Abstract

*Dr. Mamata Godara, Dr. Rashmi Mutha, Dr. Bharat Kumar Padhar, Prof. HML Meena, Dr. Surya Prakash, Dr. Pankaj Singh Kushwaha

ABSTRACT

Background: Trivrutadi Gutika is a classical Ayurvedic formulation mentioned in Chakradatta under Udavarta Chikitsa. The formulation primarily comprises Trivrut (Operculina turpethum), Pippali (Piper longum), Haritaki (Terminalia chebula), and Guda (jaggery). Udavarta, characterized by upward movement of Apana Vata leading to abdominal distension, constipation, and pain, is a condition demanding timely intervention. Trivrutadi Gutika is indicated for its Anulomana (carminative), Bhedana (purgative), and Vata-anulomaka properties. Material & Methods: In the present study a critical analysis based on ingredients and probable mode of action of Trivrutadi gutika were done based on classical and contemporary research work from classical books, journals, online data base etc. Results: The formulation exhibits synergistic action. Trivrut acts as a gentle purgative (sukha virechana) and relieves Vibandha (constipation). Pippali enhances digestion (Agnideepana) and bioavailability. Haritaki offers mild laxative, anti-inflammatory, and Vata-shamaka properties. Guda functions as a palatable binding medium with Anulomana effect. Collectively, the Gutika restores the downward movement of Apana Vata and relieves Udavarta. Discussion & Conclusion: Trivrutadi Gutika, with its combined Bhedana and Anulomana effects, plays a vital role in breaking the Samprapti of Udavarta. The formulation balances Vata and normalizes bowel evacuation, making it effective not only in Udavarta but also in conditions like chronic constipation, flatulence, and abdominal discomfort.