Small culinary amounts in cooking are considered safe and traditional. Medicinal doses, piperine supplements, and daily Trikatu are not recommended during pregnancy, the strong heating action can aggravate Pitta at a time when it is already naturally elevated, and the pharmaceutical-level drug interactions complicate prenatal care. Nursing mothers should stick to culinary use only.

Excess Vata (Dryness)

Although Black Pepper pacifies Vata at moderate doses, its drying quality at high doses can eventually aggravate the dry, rough qualities of excess Vata, producing symptoms like constipation, dry skin, and insomnia. If you are depleted, underweight, or recovering from illness, reduce the dose or take it with ghee.

Eye Irritation (External)

Black Pepper powder is an established irritant to the eyes and mucous membranes. Keep it away from the face; wash hands thoroughly after grinding. The classical eye collyrium preparations that include pepper use it in extremely small, carefully buffered quantities, not a home preparation.

Overdose

Doses beyond 5 g per day for extended periods are not recommended. Signs of overdose include burning in the chest or throat, heartburn, diarrhoea, and general heat-based discomfort. These resolve by reducing the dose and taking cooling foods (milk, ghee, cucumber, coconut water).

Other Herbs for Hoarse Voice

See all herbs for hoarse voice on the Hoarse Voice page.

▶ Classical Text References (10 sources)
  • Pinasa (chronic rhinitis)
  • Shula (pain)
  • Krimi (worms)
  • Netra Roga (eye diseases)

Source: Bhavaprakash Nighantu, Varga 1

160 Maricha (pepper) रए पाके च कटुकं कफ नं म रचं लघु । Black pepper is pungent both in taste and at the end of digestion, mitigates kapha and is easily digestable.

— Astanga Hridaya, Chapter 6: Annaswaroopa Food

164 च वका प पल मूलं म रचा पा तरं गुणैः Chavaika (Piper chaba) and pippalimula (long pepper root) possess qualities and properties similar to Marica (black pepper) but in lesser degree.

— Astanga Hridaya, Chapter 6: Annaswaroopa Food

160 Maricha (pepper) रए पाके च कटुकं कफ नं म रचं लघु । Black pepper is pungent both in taste and at the end of digestion, mitigates kapha and is easily digestable.

— Astanga Hridaya, Chapter 6: Annaswaroopa Food

164 च वका प पल मूलं म रचा पा तरं गुणैः Chavaika (Piper chaba) and pippalimula (long pepper root) possess qualities and properties similar to Marica (black pepper) but in lesser degree.

— Astanga Hridaya, Chapter 6: Annaswaroopa Food

प चकोलकमेत च म रचेन वना म ृतम ् गु म ल होदरानाहशल ू नं द पनं परम ् The above, excluding marica, (pippali, pippalimula, cavya, citraka and nagara) is known as panchakolaka, It cures abdominal tumors, disease of the sleen, enlargement of the abdomen, distension and colic, and is best to improve hunger and digestion.

— Astanga Hridaya, Chapter 6: Annaswaroopa Food

(Kukkuta) Chicken and Spotted deer should not be taken along with curds Uncooked meat along with bile radish along with black gram Sheep meat along with leaves of Kusumba herb Germinated grains along with Bisa Lakucha Phala along with black gram soup (masha supa) Banana along with butter milk is not recommended Curds along with Tala phala (Palm date) Pippali, Maricha and honey Kakamachi along with jaggery Black pepper along with fish or during digestion of fish - 33-36.

— Astanga Hridaya, Chapter 7: Anna Raksha Vidhi

(Kukkuta) Chicken and Spotted deer should not be taken along with curds Uncooked meat along with bile radish along with black gram Sheep meat along with leaves of Kusumba herb Germinated grains along with Bisa Lakucha Phala along with black gram soup (masha supa) Banana along with butter milk is not recommended Curds along with Tala phala (Palm date) Pippali, Maricha and honey Kakamachi along with jaggery Black pepper along with fish or during digestion of fish - 33-36.

— Astanga Hridaya, Chapter 7: Anna Raksha Vidhi

Katu Gana – group of pungents:कटुको ह गु म रचकृ मिजत प चकोलकम ् कुठे रा या ह रतकाः प तं मू म करम ् Hingu- Asa foetida Maricha – Black pepper, Krimijit – Vidanga, Panchakola – Chitraka, Pippalmoola, Pippali, Chitraka and ginger, leafy vegetables such as Kutheraka and others (mentioned in verse 103 of chapter 6 earlier), Pitta (bile of animals), Mutra (urines), Arushkara etc.

— Astanga Hridaya, Chapter 10: Rasabhediyam Tastes, Their

Katu Gana – group of pungents:कटुको ह गु म रचकृ मिजत प चकोलकम ् कुठे रा या ह रतकाः प तं मू म करम ् Hingu- Asa foetida Maricha – Black pepper, Krimijit – Vidanga, Panchakola – Chitraka, Pippalmoola, Pippali, Chitraka and ginger, leafy vegetables such as Kutheraka and others (mentioned in verse 103 of chapter 6 earlier), Pitta (bile of animals), Mutra (urines), Arushkara etc.

— Astanga Hridaya, Chapter 10: Rasabhediyam Tastes, Their

20 Treatment for over nourishing त मेदो नल ले मनाशनं सव म यते कुला थजूण यामाकयवमु गमधूदकम ् म त ुद डाहता र ट च ताशोधनजागरम ् मधुना फलां ल या गुडूचीमभयां घनम ् रसा जन य महतः प चमल ू य ग ु गल ु ोः शलाजतु] योग च साि नम थरसो हतः वड गं नागरं ारः काललोहरजो मधु यवामलक चूण च योगो अ त थौ यदोशिजत ् Treatments which reduce Medas- fat, Anila- Vata and Kapha are desirable; Use of Kulattha – horse gram – Dolichos Biflorus, Jurna, Shyamaka, Yava – Barley – Hordeum Vulgare, Mudga – green gram – Averr

— Astanga Hridaya, Chapter 14: Dvividha Upakramaneeya

21-24 योषकटवीवरा श ु वड गा त वषाि थराः ह गुस ौवचलाजाजीयवानीधा य च काः नशी ब ृह यौ हपुषा पाठामूलं च के बुकात ् एषां चूण मधु घ ृतं तैलं च सदशांशकम ् स तु भः षोडशगुणैयु तं पीतं नहि त तत ् अ त थौ या दकान ् सवा ोगान यां च त वधान ् ोगकामलाि व वासकासगल हान ् बु मेधा म ृ तकरं स न या ने च द पनम ् Powder of Vyosha- (Trikatu – pepper, long pepper and ginger), Katvi, Vara (Triphala), Shigru (drum stick), Vidanga (False black pepper – Embelia ribes), Ativisha, Sthira (Desmodium gangeticum), Hingu – (A

— Astanga Hridaya, Chapter 14: Dvividha Upakramaneeya

Source: Astanga Hridaya, Ch. 6, Ch. 6, Ch. 6, Ch. 6, Ch. 6, Ch. 7, Ch. 7, Ch. 10, Ch. 10, Ch. 14, Ch. 14

160 Maricha (pepper) रए पाके च कटुकं कफ नं म रचं लघु । Black pepper is pungent both in taste and at the end of digestion, mitigates kapha and is easily digestable.

— Astanga Hridaya Sutrasthan, Annaswaroopa Food

164 च वका प पल मूलं म रचा पा तरं गुणैः Chavaika (Piper chaba) and pippalimula (long pepper root) possess qualities and properties similar to Marica (black pepper) but in lesser degree.

— Astanga Hridaya Sutrasthan, Annaswaroopa Food

(Kukkuta) Chicken and Spotted deer should not be taken along with curds Uncooked meat along with bile radish along with black gram Sheep meat along with leaves of Kusumba herb Germinated grains along with Bisa Lakucha Phala along with black gram soup (masha supa) Banana along with butter milk is not recommended Curds along with Tala phala (Palm date) Pippali, Maricha and honey Kakamachi along with jaggery Black pepper along with fish or during digestion of fish - 33-36.

— Astanga Hridaya Sutrasthan, Anna Raksha Vidhi

Katu Gana – group of pungents:कटुको ह गु म रचकृ मिजत प चकोलकम ् कुठे रा या ह रतकाः प तं मू म करम ् Hingu- Asa foetida Maricha – Black pepper, Krimijit – Vidanga, Panchakola – Chitraka, Pippalmoola, Pippali, Chitraka and ginger, leafy vegetables such as Kutheraka and others (mentioned in verse 103 of chapter 6 earlier), Pitta (bile of animals), Mutra (urines), Arushkara etc.

— Astanga Hridaya Sutrasthan, Rasabhediyam Tastes, Their

Powder of Vidanga (False black pepper – Embelia ribes), Nagara – (Ginger), KsharaYavakshara and iron filing or powder of Yava (Barley – Hordeum vulgare) and Amla along with honey – should be licked daily.

— Astanga Hridaya Sutrasthan, Dvividha Upakramaneeya

Source: Astanga Hridaya Sutrasthan, Annaswaroopa Food; Anna Raksha Vidhi; Rasabhediyam Tastes, Their; Dvividha Upakramaneeya

For example pepper Sheeta veerya (cold potency) - Some food items are cold in nature.

— Astanga Hridaya Sutrasthan, Ayushkameeya Adhyaya

Meat juice (Mamsarasa) which is not very thick, Rasala (curds churned and mixed with pepper powder and sugar), Raga (syrup which is sweet, sour and salty) and Khandava (syrup which has all the tastes, prepared with many substances), Panaka panchasara, (syrup prepared with raisins (draksha), madhuka, dates (karjura), kasmarya, and parushaka fruits all in equal quantities, cooled and added with powder of cinnamon leaves, cinnamon and cardamom etc) and kept inside a fresh mud pot, along with leav

— Astanga Hridaya Sutrasthan, Ritucharya adhyaya Seasonal

Rasala – रसाला बंहृ णी व ृ या ि न धा ब या च दा । Rasala – curds churned and added with pepper powder and sugar- it causes body weight increase, it is aphrodisiac, unctuous, improves strength and improves taste.

— Astanga Hridaya Sutrasthan, Annaswaroopa Food

वेसवारो गु : ि न धो बलोपचयवधन: । मु गा दजा तु गुरवो यथा यगुणानुगा: ॥ ४१॥ Vesavara is meat, cut into minute bits, added with spices like pepper, ginger etc, and roasted or fried.

— Astanga Hridaya Sutrasthan, Annaswaroopa Food

(Kukkuta) Chicken and Spotted deer should not be taken along with curds Uncooked meat along with bile radish along with black gram Sheep meat along with leaves of Kusumba herb Germinated grains along with Bisa Lakucha Phala along with black gram soup (masha supa) Banana along with butter milk is not recommended Curds along with Tala phala (Palm date) Pippali, Maricha and honey Kakamachi along with jaggery Black pepper along with fish or during digestion of fish - 33-36.

— Astanga Hridaya Sutrasthan, Anna Raksha Vidhi

Source: Astanga Hridaya Sutrasthan, Ayushkameeya Adhyaya; Ritucharya adhyaya Seasonal; Annaswaroopa Food; Anna Raksha Vidhi

Himalayan fir, black pepper, ginger, long pepper in doubling ratio (1:2:3:4), with cinnamon and cardamom at half ratio.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 8: Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं)

Milk prepared with dry ginger and daruharidra or prepared with shyama, castor root and black pepper, or prepared with cinnamon, devadaru, punarnava and dry ginger;

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 12: Edema Treatment (Shvayathu Chikitsa / श्वयथुचिकित्सा)

Take 100 pala each of kashmarya, amalaki, black pepper, haritaki, vibhitaki, pippali and grapes, add to it 100 pala of old jaggery and two drona of water, then put the mixture in a vessel lined with honey for 7 days in summer or for 14 days in winter for fermentation.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 12: Edema Treatment (Shvayathu Chikitsa / श्वयथुचिकित्सा)

Thereafter to make it fragrant, add 20 gm powders each of tejapatra, cinnamon, cardamom, black pepper, couscous and iron bhasma and store in a pot lined with honey and ghee.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 12: Edema Treatment (Shvayathu Chikitsa / श्वयथुचिकित्सा)

drink yava (barley), wheat, meat of wild animals along with black pepper.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 24: Alcoholism Treatment (Madatyaya Chikitsa / मदात्ययचिकित्सा)

Source: Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 8: Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं); Chikitsa Sthana — Therapeutic Principles, Chapter 12: Edema Treatment (Shvayathu Chikitsa / श्वयथुचिकित्सा); Chikitsa Sthana — Therapeutic Principles, Chapter 24: Alcoholism Treatment (Madatyaya Chikitsa / मदात्ययचिकित्सा)

Patient should drink goat-meat juice with long pepper, barley, horse gram, ginger, pomegranate, emblic myrobalan, and unctuous articles.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 8: Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं)

Sugar candy, bamboo manna, long pepper, cardamom, cinnamon — each doubled in ratio (4:2:1:0.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 8: Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं)

Himalayan fir, black pepper, ginger, long pepper in doubling ratio (1:2:3:4), with cinnamon and cardamom at half ratio.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 8: Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं)

Add sugar at 8x the long pepper amount.

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 8: Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं)

Milk prepared with dry ginger and daruharidra or prepared with shyama, castor root and black pepper, or prepared with cinnamon, devadaru, punarnava and dry ginger;

— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 12: Edema Treatment (Shvayathu Chikitsa / श्वयथुचिकित्सा)

Source: Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 8: Consumption and Wasting Disease Treatment (Rajayakshma Chikitsa / राजयक्ष्मचिकित्सितं); Chikitsa Sthana — Therapeutic Principles, Chapter 12: Edema Treatment (Shvayathu Chikitsa / श्वयथुचिकित्सा)

That which forcefully uproots adhered Dosha accumulations (especially Kapha) — that is Chedana (excising), like Chara, Maricha (Piper nigrum/black pepper), and Shilajatu.

— Sharangadhara Samhita, Purva Khanda, Chapter 4: Dipana-Pachana Adikathanam (Digestive Actions etc.)

That substance which, by its own potency, expels accumulated Doshas from the channels (Srotas) — that is Pramathi (churning/expectorant), like Maricha (Piper nigrum/black pepper) and Vacha (Acorus calamus).

— Sharangadhara Samhita, Purva Khanda, Chapter 4: Dipana-Pachana Adikathanam (Digestive Actions etc.)

In Vishama Jvara (intermittent/malarial fever): the juice of Tulasi (holy basil — Ocimum sanctum) leaves mixed with Maricha (black pepper — Piper nigrum) powder, or the juice of Dronapushpi (Leucas cephalotes), destroys intermittent fevers.

— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

Tulasi with black pepper is a time-honored remedy for malarial and intermittent fevers, combining antipyretic and bioavailability-enhancing actions.

— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

The warm juice of Shashamundi (Clerodendrum infortunatum) dusted with Maricha (black pepper — Piper nigrum) powder, when practiced for seven days, conquers Suryavarta (frontal headache aggravated by sunlight) and Ardhavabhedaka (migraine/hemicrania).

— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

Source: Sharangadhara Samhita, Purva Khanda, Chapter 4: Dipana-Pachana Adikathanam (Digestive Actions etc.); Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

That which forcefully uproots adhered Dosha accumulations (especially Kapha) — that is Chedana (excising), like Chara, Maricha (Piper nigrum/black pepper), and Shilajatu.

— Sharangadhara Samhita, Purva Khanda, Chapter 4: Dipana-Pachana Adikathanam (Digestive Actions etc.)

That substance which, by its own potency, expels accumulated Doshas from the channels (Srotas) — that is Pramathi (churning/expectorant), like Maricha (Piper nigrum/black pepper) and Vacha (Acorus calamus).

— Sharangadhara Samhita, Purva Khanda, Chapter 4: Dipana-Pachana Adikathanam (Digestive Actions etc.)

In Vishama Jvara (intermittent/malarial fever): the juice of Tulasi (holy basil — Ocimum sanctum) leaves mixed with Maricha (black pepper — Piper nigrum) powder, or the juice of Dronapushpi (Leucas cephalotes), destroys intermittent fevers.

— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

Tulasi with black pepper is a time-honored remedy for malarial and intermittent fevers, combining antipyretic and bioavailability-enhancing actions.

— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

The warm juice of Shashamundi (Clerodendrum infortunatum) dusted with Maricha (black pepper — Piper nigrum) powder, when practiced for seven days, conquers Suryavarta (frontal headache aggravated by sunlight) and Ardhavabhedaka (migraine/hemicrania).

— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

Source: Sharangadhara Samhita, Purva Khanda, Chapter 4: Dipana-Pachana Adikathanam (Digestive Actions etc.); Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)

The best anjana (collyrium) for abhishyanda is prepared with goat's milk, gairika (red ochre), saindhava (rock salt), krishna (black pepper), and nagara (ginger) in increasing proportions.

— Sushruta Samhita, Uttara Tantra, Chapter 9: Vatabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Vata-type Conjunctivitis)

Jasmine flowers, saindhava (rock salt), shringavera (ginger), krisna (black pepper) seeds, and the essence of kitashatru (neem) — this ground preparation with honey should be fearlessly applied as anjana in netra-paka (eye suppuration).

— Sushruta Samhita, Uttara Tantra, Chapter 12: Raktabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Blood-type Conjunctivitis)

Then rubbing should be done with saindhava (rock salt), kasisa (green vitriol), and black pepper.

— Sushruta Samhita, Uttara Tantra, Chapter 15: Chhedya Roga Pratishedha Adhyaya (Chapter on Treatment of Diseases Requiring Excision)

Gairika (red ochre), saindhava (rock salt), black pepper, godanta (an animal tooth) ink, beef, pepper seeds, shirisha (Albizia) seeds, and manashila (realgar/arsenic disulfide).

— Sushruta Samhita, Uttara Tantra, Chapter 17: Drishtigata Roga Pratishedha Adhyaya (Chapter on Treatment of Diseases of Vision / Drishti Roga)

With flowers of kubjaka (rose), ashoka, shala (sal tree), amra (mango), priyangu, nalina (lotus), and utpala (blue lotus), combined with haritaki, krisna (black pepper), pathya (haritaki), and amalaka (gooseberry).

— Sushruta Samhita, Uttara Tantra, Chapter 17: Drishtigata Roga Pratishedha Adhyaya (Chapter on Treatment of Diseases of Vision / Drishti Roga)

Source: Sushruta Samhita, Uttara Tantra, Chapter 9: Vatabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Vata-type Conjunctivitis); Uttara Tantra, Chapter 12: Raktabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Blood-type Conjunctivitis); Uttara Tantra, Chapter 15: Chhedya Roga Pratishedha Adhyaya (Chapter on Treatment of Diseases Requiring Excision); Uttara Tantra, Chapter 17: Drishtigata Roga Pratishedha Adhyaya (Chapter on Treatment of Diseases of Vision / Drishti Roga)

Milk boiled with saindhava (rock salt), udicya, yashtimadhu (licorice), and pippali (long pepper), reduced to half — is beneficial for irrigation (seka) and also for ashchyotana (eye drops).

— Sushruta Samhita, Uttara Tantra, Chapter 9: Vatabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Vata-type Conjunctivitis)

The best anjana (collyrium) for abhishyanda is prepared with goat's milk, gairika (red ochre), saindhava (rock salt), krishna (black pepper), and nagara (ginger) in increasing proportions.

— Sushruta Samhita, Uttara Tantra, Chapter 9: Vatabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Vata-type Conjunctivitis)

Mahaushada (ginger), pippali (long pepper), musta (nut grass), saindhava (rock salt), and white maricha (pepper) — ground with matulunga (citron) juice — this eye anjana quickly destroys pishtaka (paste-like eye lesion).

— Sushruta Samhita, Uttara Tantra, Chapter 11: Kaphabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Kapha-type Conjunctivitis)

River-born substance, agra, white pepper, and Nepali-origin herb in equal proportions, with matulunga (citron) juice — this formulation destroys itching with a single application of anjana.

— Sushruta Samhita, Uttara Tantra, Chapter 11: Kaphabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Kapha-type Conjunctivitis)

Juice of shirisha (Albizia) flowers with sura (fermented liquor), maricha (pepper), and earths — combined with honey, gairika (red ochre) is beneficial as collyrium.

— Sushruta Samhita, Uttara Tantra, Chapter 12: Raktabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Blood-type Conjunctivitis)

Source: Sushruta Samhita, Uttara Tantra, Chapter 9: Vatabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Vata-type Conjunctivitis); Uttara Tantra, Chapter 11: Kaphabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Kapha-type Conjunctivitis); Uttara Tantra, Chapter 12: Raktabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Blood-type Conjunctivitis)

Medical Disclaimer: The information on this page is for educational purposes only and is not intended as medical advice. Ayurvedic treatments should be pursued under the guidance of a qualified practitioner (BAMS/MD Ayurveda). Always consult your healthcare provider before starting any new treatment. Content is sourced from classical Ayurvedic texts and may not reflect the latest medical research.