Department of Pharmacognosy, ISF College of Pharmacy, Moga, 142001, Punjab, India.
School of Biomedical Engineering, Med-X Research Institute, Shanghai Jiao Tong University, Shanghai, 200030, China.
J Ethnopharmacol. 2021 Jun 12;273:113829. doi: 10.1016/j.jep.2021.113829. Epub 2021 Jan 17.
Ayurveda remains the classical and comprehensive part of the ancient Indian medicine system for well-being promotive, disease preventive, and revival approach for the human body. Triphala Rasayana is mentioned in Ayurveda, comprising fruits of three plant species viz. Phyllanthus emblica L. (P. emblica), Terminalia chebula Retz (T. chebula), and Terminalia bellirica Roxb (T.bellirica). Triphala Rasayana has been utilized in various traditional medicine systems, viz., Ayurveda, Siddha, and Unani. Traditionally Rasayana based drugs are utilized in different kinds of diseases without pathophysiological associations as indicated by current medication. Various medicinal attributes of Triphala Rasayana include antioxidant, anticancer, antidiabetic, antimicrobial, immunomodulatory, and anticataract and is also considered as a pillar for gastrointestinal treatment, specifically in functional gastrointestinal disorders (FGIDs). Due to Rasayana's accessible mode of administration, availability, and affordability, there is an increase in its global acceptance.
This review article summarizes the scientific validation, traditional uses, bioactive compounds, and ethnopharmacological properties of Triphala Rasayana. It also documents recent data on in vivo and in vitro pharmacological studies and clinical effects of Triphala Rasayana.
A literature review is carried out using PubMed, ScienceDirect, Scopus, web of science, Ayush Research Portal, and Clinical Trials Registry-India. In addition to an electronic search, traditional ayurvedic texts and books were used as sources of information.
Traditionally, "Triphala Rasayana" is classified as a tridoshic rasayana and one of the most well-studied ayurvedic Rasayana. It showed various pharmacological activities such as anticancer, antioxidant, antibacterial, immunomodulatory, cardioprotective, and antidiabetic. Besides this, Rasayana has reported ethnopharmacological activities such as antimicrobial, anticataract, wound healing, and radioprotection. It has shown a good impact on the gastrointestinal tract (GIT) system with the reported pharmacological activities in gastrointestinal disorders such as constipation, gastric ulcer, and inflammatory bowel disease (IBD). Phytochemical studies of Triphala Rasayana revealed chemical constituents like gallic acid, ellagic acid, chebulic acid, chebulinic acid, methyl gallate, emblicanin A, and emblicanin B. Additionally, clinical studies found Triphala Rasayana to be effective against diabetes, constipation, and obesity.
The present review revealed that Triphala Rasayana may treat a diverse range of diseases, especially GIT disorders. Considering the beneficial properties of Triphala Rasayana and it's proven non-toxic nature could be a source of rejuvenation in contemporary healthcare. Nevertheless, its clinical data effectively provided precious signals to correlate ayurvedic biology and modern medicine.
阿育吠陀仍然是古印度医学体系的经典和综合部分,用于促进健康、预防疾病和恢复人体活力。三果汤(Triphala Rasayana)在阿育吠陀中被提及,由三种植物的果实组成,分别是 Phyllanthus emblica L.(P. emblica)、Terminalia chebula Retz(T. chebula)和 Terminalia bellirica Roxb(T.bellirica)。三果汤已被用于各种传统医学体系,如阿育吠陀、悉达和尤纳尼。传统的基于 Rasayana 的药物被用于各种疾病的治疗,而无需像当前药物那样与病理生理学关联。三果汤的各种药用特性包括抗氧化、抗癌、抗糖尿病、抗菌、免疫调节、抗白内障,并且被认为是胃肠道治疗的基石,特别是在功能性胃肠道疾病(FGIDs)中。由于 Rasayana 可通过多种途径给药、易于获得且价格合理,因此在全球范围内的接受度不断提高。
本文综述了三果汤的科学验证、传统用途、生物活性化合物和民族药理学特性。它还记录了三果汤在体内和体外药理学研究以及临床效果的最新数据。
通过 PubMed、ScienceDirect、Scopus、Web of Science、Ayush Research Portal 和印度临床试验注册中心进行文献综述。除了电子搜索外,还使用了传统的阿育吠陀文本和书籍作为信息来源。
传统上,“三果汤”被归类为三胆汤(tridoshic rasayana),是研究最多的阿育吠陀 Rasayana 之一。它表现出多种药理活性,如抗癌、抗氧化、抗菌、免疫调节、心脏保护和抗糖尿病。除此之外,Rasayana 还具有抗菌、抗白内障、伤口愈合和放射防护等民族药理学活性。它对胃肠道(GIT)系统有很好的影响,在胃肠道疾病如便秘、胃溃疡和炎症性肠病(IBD)中报道了其药理活性。三果汤的植物化学研究表明,其含有没食子酸、鞣花酸、诃子酸、诃子酸、甲基没食子酸、安石榴苷 A 和安石榴苷 B 等化学成分。此外,临床研究发现三果汤对糖尿病、便秘和肥胖有效。
本综述表明,三果汤可能治疗多种疾病,特别是胃肠道疾病。考虑到三果汤的有益特性及其已被证实的无毒性质,它可能成为当代医疗保健中的一种恢复活力的来源。然而,其临床数据有效地提供了宝贵的信号,将阿育吠陀生物学与现代医学联系起来。