Trivrit: Benefits, Uses & Dosage

Trivrit/Nisoth (Operculina turpethum) is one of the most important purgative drugs in Ayurveda. The root is the main medicinal part. It is a large climbing plant with milky latex. The roots are long and tuberous, up to 3000 feet altitude. The root bark is the potent part while the inner woody core is discarded. Two varieties are described: Shveta (white - preferred) and Krishna (black - more drastic). The white variety is considered milder and suitable for Pitta conditions, while the black variety is more drastic. It is the drug of choice for Virechana (therapeutic purgation) in Panchakarma. The root contains Turpethin (4-10% resin) as the active purgative principle. It is extensively used in Pitta-Kapha conditions, skin diseases, and constipation. The purgation produced is gentle compared to Jalap but effective. The root bark dried and powdered is the common form used. The milky juice oxidizes brown on exposure. Dose: powder 3-5 masha; should be given with warm water or milk.

• Virecana: Laxative
• Bhedanı-ya: Purgative and accumulation-breaking
• Amapacana: Clears ama
• Raktapitta: Alleviates bleeding diseases
• Vimlapana: Anti-inflammatory
• Biomedical: Laxative, purgative, circulatory stimulant, alterative

Contraindications: Pregnancy; high vata

Safety: No drug–herb interactions are known.

Dosage: 10–30mg per day of the powder.

Combinations:

• Always include antispasmodic herbs to prevent griping.
• Triphala for haemorrhoids.
• Manjishtha, kutki, punarnava, neem for skin problems.
• Guggulu, ginger, turmeric for high cholesterol and weight problems.