Overview
Gokshura is one of the herbs traditionally used in Ayurveda for swelling during pregnancy. Gokshura (Tribulus terrestris), known as Gokhru, is one of the most important herbs for the urinary system in Ayurveda. It is the last member of the Dashamula (Laghu Panchamula) group. It is a prostrate or spreading herb found commonly as a weed across India. The fruit has sharp spines that resemble cow's hooves (Go = cow, Kshura = hoof). Gokshura is the premier herb for urinary disorders -- it acts as a diuretic, dissolves urinary stones (Ashmari), relieves painful urination (Mutrakrichchhra), and manages diabetes (Prameha). It is also highly valued as a Vrishya (aphrodisiac) that improves sexual function and semen quality. The text mentions it as Madhura (sweet) in all stages -- taste, potency, and post-digestive effect -- with cooling energy, making it excellent for Pitta-related urinary conditions.
How Gokshura Helps with Swelling During Pregnancy
According to Ayurvedic pharmacology, Gokshura has specific properties that make it valuable for addressing swelling during pregnancy:
- Potency (Virya): Sheeta (cold)
- Post-digestive (Vipaka): Madhura (sweet)
- Taste (Rasa): Madhura (sweet)
- Qualities (Guna): Guru (heavy), Snigdha (unctuous)
Ayurvedic Properties
- Taste (Rasa)
- Sweet (Madhura)
- Quality (Guna)
- Heavy (Guru), Unctuous (Snigdha)
- Potency (Virya)
- Cold (Sheeta)
- Post-digestive (Vipaka)
- Sweet (Madhura)
- Key Constituents
- Saponins, Nitrates (5%), Dioscin, Diosgenin. Fruit contains alkaloids and flavonoids.
- Also Known As
- English: Small Caltrops, Puncture Vine, Tribulus
Sanskrit: गोक्षुर, गोकण्टक, स्वादुकण्टक, त्रिकण्टक, वनशृङ्गाट
Hindi: गोखरू, छोटा गोखरू
▶ Classical Text References (5 sources)
- Ashmari (urinary calculi/stones)
- Mutrakrichchhra (dysuria/painful urination)
- Prameha (diabetes/urinary disorders)
- Shukradosha (seminal disorders)
- Vandhyatva (infertility)
- Hridroga (heart disease)
Source: Bhavaprakash Nighantu, Varga 3
, Rishabhaka, Madhuka – Licorice – Glycyrrhiza glabra, Madhuka – Madhuka longifolia, Bimbi – Coccinia grandis / indica, Vidari – Pueraria tuberosa, the two Sravani – Mundi and Sravani, Ksheerasukla, Tugaksiri, the two Ksheerini, Gambhari, the two Saha, milk, sugarcane, Gokshura, Ksaudra, Draksa etc.
— Astanga Hridaya Sutrasthan, Rasabhediyam Tastes, Their
Source: Astanga Hridaya Sutrasthan, Rasabhediyam Tastes, Their
Bala, vidari, hrasva panchamula (shalaparni, prsniparni, brihati, kantakari and gokshura), punarnava, and the sungas (terminal buds) of five kshirivrikshas (nyagrodha, udumbara, asvattha, madhuka and plaksha)- one pala of each of these drugs should be made to a decoction.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 11: Chest Injury and Emaciation Treatment (Kshatakshina Chikitsa / क्षतक्षीणचिकित्सा)
f) and gokshura (Tribulus terrestris Linn)) added with potent purgatives should be given to the patients.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 13: Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा)
Pippali, pippalimoola, patha, chavya, indrayava, nagara, chitraka, ativisha, hingu, svadamishthra (gokshura), katurohini and vacha are taken in one karsha (12 gm) quantity each.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 15: Digestive Disorders Treatment (Grahani Chikitsa / ग्रहणीचिकित्सा)
1:77-85) alongwith hingu- Ferula asafetida (L), arka- Calotropis Gigantea (Linn) roots, dashamula (bilva, syonaka, gambhari, patala, ghanikarnika, salaparni, prishnaparni, brahati, kantakari, gokshura), snuhi, chitraka and punarnava to be taken in equal quantity.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 26: Three Vital Organs Treatment (Trimarmiya Chikitsa / त्रिमर्मीयचिकित्सा)
Massage, unctuous and non-unctuous medicated enema, unctuous poultice, uttarabasti (urethral douche) and sekam (affusion) as well as the diet of soup prepared with sthiradi (laghupanchamula drugs-salaparni, prishna parni,brahati,kantakari,and gokshura) and other vata- alleviating drugs to be administered.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 26: Three Vital Organs Treatment (Trimarmiya Chikitsa / त्रिमर्मीयचिकित्सा)
Source: Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 11: Chest Injury and Emaciation Treatment (Kshatakshina Chikitsa / क्षतक्षीणचिकित्सा); Chikitsa Sthana — Therapeutic Principles, Chapter 13: Abdominal Diseases Treatment (Udara Chikitsa / उदरचिकित्सा); Chikitsa Sthana — Therapeutic Principles, Chapter 15: Digestive Disorders Treatment (Grahani Chikitsa / ग्रहणीचिकित्सा); Chikitsa Sthana — Therapeutic Principles, Chapter 26: Three Vital Organs Treatment (Trimarmiya Chikitsa / त्रिमर्मीयचिकित्सा)
Rasna Saptaka Kvatha: Rasna (Pluchea lanceolata), Dashamula (ten roots), Gokshura (Tribulus terrestris), Atibala (Abutilon indicum), Punarnava (Boerhavia diffusa), and Guduchi (Tinospora cordifolia) — these seven constitute the excellent decoction known as Rasna Saptaka.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)
Gokshuradi Guggulu [for Prameha/urinary disorders]: twenty-eight Pala of Gokshura (Tribulus terrestris) should be taken and decocted in six times the water.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 4: Gutikakalpana (Tablet/Pill Preparations)
— and Gokshura (Tribulus terrestris), each one Pala, should be prepared by the wise.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 6: Churnakalpana (Powder Preparations - Extended)
Musalyadi Churna [for Klaivya/impotence]: the powder of Musali tuber (Chlorophytum borivilianum), combined with Guduchi Sattva (extract of Tinospora cordifolia), Vanari, Gokshura (Tribulus terrestris), Shalmali (Bombax ceiba), sugar, and Amalaki (Emblica officinalis) — all stirred in ghee and milk, should be given.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 6: Churnakalpana (Powder Preparations - Extended)
The ingredients are: Pippali (Piper longum), Pippali Moola (root of Piper longum), Chitraka (Plumbago zeylanica), Hasti Pippali (Scindapsus officinalis), Shvadamshtra/Gokshura (Tribulus terrestris), Nagara/Shunthi (Zingiber officinale), Dhanya/Dhanyaka (Coriandrum sativum), Patha (Cissampelos pareira), Bilva (Aegle marmelos), and Yavanika (Trachyspermum ammi).
— Sharangadhara Samhita, Madhyama Khanda, Chapter 9: Snehakalpana (Oleaginous Preparations - Ghrita and Taila)
Source: Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.); Madhyama Khanda, Chapter 4: Gutikakalpana (Tablet/Pill Preparations); Madhyama Khanda, Chapter 6: Churnakalpana (Powder Preparations - Extended); Madhyama Khanda, Chapter 9: Snehakalpana (Oleaginous Preparations - Ghrita and Taila)
Decoction of Bala, Darbha, and Gokshura reduced to one-quarter, mixed with sugar and ghee, removes Vata fever.
— Sushruta Samhita, Uttara Tantra, Chapter 39: Jvarapratishedha
A potion composed of the decoction of Sarivd, the two kinds of Yashti-madhu, Drdksha, Payasya, Kshira-morata, Vidari and Gokshura mixed with honey should be administered to the patient.
— Sushruta Samhita, Kalpa Sthana, Chapter 8: Kita-Kalpa
A potion composed of the decoction of Sarivd, the two kinds of Yashti-madhu, Drdksha, Payasya, Kshira-morata, Vidari and Gokshura mixed with honey should be administered to the patient.
— Sushruta Samhita, Kita-Kalpa
Source: Sushruta Samhita, Uttara Tantra, Chapter 39: Jvarapratishedha; Kalpa Sthana, Chapter 8: Kita-Kalpa; Kita-Kalpa
Safety & Precautions
Gokshura has a long food-and-medicine history across India and the Mediterranean, and at traditional doses it's generally well-tolerated. The caution flags are mostly about its diuretic action, its hormonal effects, and the fact that modern bodybuilding extracts are dosed far higher than anything classical Ayurveda recommends. Pay attention to dose, and most people do fine.
Blood Pressure and Hypotensive Medications
Gokshura is a diuretic and has mild blood-pressure-lowering properties. If you take antihypertensive drugs (ACE inhibitors, ARBs, calcium channel blockers, beta-blockers), the effect can be additive — check your blood pressure at home if you start using it, and speak to your doctor before combining.
Diabetes and Blood Sugar Medication
Classical texts list Gokshura as useful in Prameha (diabetes), and modern studies suggest a mild glucose-lowering effect. If you're on insulin, sulfonylureas, or other hypoglycaemic drugs, monitor your levels when starting Gokshura.
Diuretic Effect and Electrolytes
Because Gokshura increases urine output, long-term high-dose use can affect potassium and sodium balance. This matters mostly if you're already on a prescription diuretic (furosemide, hydrochlorothiazide), in which case the combination risks electrolyte depletion and dehydration. Stay well-hydrated, and consider periodic electrolyte checks during extended courses.
Lithium
Diuretic herbs can reduce lithium clearance by the kidneys, potentially raising blood lithium to toxic levels. If you take lithium for bipolar disorder, avoid Gokshura or use it only under medical supervision with monitored lithium levels.
Hormone-Sensitive Conditions
Because concentrated Tribulus extracts can influence reproductive hormones, it's theoretically prudent to avoid them in hormone-sensitive cancers (prostate, breast). The evidence for an actual clinical effect is weak, but the caution is worth heeding until more data emerges. If you have a history of prostate or breast cancer, consult your oncologist before using concentrated extracts.
Gout and Uric Acid
Ironically — given that classical Ayurveda uses Gokshura for gout — a few modern reports suggest high-dose Tribulus extracts can transiently raise uric acid. If you have active gout, start with low doses and observe. The classical whole-fruit preparations appear safer in this regard than concentrated saponin extracts.
Bleeding Disorders and Surgery
Some Tribulus preparations have been associated with mild antiplatelet effects. If you take anticoagulants (warfarin, apixaban) or have a bleeding disorder, use caution. Stop Gokshura at least two weeks before planned surgery.
MAO Inhibitors and Antipsychotics
Gokshura fruit contains small amounts of harmala alkaloids, which may speed the breakdown of MAO inhibitors and certain antipsychotic drugs, reducing their effectiveness. If you're on these medications, avoid Gokshura.
Dose Matters: Classical vs Modern Bodybuilding Extracts
Classical Ayurveda uses 3-6 grams of whole Gokshura powder per day. Modern bodybuilding Tribulus extracts often deliver 1000-2000 mg of a product standardised to 40-90% saponins — many times the active constituent load of the traditional dose. More is not better. Stick to label directions, and if you're using a concentrated extract, there's no need to layer it on top of traditional powder.
Pregnancy and Dryness
Classical Ayurveda cautions against Gokshura during pregnancy because its action "moves downward" (Adhobhaghara) — see the populations section for detail. It's also traditionally contraindicated in severe dehydration and dryness (Rukshata), since it further increases urine output. Rehydrate first, then reassess.
Other Herbs for Swelling During Pregnancy
See all herbs for swelling during pregnancy on the Swelling During Pregnancy page.
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.