Pending medical review

What is in it

Ingredient	Botanical name	Part used	Proportion
Sitopala (rock sugar)	-	-	16 parts
Vamshalochana (bamboo manna)	Bambusa arundinacea	Siliceous concretion	8 parts
Pippali (long pepper)	Piper longum	Fruit	4 parts
Ela (cardamom)	Elettaria cardamomum	Seed	2 parts
Twak (cinnamon)	Cinnamomum zeylanicum	Bark	1 part

Proportions as given in [1]. Manufacturers' recipes can differ; check the label.

Classical source

The 16 : 8 : 4 : 2 : 1 doubling series is attributed to the Sharangadhara Samhita.[1]

What it is used for

Prescribed for cold, cough with bronchitis, chest and throat congestion, and related respiratory complaints.[2]
Used for allergy and respiratory diseases.[3]

NAMASTE and ICD-11 codes are added at review.

What the evidence says

AnimalExtracts protected rat mast cells from degranulation at a level comparable to ketotifen in a laboratory model. This supports a possible anti-allergy action. It is not a clinical trial.[3]

In vitroStandards for checking the identity and quality of the powder have been published, comparing an in-house batch with two marketed brands.[2]

Safety notes

About half of the powder by weight is sugar (16 of 31 parts). This matters if you have diabetes.[1]
Contains pippali. Piperine from pippali raises phenytoin levels. See Pippali, black pepper and phenytoin.

Withheld until review

Dose, anupana (what to take it with), duration, contraindications, and pregnancy and children's notes appear only after a vaidya on our medical board has reviewed this page. Until then, ask the vaidya who prescribed it. Why we hold these back

Interaction

Pippali, black pepper and phenytoin

Piperine raised phenytoin blood levels in three human studies. Phenytoin has a narrow safe range.

Formulation

Triphala Churna

Three fruits in one powder. A cornerstone of gastrointestinal care in Ayurveda, with growing lab and early clinical research.

Sources

Sharangadhara Samhita, Madhyama Khanda 6 (churna kalpana), as commonly cited. Verse number to be confirmed at review.Not yet checked against the original
Makhija IK, Shreedhara CS, Ram HH. Physico-chemical standardization of Sitopaladi churna. Anc Sci Life. 2012;31(3):107-16. PMID 23284216.
Makhija IK, Shreedhara CS, Ram HN. Mast cell stabilization potential of Sitopaladi churna: an ayurvedic formulation. Pharmacognosy Res. 2013;5(4):306-8. PMID 24174826.

Awaiting review by The Good Vaidya Medical Board. Prepared from the sources below and checked against each one.

Published 4 November 2026 · Last updated 4 November 2026

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Sitopaladi Churna