Long Pepper (Pippali) for Arthritis: Does It Work?
Does Long Pepper (Pippali) help with arthritis? Ayurvedic herbal tradition lists it for arthritis, rheumatism, gout, lumbago and sciatica. Its strongest case is for cold, stiff joints and for the toxin-driven pattern Ayurveda calls Ama Vata. It is a poor fit for hot, inflamed joints.
Long Pepper, botanically Piper longum, is a close relative of black pepper. It tastes pungent (Katu), has a heating potency (Ushna Virya), the warming effect a herb has after you take it, and has a sweet post-digestive effect (Madhura Vipaka). The Bhavaprakash Nighantu lists it as calming both Vata and Kapha (Vata-Kapha Shamaka).
Why That Matters for Joints
Ayurveda names Vata, the dosha of movement, dryness and cold, as the primary driver of arthritis. Long Pepper warms and calms Vata, and tradition says it removes cold, congestion and Ama, the undigested metabolic waste that can lodge in the joints.
It also acts on the marrow and nerve tissue and is described as analgesic. The trade-off is heat: it aggravates Pitta, so tradition advises caution in high Pitta or inflammatory conditions.
How Long Pepper Helps with Arthritis
Ayurveda separates arthritis into patterns. Dry, cracking, cold joints point to Vata. Stiff, swollen, cold and clammy joints point to Kapha. Hot, red, inflamed joints point to Pitta. Long Pepper's profile matches the first two and works against the third.
Heat Against Cold and Stiffness
Long Pepper is pungent and heating, which counters the cold that Vata and Kapha share. The Bhavaprakash Nighantu classes it as calming Vata and Kapha. Its sweet post-digestive effect sets it apart from most pungent spices: sweet post-digestive action is linked with nourishing tissue, so Long Pepper warms without simply drying the body out.
Kindling Digestion to Clear Ama
In the rheumatoid-type pattern (Ama Vata), weak digestion produces Ama, which combines with Vata and settles in the joints, bringing morning stiffness and heavy, sticky-feeling joints. Long Pepper is a digestive stimulant (Deepani) that kindles the digestive fire (Agni), and tradition says it removes Ama and revives weakened organic functions.
This is why it sits inside Trikatu, the three-pungent formula commonly used for weak digestion and Kapha or Ama conditions. Ayurveda's rule for Ama Vata is to clear Ama first, then reduce Vata, then rebuild, and Long Pepper belongs mainly to that first phase.
A Carrier for Other Herbs
Long Pepper contains piperine, which increases the absorption of other compounds, most notably curcumin from Turmeric. Classical Ayurveda describes it as a herb that carries the action of other herbs deeper into the tissues (Yogavahi).
How to Use Long Pepper for Arthritis
Long Pepper is potent, and the doses are small. Tradition uses the fruit, prepared as an infusion, milk decoction, medicated oil or powder. For arthritis, the form depends on whether you are clearing Ama or warming cold, stiff joints.
| Form | Dose | Best For | When |
|---|---|---|---|
| Trikatu (with ginger and black pepper) | 1 to 3 g | Ama Vata: morning stiffness, coated tongue, low appetite | Before meals with warm water or honey |
| Long Pepper powder | 100 to 500 mg | Cold, stiff Vata or Kapha joints | After meals with warm water |
| Milk decoction (Pippali Ksheera) | 1 to 2 g in 200 ml milk | Vata-type joints with weakness or depletion | Morning, on an empty stomach |
| Capsules or extract | 250 to 500 mg | Convenience, or alongside Turmeric for absorption | With meals |
Choosing the Vehicle
The vehicle you take a herb with is called the anupana. Warm water suits the digestive, Ama-clearing role. Honey suits Kapha-type joints. Warm milk or ghee suits dry Vata-type joints and buffers Long Pepper's heat if Pitta is sensitive.
Making the Milk Decoction
Simmer 1 to 2 g of Long Pepper powder in 200 ml of milk plus 200 ml of water until the water evaporates and only the milk remains. Drink it warm.
How Long to Take It
Low daily doses of 0.5 to 1 g as part of formulas like Trikatu are considered safe for long periods. Keep plain doses under 5 g a day, and avoid prolonged high-dose use outside a supervised rejuvenation protocol. Our sources give no fixed timeline for joint results.
Frequently Asked Questions
Is Long Pepper good for inflamed, hot joints?
Usually not. It is heating and aggravates Pitta, and tradition advises caution in high Pitta or inflammatory conditions. Hot, red, burning joints call for cooling herbs instead.
Can I take Long Pepper with arthritis medication?
Check with your doctor first. Long Pepper contains piperine, which inhibits several liver and gut enzymes and can raise blood levels of many drugs, including blood thinners and immunosuppressants. Culinary amounts are generally not a concern; daily supplements can be.
Long Pepper vs Turmeric for arthritis?
They work best together. Turmeric is the anti-inflammatory joint herb, and Long Pepper's piperine increases the absorption of curcumin, Turmeric's main compound.
Long Pepper vs Ginger for arthritis?
Both are pungent and warming, and both appear in Trikatu. Ginger is linked with arthritis in the Charaka Samhita chapter on Vata disorders. Long Pepper adds a sweet post-digestive effect that makes it more nourishing.
Is Long Pepper safe in pregnancy?
Small culinary amounts are traditionally considered acceptable, but medicinal doses and concentrated extracts should be avoided during pregnancy.
Recommended: Start Long Pepper for Arthritis
If you want to start using Long Pepper for arthritis today, here is the simplest starting point.
Best form: Trikatu powder, the three-pungent blend of Long Pepper, ginger and black pepper, because it targets the weak digestion and Ama that Ayurveda places at the root of stiff, heavy joints.
Kitchen version: take 1 g of Trikatu with a little honey or warm water before lunch and dinner.
Match it to your type: if your joints are cold, stiff and swollen (Kapha or Ama), take it with honey or warm water. If they are dry and cracking (Vata), try 1 to 2 g of Long Pepper simmered in milk. If they are hot and red (Pitta), skip Long Pepper and choose a cooling herb.
Find Long Pepper on Amazon ↗ Trikatu Powder ↗
Long Pepper's piperine can raise blood levels of many medications, so check with your doctor first if you take prescription drugs, and avoid medicinal doses in pregnancy.
Safety & Precautions
Pippali is potent, and unlike the gentler tonics such as Amla or Ashwagandha, it should be used with awareness of dose and duration. Classical texts explicitly caution against taking Pippali at high doses for long periods, the Ashtanga Hridaya notes that Pippali is beneficial only when used as part of a proper Rasayana protocol; otherwise it can irritate tissue.
Pitta Aggravation
Pippali is heating (Ushna Virya) and increases Pitta. Its sweet post-digestive effect softens this somewhat, Pippali is noticeably milder on Pitta than black pepper, but the aggravation is still real. Signs of overuse include heartburn, loose stools, excessive thirst, skin rashes, and irritability. People with a Pitta constitution, or with active Pitta conditions like acid reflux, inflammatory skin disease, or summer heat sensitivity, should use Pippali sparingly and always with a cooling vehicle such as milk or ghee.
GERD and Acid Reflux
Anyone with active acid reflux, gastritis, or peptic ulcer disease should avoid Pippali churna taken plain. If use is necessary for respiratory or digestive reasons, restrict to low doses (0.5 g or less) taken in milk or with ghee, and stop if symptoms worsen.
Drug Interactions (Piperine)
Pippali contains piperine, the same compound that makes black pepper bioavailability-enhancing. Piperine inhibits several liver and gut enzymes (CYP3A4, CYP2D6, P-glycoprotein) and can therefore increase the blood levels of many medications. If you take prescription drugs, especially blood thinners, antiepileptics, immunosuppressants, antidepressants, or chemotherapy agents, consult your doctor before adding concentrated Pippali to your routine. Culinary-scale use in food is generally not a concern, but daily supplementation can be.
Duration and Dose Ceiling
Classical guidance recommends keeping daily plain Pippali doses under 5 grams and avoiding prolonged high-dose use outside a supervised Rasayana protocol. The Vardhamana Pippali method, graded increase followed by graded decrease, is the safer and more traditional way to use Pippali at therapeutic levels. Low-dose daily use (0.5-1 g) as part of formulas like Trikatu or Chyawanprash is considered safe for long periods.
Pregnancy and Nursing
Small culinary amounts of Pippali used in cooking are traditionally considered acceptable. Medicinal doses, concentrated extracts, and the Vardhamana protocol should be avoided during pregnancy because of the herb's heating, penetrating action and the historical use of pungent herbs as uterine stimulants. During nursing, small doses are sometimes used to support maternal digestion and lactation, but always under practitioner guidance.
Overdose Signs
Excessive Pippali shows up as burning sensations in the chest or stomach, loose stools, excessive sweating, or mouth ulcers. These resolve by stopping the herb and taking cooling foods such as milk, ghee, or coconut water. If symptoms persist beyond 48 hours, consult a practitioner.
Other Herbs for Arthritis
See all herbs for arthritis on the Arthritis page.
▶ Classical Text References (5 sources)
Pippali (long pepper) ले मला वीदश ु ीत आ ा गव ु ि न ना च प पल १६१ सा शु का वपर ता अतः ि न धा व ृ या रसे कटुः वाद ुपाका अ नल ले म वासकासापहा सरा १६२ न ताम युपयु जीत रसायन व धं वना Long pepper, in its green state aggravates kapha, is sweet in taste and cold in potency, not easily digestible and is unctous.
— 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
Pippali (long pepper) ले मला वीदश ु ीत आ ा गव ु ि न ना च प पल १६१ सा शु का वपर ता अतः ि न धा व ृ या रसे कटुः वाद ुपाका अ नल ले म वासकासापहा सरा १६२ न ताम युपयु जीत रसायन व धं वना Long pepper, in its green state aggravates kapha, is sweet in taste and cold in potency, not easily digestible and is unctous.
— Astanga Hridaya, Chapter 6: Annaswaroopa Food
Long pepper should not be used in excess, for long period, without following the regimen of rejuvenation therapy.
— Astanga Hridaya, Chapter 6: Annaswaroopa Food
163 त वदा कमेत च यं कटुकं जयेत ् १६४ थौ याि नसदन वासकास ल पदपीनसान ् Similar is ardraka (fresh ginger, green); Trikatu - Pepper, long pepper and ginger – together known as trikatu, useful in obesity,Asthma, dyspepsia, cough, filariasis and chronic nasal catarrh.
— 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
म य न तेलन नेहे सा धताः प पल कां ये दशाहमु षतं स प णं व यजेत ् करे Pippali (long pepper) processed with the oil in which fish is fried should be rejected.
— Astanga Hridaya, Chapter 7: Anna Raksha Vidhi
म य न तेलन नेहे सा धताः प पल कां ये दशाहमु षतं स प णं व यजेत ् करे Pippali (long pepper) processed with the oil in which fish is fried should be rejected.
— 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
Tikta and Katu त तं कटु च भू य ठं अ ु यं वातकोपनम ् ऋते अम ृतापटोल यां शु ठ कृ णा रसोनतः Generally bitters and pungents are non-aphrodisiacs and aggravate (increase) Vata except for Amrita (Indian tinospora), Patoli, Shunthi (ginger), Krishna (long pepper) and Rasona – Garlic – Alium sativum.
— Astanga Hridaya, Chapter 10: Rasabhediyam Tastes, Their
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
Snehavyapat Cikitsa – treatment of bad effects :ु त ृ णो लेखन वेद ापाना नभे षजम ् त ा र टखलो ालयव यामाकको वम ् प पल यथा वं फला ौ प यागोमू गु गुलु तरोगं च नेह याप द साधनम ् Kshut, Trushna – Producing hunger, thirst, Ulleka, sveda – vomiting and perspiration, administering foods, drinks and medicines which are dry (cause dryness), use of Takrarista (fermented medicine from buttermilk), Khala – menu prepared from curds, Uddala, Yava (barley), Shyamaka, Kodrava, Pippali (long pepper), Triphala
— Astanga Hridaya, Chapter 16: Snehavidhi oleation therapy
फला प पल प यागु गु वा द वपा चतान ् नेहान ् यथा वमे तेषां योजयेद वका रणः In these conditions, fats boiled with Triphala, Pippali, Pathya, Guggulu, etc.
— Astanga Hridaya, Chapter 16: Snehavidhi oleation therapy
Snehavyapat Cikitsa – treatment of bad effects :ु त ृ णो लेखन वेद ापाना नभे षजम ् त ा र टखलो ालयव यामाकको वम ् प पल यथा वं फला ौ प यागोमू गु गुलु तरोगं च नेह याप द साधनम ् Kshut, Trushna – Producing hunger, thirst, Ulleka, sveda – vomiting and perspiration, administering foods, drinks and medicines which are dry (cause dryness), use of Takrarista (fermented medicine from buttermilk), Khala – menu prepared from curds, Uddala, Yava (barley), Shyamaka, Kodrava, Pippali (long pepper), Triphala
— Astanga Hridaya, Chapter 16: Snehavidhi oleation therapy
(long pepper, Amla, White mustard and black salt) त वेगानाम वतनम ् विृ तः स वब धा वा केवल यौषध य वा अयोग तेन न ठ वक डूकोठ वरादयः Less bouts – Ayoga - Non – commencement of bouts, bouts coming on with hindrance or elimination of the medicine only- are the features of Ayoga- inadequate bouts; from it arise, excess of expectoration, itching, appearance of skin rashes, fever etc.
— Astanga Hridaya, Chapter 18: Vamana Virechana Vidhi
burning of the skin should be done either with a lighted wick, tooth of a cow, rock crystal, arrow head or others – such as Pippali, excreta of goat, iron- rod, piece of bangles.
— Astanga Hridaya, Chapter 30: Kshar-AgniKarma Vidhi
Source: Astanga Hridaya, Ch. 6, Ch. 6, Ch. 6, Ch. 6, Ch. 6, Ch. 7, Ch. 7, Ch. 7, Ch. 10, Ch. 10, Ch. 14, Ch. 16, Ch. 16, Ch. 16, Ch. 18, Ch. 30
Pippali (long pepper) ले मला वीदश ु ीत आ ा गव ु ि न ना च प पल १६१ सा शु का वपर ता अतः ि न धा व ृ या रसे कटुः वाद ुपाका अ नल ले म वासकासापहा सरा १६२ न ताम युपयु जीत रसायन व धं वना Long pepper, in its green state aggravates kapha, is sweet in taste and cold in potency, not easily digestible and is unctous.
— Astanga Hridaya Sutrasthan, 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 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
म य न तेलन नेहे सा धताः प पल कां ये दशाहमु षतं स प णं व यजेत ् करे Pippali (long pepper) processed with the oil in which fish is fried should be rejected.
— 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
Source: Astanga Hridaya Sutrasthan, Annaswaroopa Food; Anna Raksha Vidhi; Rasabhediyam Tastes, Their
Lists 20+ medicinal plants including Apamarga, Pippali, Maricha, Vidanga for shirovirechana (nasal catharsis) indicated for headache, rhinitis, epilepsy, and anosmia.
— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 2: Dehusked Seeds of Apamarga & Panchakarma (Apamarga Tanduliya Adhyaya / अपामार्गतण्डुलीय अध्याय)
Twenty-eight types of medicated gruels (yavagu) described for various conditions: Pippali gruel for digestion (v.
— Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 2: Dehusked Seeds of Apamarga & Panchakarma (Apamarga Tanduliya Adhyaya / अपामार्गतण्डुलीय अध्याय)
), pippali (Piper longum Linn), pippali moola (root of Piper longum Linn.
— Charaka Samhita, Sharira Sthana — Human Body & Embryology, Chapter 8: Guidelines for Lineage (Jatisutriya Sharira / जातिसूत्रीय शरीर)
), hasti pippali (Scindapsus officinalis Schott), mandukaparni (Centella asiatica urban.
— Charaka Samhita, Sharira Sthana — Human Body & Embryology, Chapter 8: Guidelines for Lineage (Jatisutriya Sharira / जातिसूत्रीय शरीर)
Powders of haritaki, rock salt, amalaka, jaggery, vacha, vidanga, haridra, pippali and dry ginger should be taken with hot water by adequately oleated and fomented individuals.
— Charaka Samhita, Chikitsa Sthana — Therapeutic Principles, Chapter 1: Rejuvenation Therapy (Rasayana Chikitsa / रसायन चिकित्सा)
Source: Charaka Samhita, Sutra Sthana — Fundamental Principles, Chapter 2: Dehusked Seeds of Apamarga & Panchakarma (Apamarga Tanduliya Adhyaya / अपामार्गतण्डुलीय अध्याय); Sharira Sthana — Human Body & Embryology, Chapter 8: Guidelines for Lineage (Jatisutriya Sharira / जातिसूत्रीय शरीर); Chikitsa Sthana — Therapeutic Principles, Chapter 1: Rejuvenation Therapy (Rasayana Chikitsa / रसायन चिकित्सा)
Utpata (eruption), Palishosha (ear lobe dryness), Vidari (fissure), Duhkhavardhana (pain-increasing), Paripota (ulceration), Lehi (adhesive), and Pippali (nodular).
— Sharangadhara Samhita, Purva Khanda, Chapter 7: Rogagananam (Enumeration of Diseases)
Its juice, combined with Pippali (long pepper — Piper longum) powder, alleviates Kasa (cough), Shvasa (dyspnea), and Kapha disorders.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.)
Pippali (long pepper — Piper longum), Maricha (black pepper — Piper nigrum), Shunthi (dry ginger), Guduchi (Tinospora cordifolia), Abhaya (Haritaki — Terminalia chebula), Katuka (Picrorhiza kurroa), Bharangi (Clerodendrum serratum), and Kantakari (Solanum xanthocarpum) — this decoction alleviates Jvara (fever).
— Sharangadhara Samhita, Madhyama Khanda, Chapter 2: Kvathakalpana (Decoction Preparations)
Hingvashtaka Churna: Hingu (asafoetida — Ferula assa-foetida), Saindhava (rock salt), Shunthi (dry ginger — Zingiber officinale), Krishna Jiraka (black cumin — Nigella sativa), Pippali (long pepper — Piper longum), Yamani (Trachyspermum ammi), and Maricha (black pepper — Piper nigrum) — these eight ingredients constitute Hingvashtaka.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 3: Churnakalpana (Powder Preparations)
Lavanbhaskar Churna: Sauvarchala (Sochal salt), Vida (Vida salt), Kacha salt, Samudra (sea salt), and Saindhava (rock salt), along with Dhanyaka (coriander — Coriandrum sativum), Pippali (long pepper), Shunthi (dry ginger), Talisa (Abies webbiana), and Nagakeshara (Mesua ferrea) —.
— Sharangadhara Samhita, Madhyama Khanda, Chapter 3: Churnakalpana (Powder Preparations)
Source: Sharangadhara Samhita, Purva Khanda, Chapter 7: Rogagananam (Enumeration of Diseases); Madhyama Khanda, Chapter 1: Svarasadikalpana (Svarasa, Kalka, Kvatha, etc.); Madhyama Khanda, Chapter 2: Kvathakalpana (Decoction Preparations); Madhyama Khanda, Chapter 3: Churnakalpana (Powder Preparations)
The cauterizing agents include: Pippali (Piper longum), Ajashakrit (goat dung), Shara (arrow-shaped rods), Shalaka (metal probes), Jambavaushthaira (iron instruments), Chaudra-gunda (honey-wax preparations), and Sneha (medicated oils/ghee) (4).
— Sushruta Samhita, Sutra Sthana, Chapter 12: Agni-karma Vidhi Adhyaya - Cauterization by Fire
Pippali and rods are for skin-level conditions;
— Sushruta Samhita, Sutra Sthana, Chapter 12: Agni-karma Vidhi Adhyaya - Cauterization by Fire
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)
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)
With shirisha (Albizia) seeds, maricha (pepper), pippali (long pepper), and saindhava (rock salt), anjana should be prepared for shukra (corneal opacity).
— Sushruta Samhita, Uttara Tantra, Chapter 12: Raktabhishyanda Pratishedha Adhyaya (Chapter on Treatment of Blood-type Conjunctivitis)
Source: Sushruta Samhita, Sutra Sthana, Chapter 12: Agni-karma Vidhi Adhyaya - Cauterization by Fire; 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)
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