Herb × Condition

Long Pepper for Hiccups

Sanskrit: Pippali | Piper longum Linn

How Long Pepper helps with Hiccups according to Ayurveda. Classical references, dosage, preparation methods, and what modern research says.

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Pippali for Hiccups: Does It Work?

Does Pippali (Long Pepper, Piper longum) help with hiccups (Hikka)? Yes, and the classical authority is unusually concentrated. The Charaka Samhita Chikitsa Sthana 17 is dedicated to Hikka-Shvasa Chikitsa, the joint management of hiccups and dyspnea, and Pippali is the lead respiratory-channel herb in that chapter. The Bhavaprakash Nighantu classifies Pippali as Shwasa-Kasa hara, the karmic category that names breathing-trouble and cough together as Pippali's signature action, the same upper-chest territory where Hikka lives.

Hikka in classical pathology is vitiated Vata, particularly the upward Udana Vayu, blocked by sticky Kapha in the upper channels of the chest and throat. The diaphragm spasms because the wind cannot move where it should. Pippali's property profile fits this exactly: it is pungent (Katu Rasa), hot (Ushna Virya), with a unique sweet post-digestive effect (Madhura Vipaka), and pacifies Vata and Kapha. The sweet vipaka is the rare property that makes Pippali safe in chronic or post-illness Hikka where the airway is already weak; most warming Hikka herbs leave the channel dry, Pippali rebuilds while it clears.

Pippali is the lead herb for chronic, recurring, post-illness, or Vata-Kapha hiccup, particularly the kind that follows bronchitis, pneumonia, or long fever. It is also the central herb of Trikatu, the three-pungent formula the Astanga Hridaya records for "asthma, dyspepsia, cough, filariasis and chronic nasal catarrh". For the everyday Annaja (food-triggered) hiccup, ginger is the kitchen first-line; for the persistent or recurring case, Pippali is the deeper classical answer. The classical protocol for hard-to-clear Hikka uses Pippali with honey for active episodes and Pippali with warm milk for the long-term respiratory rebuilding.

How Pippali Helps with Hiccups

Pippali acts on hiccups through three connected mechanisms, each tied to a property in its energetic profile. The herb is pungent in taste (Katu Rasa), hot in potency (Ushna Virya), and uniquely sweet in post-digestive effect (Madhura Vipaka), with VK-, P+ dosha effect. This combination is what makes Pippali the rare warming herb that clears the diaphragm-blocking Kapha without leaving the channel dry.

Calming Udana Vayu and the diaphragm spasm

Hikka, at its core, is Udana Vayu rising against its proper direction. Pippali's hot potency warms the diaphragm tissue and eases the spasm, while its sweet vipaka prevents the over-drying that purely heating herbs cause. The Astanga Hridaya, Chapter 10 explicitly lists Pippali (as Krishna) among the rare pungent herbs that do not aggravate Vata; this is the property that makes it safe for the underlying Vata-spasm of Hikka. Modern phytochemistry adds that piperine, the principal alkaloid, has documented antispasmodic, prokinetic, and modest bronchodilator activity, all of which support the classical observation that Pippali settles the upper-chest spasm.

Clearing the Avalambaka Kapha block

The second layer of Hikka is the sticky Kapha block in the upper chest and throat that traps Vata. Pippali is described in editorial Ayurvedic medicine as a Rasayana for Pranavaha Srotas, the respiratory channel, and for Avalambaka Kapha, the sub-dosha of Kapha that lubricates the lungs. Its pungent-hot action thins the lodged mucus while the sweet vipaka rebuilds the lining the mucus was sitting on. This is exactly the territory where Hikka rides: when the channel re-opens and the Kapha block clears, Udana Vayu regains its proper downward and lateral movement, and the diaphragm settles. The classical Pippali-with-honey pairing is the household form of this action.

Restoring Agni and breaking the food-trigger cycle

Most everyday hiccups follow eating, and the classical text names this Annaja Hikka, the food-triggered type. Pippali is among the strongest Deepana-Pachana herbs in the pharmacopeia. Bhavaprakash Nighantu places Deepani at the top of its action list, and the Astanga Hridaya records Pippali in Panchakola and Trikatu, the formula for "abdominal tumors, distension, colic, and dyspepsia". By kindling Agni and digesting the residue called Ama, Pippali removes the upstream irritation that drives the diaphragmatic spasm in food-triggered hiccup. The downstream Kapha block in the chest and the upstream weak Agni in the gut are part of the same chain; Pippali addresses both ends.

How to Use Pippali for Hiccups

Pippali for hiccups uses different forms at different stages. Pippali powder with honey is the active-attack form for the post-illness or stuck Kapha-Vata hiccup; Pippali in warm milk is the long-term form for chronic, recurring, or post-bronchitis hiccup; Trikatu is the multi-action daily preventive when weak digestion is the upstream driver.

Forms and Doses for Hiccups

FormDoseBest ForHow to Take
Pippali powder + honey250-500 mg (a small pinch) + 1 tsp honeyActive hiccup attack, especially post-illness or with mucus in chestLick slowly off the spoon; sip warm water after
Pippali powder in warm milk250-500 mg in 1 cup warm milkChronic Vata-Kapha hiccup, post-bronchitis, post-pneumoniaStir powder into warm milk; sip slowly at bedtime
Trikatu (Pippali + Shunthi + black pepper)250-500 mg before mealsRecurrent food-triggered hiccup with weak AgniWith a little honey or warm water; not on a hot empty stomach
Sitopaladi Churna (Pippali-based)1-3 g, twice dailyPost-illness hiccup with weakness and lingering coughWith honey or warm water; before or between meals
Pippali Vardhamana (Rasayana course)Ascending then descending pippali count, dailyChronic recurring Hikka in the long-term Rasayana protocolSpecialist preparation; under qualified Ayurvedic supervision only

Anupana for Hiccups

  • Honey after the herb has cooled to warm: best for the active attack with chest mucus and post-meal heaviness; never mix honey into hot food or hot tea.
  • Warm milk: the long-term anupana for chronic, post-illness, or Vata-Kapha hiccup; the milk grounds the heat and amplifies the rebuilding action.
  • Warm water: the safer neutral choice if the picture is unclear or there is no clear weakness or congestion.
  • Avoid milk and curds during an active Kaphaja attack: they thicken Kapha in the chest and can prolong the spasm.

Timing and Duration

For an acute attack, expect relief within a few minutes to under an hour after the first dose of Pippali-with-honey. For chronic recurring hiccup linked to weak digestion or post-illness lung weakness, run a 1-2 week course of 250-500 mg twice daily; the Pranavaha Srotas rebuilding settles in by week 2-3 and the recurrence frequency drops. For the deeper long-term protocol, the classical Vardhamana Pippali course is the recognised Hikka-Shvasa Rasayana; this is a specialist regimen run under qualified Ayurvedic supervision because Pippali should not be used in high doses for long periods without the Rasayana framework, a caution recorded directly in the Astanga Hridaya, Chapter 6.

Important classical caution

The Astanga Hridaya warns plainly: "Long pepper should not be used in excess, for long period, without following the regimen of rejuvenation therapy." This is the only classical herb with such a direct warning. For everyday hiccup self-care, keep Pippali doses to 250-500 mg twice daily for under 2 weeks, then pause. For longer therapeutic courses, work with an Ayurvedic practitioner who will set up the Vardhamana protocol or pair Pippali with Licorice and ghee in the rebuilding phase.

Frequently Asked Questions

How long does Pippali take to work for hiccups?

For an active attack, a small pinch of Pippali powder with honey usually settles the spasm within a few minutes to under an hour. For chronic recurring hiccup linked to weak digestion or post-illness lung weakness, run a 1-2 week course at 250-500 mg twice daily; expect noticeable reduction in recurrence frequency by week 2 and steady improvement by week 3. The deeper Vardhamana Pippali Rasayana course works on a longer 4-8 week arc and is run under qualified supervision.

What is the best form of Pippali for hiccups?

Match the pattern. For an active hiccup attack with chest mucus or post-illness weakness, Pippali powder 250-500 mg licked with 1 tsp honey is the fastest classical form. For chronic Vata-Kapha hiccup or post-bronchitis recurrence, Pippali in warm milk at bedtime is the rebuilding form. For recurrent food-triggered hiccup with weak digestion, Trikatu 250-500 mg before meals is the multi-action choice. For the post-illness lung weakness picture, Sitopaladi Churna 1-3 g twice daily is the classical compound.

When are hiccups serious enough to see a doctor?

Self-limited hiccups under 48 hours are almost always benign. Get medical evaluation if hiccups last more than 48 hours, recur frequently, or come with chest pain, vomiting, weight loss, or trouble swallowing. Classical Ayurveda calls the deep, persistent, exhausting type Gambhira Hikka and treats it as a serious sign, particularly in the elderly or post-surgical patients. Cardiac, kidney, and brain-driven hiccups need conventional medical treatment alongside any herbal support.

Pippali vs Ginger for hiccups, which should I use?

Sequential, not competing. Ginger is the household, kitchen-shelf first choice for the acute, food-triggered, post-meal hiccup; it kindles Agni and clears the upper-channel block within minutes. Pippali is the deeper classical answer when ginger does not settle the hiccup, when the picture is post-illness or post-bronchitis, or when hiccups keep recurring; the unique sweet vipaka rebuilds the channel that ginger alone cannot rebuild. The classical Trikatu formula combines both, so most readers can simply step from ginger up to Trikatu rather than choose.

What is the Vardhamana Pippali method, and do I need it?

Vardhamana Pippali is a classical Rasayana protocol that gradually increases the daily Pippali dose over a set arc, then tapers it down. It is the recognised regimen for chronic Shwasa, Kasa, and Hikka where the Pranavaha Srotas needs full rebuilding. You do not need it for everyday or post-meal hiccup; that is over-treatment. Consider it only for chronic recurring Hikka that has not settled with shorter Pippali or Trikatu courses, and run it under qualified Ayurvedic supervision; the Astanga Hridaya warns directly that Pippali should not be used in excess or for long periods without the Rasayana framework.

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 Hiccups

See all herbs for hiccups on the Hiccups 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)

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.