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    Wednesday, October 21, 2015

    Haritaki powder for constipation

    Haritaki powder for constipation

    Constipation is a common problem which usually refers to persistent, difficult, infrequent, or seemingly incomplete defecation. Other expressions of constipation include passage of unduly dry and hard faeces, sluggish action of bowel, etc. It is important to note that it is virtually impossible to define what constitutes a “normal bowel movement” in terms of frequency. Generally, frequency of bowel evacuation varies from person to person. As per a person’s tendency, lifestyle and dietary habit, frequency of defecation of 1-2 per day to thrice a week is considered as normal bowel habit for that individual, unless it creates any discomfort or disturbs his routine life. The volume of stool passed differs greatly in different races.

    Unsatisfactory bowel evacuation is the chief condition for diagnosis of constipation. Some other symptoms which accompany or result from constipation are indigestion, flatulence, abdominal pain or discomfort, headache and sleeplessness. The retention of hard faecal masses may give rise to spurious diarrhoea and in extreme situations can lead to intestinal obstruction especially in frail and bed-ridden older individuals.

    Various causative factors for constipation are given below.

    1. Irritable bowel syndrome
    2. Related to diet factors:
      • Too bland food, e.g. with low fibre residue
      • Too dry and astringent food
      • Inadequate fluid intake
    3. Intake of hard water
    4. Metabolic disease like hypothyroidism

    Traditional Herbal Remedies for Primary Health Care
    1. Obstructive diseases of lower gastrointestinal tract
    2. Drugs: opium, iron, blood pressure medicines
    3. Irregular bowel habit
    4. Sedentary lifestyle
    5. Depressive disorders
    6. Old age
    7. Suppression of natural urge of defecation

    In Ayurveda, various laxative drugs are mentioned to treat such conditions. Out of these Haritaki powder is a simple herbal laxative which is frequently used for treating constipation following certain lifestyle changes. Some do’s and don’ts given in the Ayurvedic texts are helpful in preventing constipation:

    1. Persons suffering from constipation should not ignore defecation urge nor should they strain for a long time to pass out stools.
    2. Drinking of warm water and milk improves intestinal movements and is beneficial in relieving constipation.
    3. Much deviation from the normal timing of meals and quantity of food should be avoided. It is beneficial to take soft, digestible and semi-solid food.
    4. Heavy and untimely meals, eating food before the digestion of earlier food, and intake of dry, astringent and cold foods hamper intestinal movements adding to constipation.
    5. Regular walking, physical activity and deep breathing and certain edibles like, ginger, lemon, resins, dates, figs and almond oil help in alleviating constipation.

    Haritaki (Terminalia chebula Retz.)

    Haritaki powder is a simple formulation made of its dried ripe fruits. The plant is also named as Pathya, owing to its beneficial effect for the channels (patha) of the body. It is not only used for constipation but for various gastrointestinal and systemic problems. Scientific studies have established2,7 its stomachic, laxative and anti-flatulence actions1. Judicious use of Haritaki with necessary dietary and lifestyle changes can treat constipation successfully as well as improve the physiological status of the gut.

    Haritaki powder is fine powder of dried ripe fruits of Terminalia chebula.

    English name
    Chebulic myrobalan, Ink nut
    Latin name
    Terminalia chebula Retz.
    Part used
    Dried fruits without seeds

    A fruit-bearing branch of Haritaki tree. Dried fruits of Haritaki.

    Main chemical constituents2
    Anthraquinone, glycoside, chebulinic acid, chebulagic acid.

    Quality standards3
    Identity, purity and potency of Haritaki fruits for its oral use is estimated on the basis of the following physical constants:

    Foreign matter
    Not more than 1%
    Total ash
    Not more than 5%
    Acid insoluble ash
    Not more than 5%
    Alcohol soluble extractive
    Not less than 40%
    Water soluble extractive
    Not less than 60%

    Method of preparation

    1. Take dried fruits of Haritaki, remove their seeds and dry them further in the shade avoiding direct sunlight. Fruits should not have been harvested more than six months ago.
    2. Make fine powder in a grinder or pulverizer.

    Traditional Herbal Remedies for Primary Health Care
    1. Sieve the powder through 85 size mesh to remove coarse fibers
    and other particles.
    1. Keep the powder in a dry and air tight plastic or glass container and consume it within six months or before the next rainy season, whichever is earlier.

    Dosage form

    Brownish fine powder.

    Therapeutic Properties4

    Haritaki has laxative, carminative, digestive, antispasmodic, anthelmintic, anti-microbial, anti-stress and endurance promoting properties.

    Dose and mode of administration

    To achieve laxative action of Haritaki, adult dose of powder is 3 to 6 grams and for children, the dose of Haritaki is 500 mg to 1 gram, to be taken with lukewarm water once a day on an empty stomach. It is preferably taken early in the morning or minimum three hours after dinner.

    Indication and uses

    Haritaki is useful in constipation, haemorrhoids, stomatitis, hyperacidity and associated gastrointestinal disorders.

    Precautions and safety aspects

    1. No side or toxic effect of Haritaki is reported in classics with its recommended dose. Clinical studies have also shown no adverse effect in patients treated with Haritaki alone or with formulations.
    2. It should not be prescribed to pregnant women. It is safe for the baby if the nursing mother is taking this medication.
    3. The astringent and dry property of Haritaki may induce nausea in sensitive individuals. This may be masked by consuming it in tablet form or by preparing its decoction and adding jaggery to it.
    4. Dose of Haritaki as a laxative varies from person to person
    according to their constitution, digestive power and bowel habit. Administration of Haritaki should be stopped if the desired effect is not achieved.
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    Item Reviewed: Haritaki powder for constipation Rating: 5 Reviewed By: Holy Krishna


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