Ashokarishta Benefits, Dosage & Side Effects

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Ashokarishta (also spelled as asokarishtam) is an ayurvedic liquid medicine. It may contain about 3 to 9% self-generated alcohol. Ashokarishta tonic is almost effective in all types of diseases related to female reproductive system.

Ashokarishta is useful in gynaecological diseases including heavy uterine bleeding, heavy menstrual periods, imbalanced female hormones, menopausal osteoporosis, ovarian cyst and uterine polyps.

Ingredients

Main ingredient of Ashokarishta is Saraca asoka (Ashoka) bark. Ashokarishta (asokarishtam) contains following ingredients.

Botanical NameCommon Name
Saraca asoka BarkAshoka Bark
Saccharum officinarum (Jaggery)Jaggery (GUDA)
Woodfordia fruticosa flowersDhataki flowers
Cyperus rotundusMustak roots
Zingiber OfficinaleGinger rhizome
Nigella sativaKalonji
Berberis aristataDaruharidra
Nymphaea stellataUtpala flowers
Emblica officinalisIndian gooseberry (Amla or Amalaki) fruits
Terminalia bellericaVibhitaki
Terminalia chebulaHaritaki
Mangifera indica SeedsMango seed (Amrasthi)
Cuminum cyminumCumin seed (Jeera)
Adhatoda vasicaAdulsa (Vasaka)
Santalum albumSandalwood (Chandan)

Medicinal Properties

Ashokarishta (asokarishtam) has following healing properties.

  1. Anti-inflammatory
  2. Mild estrogenic
  3. Carminative
  4. Digestive Stimulant
  5. Haematinic (increases hemoglobin levels)
  6. Muscle relaxant
  7. Antioxidant
  8. Adaptogenic
  9. Anticancer

Therapeutic Indications

Ashokarishta is helpful in following health conditions.

  1. Dysmenorrhea
  2. Excessive uterine bleeding
  3. Heavy menstrual periods
  4. Menopausal osteoporosis
  5. Low bone mineral density
  6. Imbalanced hormones
  7. Increased level of testosterone in the blood
  8. Uterine polyps (Along With Kanchnaar Guggul)
  9. Ovarian cysts or poly-cystic ovarian syndrome (PCOS) – Along with Chandraprabha vati
  10. Pelvic inflammatory disease

Benefits & Uses of Ashokarishta

Ashokarishta has benefits in ovarian diseases and uterine disorders. Its main function is on female reproductive system and it balances the hormones levels in the body. In menopause, it helps adapting the body according to natural process occurring in the woman’s body. Let us discuss about the main health benefits and medicinal uses of Ashokarishta.

Menorrhagia, Metrorrhagia & Menometrorrhagia

  • Menorrhagia is abnormal heavy or prolonged periods or menstruation.
  • Metrorrhagia is prolong and excessive uterine bleeding. It does not occur due to menstruation. It indicates some other uterine disease.
  • Menometrorrhagia is a combination of menorrhagia and metrorrhagia. In this case, heavy bleeding occurs regardless to menstruation. It occurs irregularly than usual.

In ayurveda, Ashokarishta is a drug of choice all these three conditions. It naturally reduces bleeding and regulates the uterine functions. The effects may be due to influence of Ashokarishta on the female hormones.

If bleeding occurs due to other causes including cervical cancer, uterine cancer and uterine polyps, Ashokarishta alone may not work well. There are several other medicines may also require for controlling other associated conditions. These ayurvedic remedies include the use of chandraprabha vati, Kanchanar guggulu, Chandrakala Ras etc.

In Menorrhagia, some patients also have constipation. In this case, they also require Dantyarishta with Ashokarishta. If patient has main concern of pain, then Gokshuradi guggulu is given along with ashokarista.

Dysmenorrhea (Painful periods)

Ashokarishta is a uterine tonic, which improves uterine functions and modulates uterine contractions. It gives strength to the uterus, which helps in easier dislodging of the uterine lining during menstruation and prevents ischemia (inadequate blood supply to the uterus). Thus, it reduces menstrual cramps. Additionally, Ashokarishta also reduces premenstrual headache, nausea, low backache etc.

The effect of Ashoka Bark (main ingredient of Ashokarishta) on raised prostaglandin is still unknown, but phytoestrogens (which are also present in Ashoka Bark) modulate the production of prostaglandin. Prostaglandin level is raised in cases of primary dysmenorrhea.

Ashokarishta alone is more beneficial when a woman has heavy bleeding with cramps like pain. If menstrual flow is inadequate or reduced, then Ashokarishta should be taken in reduced dosage i.e. 5 ml to get its strengthening benefit along with Kumaryasava (in dosage of 20 ml) twice daily. If pain is severe, then Yograj Guggulu (500 mg) can also be taken along with this combination.

If abdominal tenderness is also present, or other increased Pitta symptoms such as increased bleeding, burning sensation, vertigo, hyperacidity etc. are observed, then Kumaryasava should not be used. Instead, Praval Pishti, Sutshekhar Ras, or Kamdudha Ras should be used along with Ashokarishta in appropriate dosage according to the history of menstrual blood flow.

Note: However, many ayurvedic doctors use Ashokarishta as a main remedy for dysmenorrhea, but it is not. Actually, it is a supportive medicine in dysmenorrhea, which assists to maintain the hormonal balance and provides strength to the reproductive organs. The primary medicine for dysmenorrhea in Arishta & Asava preparations is Kumaryasava, but it is contraindicated in symptoms of increased or aggravated Pitta.

Dysmenorrhea
AshokarishtaKumaryasava
Reduces uterine contractions, but not comparable with KumaryasavaReduces unusual uterine contractions significantly
Menstrual blood flow may decreaseImproves menstrual blood flow
Decreases menstrual  bleedingIncreases menstrual bleeding
Mainly provides strength to the uterusStrengthening action is insignificant

Polycystic Ovarian Syndrome (PCOS)

Ashokarishta is useful in Polycystic Ovarian Syndrome (PCOS). The condition of its use is very different, so it must be used with very care.

If your periods last for 7 days or more and you experience heavy bleeding, or you have early menstrual period and periods may also be regular or irregular, but comes before due dates, then Ashokarishta is helpful.

The condition is Menorrhagia i.e. heavy (excess bleeding), prolonged or irregular periods, then Ashokarishta is very useful. Sukumaram Kashayam and Chandraprabha Vati should also be used along with Ashokarishta. Chandraprabha Vati and Sukumaram Kashayam both help to restore the ovarian functions.

If your periods are irregular and comes after due date, then Ashokarishta is contraindicated. In such case, Sukumaram Kashayam along with Kumaryasava and Chandraprabha Vati is helpful. In such cases, some may also require Agnitundi Vati or Rajahpravartani Vati (Raja Pravartini Vati).

Ashokarishta also has influence on endocrine system. The hormonal disturbance is common cause of excess hair growth, acne and weight gain. The regular use of Ashokarishta with Chandraprabha Vati helps normalizing the hormone levels and treats all PCOS symptoms, but you should remember the condition of its use.

Low-grade inflammation may stimulate ovaries to secrete more testosterone, which may cause hair growth. Low-grade inflammation may also be a contributing factor for developing PCOS.

Ashokarishta, Kumaryasava, Sukumaram Kashayam and Chandraprabha Vati also reduce low-grade inflammation, which ultimately reduces symptoms of PCOS and treats ovarian fluid filled cysts.

Conditional difference is between Ashokarishta and Kumaryasava, which must be considered.

Menopausal Osteoporosis

Bone mineral loss starts occurring in women during menopause. It may also lead to osteoporosis. Ashokarishta plays a vital role in harmonizing the hormones and helps adapting the body with new changes that occur in the menopause. It prevents bone mineral loss. Calcium in the Ashokarishta helps maintaining bone mineral density.

Point to be noted

In some cases, when Ashokarishta used alone, it results in delayed menstruation. In such cases, the dosage should be reduced from 20 ml to 10 ml and should be taken along with Kumaryasava.

Dosage

The dosage of Ashokarishta is 10 ml to 20 ml twice or thrice a day. In heavy bleeding, your doctor may also ask to increase the dosage of Ashokarishta.

Adjuvants of Ashokarishta

Water is an adjuvant for Ashokarishta. You should add equal amount of water and Ashokarishta, then take immediately after meal. Some medicines are taken with Ashokarishta as per following rule.

DiseasesSupporting Remedies
MenorrhagiaChandraprabha Vati
MetrorrhagiaChandraprabha Vati, Liquorice and Amalaki Rasyana
MenometrorrhagiaChandraprabha Vati, Liquorice and Amalaki Rasyana
DysmenorrheaYograj Guggul
Dysmenorrhea with constipationDantyarishta
Menopausal SymptomsSaraswatarishta
Polycystic Ovarian Syndrome (PCOS)Chandraprabha Vati, Sukumaram Kashayam

Caution & Side Effects

Ashokarishta is POSSIBLY SAFE and WELL-TOLERATED in most women. Some women may feel burning sensation after taking this remedy, but this side effect occurs only in women suffering with acidity or heartburn.

Ashokarishta Side Effects

The most common side effect of Ashokarishta is delayed menstruation.

  • Delayed menstruation
  • Missed period
  • Decreased menstrual blood flow

Pregnancy

Ashokarishta may have effects on hormone levels, which may affect adversely in pregnancy. Therefore, pregnancy women should avoid using ashokarishta tonic. We consider it PROBABLY UNSAFE in Pregnancy.

Breastfeeding

Lactating mothers can take ashokarishta if they experience heavy bleeding, leucorrhea or any other disease as explained above in therapeutic indication section of this article. It may not have adverse effects on mothers and breastfeeding babies. Instead, it contains good amount of calcium and promotes optimum health of bones and joints as well.

Manufacturer

  • Dabur ashokarishta
  • Baidyanath ashokarishta
  • Zandu
  • Sandhu

FAQs about Ashokarishta

Can I take Ashokarishta during periods? Does it affect periods?

Yes, Ashokarishta can be taken during menstrual periods. The main purpose of using Ashokarishta is to provide strength to the uterus and normalize its functions. It does not likely to affect periods negatively.

Can I use Ashokarishta for irregular and scanty periods?

Ashokarishta is not an appropriate medicine for irregular periods with short menstrual flow or scanty periods (also called hypomenorrhea). The most suitable medicine is Kumaryasava for improving menstrual flow and treating irregular periods. Other medicines according to Dosha and underlying cause may also require along with Kumaryasava.

However, if you have irregular periods, but early before time and when they come, you also have heavy bleeding and pain in abdomen, and feeling weakness, then Ashokarishta can be used in combination with chandraprabha vati and other ayurvedic medicines as per Dosha analysis.

Can we conceive while taking Ashokarishta? Or do I need to stop when planning for pregnancy?

If Ashokarishta is used for support in female infertility to balance hormones levels, then it can be taken while planning for pregnancy, but it should be stopped immediately after confirmation of conception. The quantity of herbs used in Ashokarishta does not likely to affect developing fetus and pregnancy adversely.

Can a woman with normal periods use Ashokarishta as tonic?

Yes, it can be used as tonic in healthy women. Ashokarishta is a good uterine tonic and provides strength to the uterine musculature, but using any medicine without specific purpose or disease is not suggestible.

Does Ashokarishta stop unwanted hair or excessive hair growth in women?

Unwanted hair or excessive hair growth in women may have several causes. The common cause of hirsutism is polycystic ovarian syndrome (PCOS) in women. Adrenal gland disorders may also play a role in excessive hair growth. Treating underlying cause is perfect treatment instead depending on one remedy.

Ashokarishta is likely to work on PCOS (condition applied – read above in PCOS section), but alone may not be beneficial. Chandraprabha Vati, Shiva Gutika, Vanga Bhasma, Kanchnar Guggulu, etc. may also require. Ayurvedic Remedies for PCOS may differ case to case as per DOSHA involvement, so it is better to consult a good ayurvedic doctor for a proper treatment.

Is Ashokarishta useful for blocked fallopian tubes?

Ashokarishta alone may not help in blocked fallopian tubes. Uttar Basti is actually best treatment for fallopian tube blockage.

Is Ashokarishta beneficial in removing/reducing chocolate cyst?

Chocolate cyst of ovary occurs due to endometriosis. Ashokarishta along with Chandraprabha vati help in endometriosis and cysts.

Can young girls aged around 13 to 16 take ashokarishta for heavy and early periods?

Yes, Ashokarishta can be taken in any age.

Does Ashokarishta help in hormonal imbalance?

Yes, Ashokarishta is very useful for hormonal imbalance.

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38 Comments

  1. shanthi says

    Can women during perimenopausal period take Ashokarishta for heavy bleeding?

    1. Dr. Jagdev Singh says

      Yes, Ashokarishta can help to reduce perimenopausal symptoms and heavy bleeding.

  2. sanya says

    Should I use Ashokarishta with normal water or hot water?

  3. Pratibha Ghunawat says

    How many days do we need to use Ashokarishta and Chandraprabha Vati for PCOS problem?

  4. esha says

    My doctor has recommended Ashokarishta and Aloes Compound for my PCOS and irregular periods. Is it an appropriate treatment? How long will it take to cure my PCOS?

    1. Dr. Jagdev Singh says

      It entirely depends on health conditions. Please read PCOS section in the article. Sorry for delayed reply, we had missed your comment.

  5. Geeta says

    Please suggest if 5 ml Ashokarishta would help with same amount of water once a day after food in early heavy menstruation for 10 years old child.

    1. Dr. Jagdev Singh says

      Ashokarishta can help for normalizing the menstrual flow, but the dosage should be 10 ml and preferably mixed in 50 ml water for child. In such cases, Mukta Pishti is also very helpful along with Ashokarishta.

  6. Ranjani says

    Does Ashokarishta help with uterine fibroids?

  7. Ruchi says

    I am having excessive pain during periods and I have started taking Ashokarishta 30 days ago. But I missed my cycle this month. Don’t know why. I am taking once a day. What should I do? Should I continue taking this or stop taking it?

    1. Dr. Jagdev Singh says

      Under such condition, you need to stop Ashokarishta and Kumaryasava would be the better option.

      1. Yuvi says

        I am suffering with PCOD and my cycle is irregular, so shall I take Ashokarishta for it?

  8. mit says

    In the article, it is mentioned that side effect of Ashokarishta is delayed menstruation.
    I am taking Ashokarishta to help conceive, but will it also delay my periods if I do not conceive this month.

    1. Dr. Jagdev Singh says

      I am not sure if Ashokarishta helps in conception, it is not indicated for this. Instead, Dashmoolarishta is the main medicine in Arishta & Asava Category used for infertility. Medicine should also be according to the underlying cause of infertility.

      In some cases of infertility in which we use Ashokarishta because they have heavy periods with short duration (in some cases, menstrual cycle repeats twice a month). To regularize the menstrual flow to the normal level, we use it for a month or two. Then we shift them on other medicines used for easier conception. However, if patient does not get benefits in normalizing (reducing) the heavy menstrual cycle, then we can also continue it along with medicines used for infertility, according to individual body type and Dosha Analysis.

      Side effects are not likely to mean it will appear in all patients. Some patients have these complaints. If you already have light menstruation, long periods or delay periods, Ashokarishta must not be used.

      1. Mit says

        Thanks for the prompt reply.
        My reports are all normal but still I am not able to conceive. I am in my early thirties, can you suggest an Ayurvedic medicine to may be improve egg quality.

        Many thanks

        1. Dr. Jagdev Singh says

          The best medicine for improving egg quality is PHAL GHRIT and ashwagandha churna with Misri.

          1. mit says

            Thanks for your advice.
            Can Phal Ghrit be taken with Dal or it needs to be taken strictly with milk and water only.

            Thanks

          2. Dr. Jagdev Singh says

            Phal Ghrit should be taken with Misri mixing both in equal quantity, and then cow’s milk should be consumed.

  9. juhi says

    Will Ashokarishta help in case of recurrent miscarriages?

  10. Jyothi says

    Sir, I am 46 yrs of age. I got my periods after 7 months. It is very heavy flow sometimes with clots. It is almost 10 days now. The flow is still on. Can I take ASHOKA Arista now. How much to take. Please help as I don’t want to take any English medicines

  11. Ibiso says

    Is it good for the treatment of leucorrhea? And how do I get it in Nigeria?

    1. Dr. Jagdev Singh says

      Yes, it helps to treat leucorrhoea. Sometimes, hormonal imbalance is also responsible for leucorrhea in which Ashokarishta gives very good results. In addition, it also acts as antimicrobial and exerts astringent action, which treats underlying infections and reduces discharge.

      You can buy it online. Check it on Google to find the availability of Ashokarishta on any online store.

  12. shruti says

    Does the regular intake of ashokarishtha purifies our blood and brings inner glow on our face?

    1. Dr. Jagdev Singh says

      Saraca Asoca is the main ingredient of Ashokarishta that purifies the blood and removes toxins from the body, so it is also likely to prevent skin diseases and improves the glow of the skin.

  13. priyanka says

    Is safe or beneficial to taking Ashokarishta and Patrangasava and Mahayograj guggul in 2nd month of pregnancy?

    1. Dr. Jagdev Singh says

      Pregnant women should not take Ashokarishta, Patrangasava and Mahayograj guggul. The safety profile of these medicines is not well-established. Mahayograj Guggul contains minerals derived from heavy metals, which are absolutely unsafe during pregnancy.

  14. priyanka says

    Is beneficial to taking phal ghrit in the 2nd month of pregnancy? Tell me the ayurvedic medicine to help the right growth of the child and avoid miscarriage.

    1. Dr. Jagdev Singh says

      Phal Ghrit is beneficial for improving the growth of developing baby in the womb. To avoid miscarriage, Ashwagandha Powder is more useful if there is a past history of miscarriage.

  15. mit says

    I get recurrent boils inside labia minora around the time of starting my monthly cycle.

    These boils grow in size and eventually burst in 10 days. What Ayurvedic medicine can I take to cure them?

  16. Reshma says

    My period was stopped last 3 months. Is Ashokarishta helpful for me to flow it again?

    1. Dr. Jagdev Singh says

      The treatment of absent periods should be according to underlying cause. Please consult local ayurvedic physician.

  17. Vidya C says

    I am at 40 age. My period are not regular since last 7- 8 months,. Then I have to take the table to start up my monthly periods.

    Want to conceive for 2 times. Having a kd of 7 years. Help to regularize my monthly periods and improve the egg quality and fertility

  18. Niyas says

    Is there any role for ashokarishta in males?

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