Herbs & Spices · Ayurvedic herbs

Haritaki Benefits, Uses & Dosage: Ayurveda's King of Medicines

What haritaki is, how Ayurveda uses it to keep digestion and elimination moving, what the human trials show for gums, seasonal colds and skin, how to take the powder, tea or triphala, four recipes and who should skip it.

Evidence-based39 sources citedUpdated November 10, 2026
Published Oct 29, 2026Last updated Nov 10, 2026Editorial policyMedical review policyFact-checking policy
Fresh green haritaki fruits piled in a terracotta bowl on a dark wooden table
Fresh haritaki fruits from the Terminalia chebula tree. Ayurveda dries the fruit and grinds it into haritaki powder.
The Dr. Axe Score™
7.2/10
Overall Dr. Axe Score · Haritaki Benefits, Uses & Dosage

Haritaki scores 7.2.

Scientific Evidence
5.4/10
Seventeen small human studies of haritaki alone: mouth rinses that matched chlorhexidine, fewer colds in a 60-person rainy-season trial, less constipation in a placebo-controlled trial in people with hemorrhoids, and trials for skin, knees, uric acid and blood vessels; triphala adds more human data on constipation.
Traditional Medicine
9.2/10
Always listed first among Ayurveda's medicines and called the king of medicines in Tibetan medicine, with centuries of use in triphala and a place in Chinese and Unani medicine.
Clinical Effectiveness
6.8/10
A defined role, through triphala, in my precision healing protocol for digestive and metabolic age and among my five ancient remedies for constipation, where haritaki is the fruit that strengthens the bowel's muscles; raised for rinses that matched chlorhexidine and fewer colds with a daily dose.
Safety
8.0/10
No serious side effects in trials of up to 3 grams a day; loose stools at high doses, and Ayurveda rules it out in pregnancy and for people who are malnourished; a concentrated tannin fraction caused mild liver and kidney changes in rats at a high dose.
Why this score?
Why Haritaki Benefits, Uses & Dosage scores 7.2 / 10

    Few herbs have been used as long or as widely, and in human trials its rinse matched a medicated mouthwash and a daily dose cut rainy-season colds. It also has a defined place, through triphala, in my precision healing protocol for digestive and metabolic age, and it has been well tolerated at the amounts people take. Larger trials of haritaki on its own would raise the score. Weighting: Evidence 30% · Traditional Medicine 25% · Clinical Effectiveness 25% · Safety 20% (5.4×0.30 + 9.2×0.25 + 6.8×0.25 + 8.0×0.20 = 1.62 + 2.30 + 1.70 + 1.60 = 7.22, shown as 7.2). Interactions are rated separately and don't change the score. How we score

    A transparent, weighted index built for supplements. See how it’s calculated →

    Interaction check: Low. No interaction between haritaki and a medicine has been documented in people. Interactions are rated separately and don't change the score.

    Diabetes medicines, such as metformin: haritaki extract lowered blood sugar in diabetic rats, and triphala lowered it in 20 healthy volunteers in a study with no comparison group, so it could add to these drugs' effect.2738 Check your blood sugar more often for the first couple of weeks.

    Drugs cleared by the liver enzymes CYP3A4 or CYP2D6, such as simvastatin: triphala slowed these enzymes weakly in lab tests, far less than the comparison drug.39 Start at the low end of the dose and watch for stronger effects from these medicines.

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    Haritaki at a glance

    Haritaki is the dried fruit of the Terminalia chebula tree, the herb Ayurveda calls the king of medicines, and its first job is keeping digestion strong and your bowels moving every day.12 In human trials, haritaki rinses, tablets and extracts have also calmed inflamed gums as well as a medicated mouthwash, cut seasonal colds and smoothed skin.345

    • What it is: one of the three fruits in triphala, Ayurveda's best-known digestive formula, and a rasayana, or rejuvenator, even on its own24
    • What it does: keeps your bowels moving for gentle regularity; in trials, it also cut the bacteria behind cavities and, taken every morning through a rainy season, cut colds from 25 to 8 in groups of 30164
    • How much: 3 to 6 grams of powder a day in the Ayurvedic Pharmacopoeia of India, or 250 to 500 mg of a standardized extract twice a day, as in the trials; start at the low end75
    • How to use it: stir the powder into warm water in the evening, simmer it as a tea, swish it as a rinse, or take capsules or triphala; skip it in pregnancy89

    Haritaki is the dried fruit of Terminalia chebula, a tree native to South and Southeast Asia, and Ayurveda uses it to strengthen digestion, keep the bowels moving and rejuvenate the whole body.10 It's one of the three fruits in triphala,2 and in trials with people, haritaki on its own has cut the bacteria behind cavities, calmed inflamed gums as well as a medicated rinse, reduced colds in the rainy season and smoothed skin.6345

    If you're living with constipation, bloating or a gut that feels heavy and sluggish, Ayurveda reads those symptoms as signals, and so do I, because they point to what's behind them: a bowel that has lost its tone, gut bacteria out of balance, too little water and fiber, or a life running on stress.811 My standard is simple: "If you don't have a bowel movement every day, that's constipation. You should have at least one healthy, well-formed bowel movement every single day."12 Haritaki is one of Ayurveda's classic tools for getting you there, and it works best when you also fix what slowed things down.

    Through triphala, haritaki has served Ayurveda's physicians for over 1,000 years,2 sour as it is.

    Sometimes, when I want to support my digestion, I'll take triphala as a straight powder, and I almost choke on it every time because it's so sour and astringent.Dr. Josh Axe, DC, DNM, CNSFrom 20+ Healing Foods Most People Have Never Heard Of | Jordan Rubin, The Dr. Josh Axe Show (2026), at 47:12

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    Did you know?

    • Haritaki is used as medicine across China, Nepal, India, Myanmar, Sri Lanka, Thailand and Bangladesh.10

    • Researchers have identified over 149 compounds in haritaki, most of them tannins and phenolic acids.10

    • Tibetan medicine builds haritaki into traditional formulas for the kidneys and joints, including formulas used for gout.10

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    What is haritaki?

    Quick answer

    Haritaki is the fruit of Terminalia chebula, a tree native to South and Southeast Asia, dried and used whole, as a powder or as an extract in Ayurvedic, Tibetan and Chinese medicine.10 In English it's called chebulic myrobalan or black myrobalan, and it's one of the three fruits in triphala, alongside amla, or Indian gooseberry, and bibhitaki.1132

    Haritaki is a fruit, but you use it like an herb: it's picked and dried, then taken whole, ground into powder or made into an extract, and Chinese medicine records the dried fruit as Chebulae Fructus.10 Its strength comes from the same compounds behind its sharp taste, the tannins and phenolic acids, among them chebulagic acid, chebulinic acid, gallic acid, ellagic acid and corilagin.10 Because you take haritaki by the gram, the way you'd take a medicine, its value lies in those compounds rather than in vitamins or minerals.

    The first thing you'll notice is the taste, which is sour, bitter and astringent, with the dry, puckering finish of strong tea, and in Ayurveda that taste is part of the medicine.104

    A short history of haritaki

    Haritaki is called the king of medicines, and it's always listed first among Ayurveda's medicines.1 Other traditions prize it too: Tibetan medicine gives it the same title, Chinese medicine includes it in its official pharmacopoeia, and Unani physicians use it as well.1014

    The old physicians knew this fruit remarkably well. Their classical texts describe seven varieties, told apart by shape, color and where they grew (Vijaya, Rohini, Putana, Amrita, Abhaya, Jivanti and Chetaki), and each had its own job. Vijaya, the large variety, was used for every kind of illness and for both rejuvenation and cleansing, Rohini for wounds, and Abhaya, with five ridges, for the eyes. Chetaki, the small fruit with three ridges, was used to clear the bowels, and that small, dark fruit is still sold today, so if you see jangi haritaki on a label, that's the one, the kind ground into laxative powders.1 Healers also applied haritaki to the skin for wounds and fungal infections and in the mouth for an inflamed lining.1 In Ayurveda and Siddha medicine, it's also used for asthma, coughs, hemorrhoids, poor appetite, skin diseases and memory loss.10

    What is haritaki good for?

    Quick answer

    Haritaki is good for keeping digestion and elimination on track: Ayurveda uses it as a gentle laxative, and in human trials it has eased constipation, cut cavity bacteria, calmed inflamed gums, reduced colds in the rainy season and smoothed skin.1156345 When you're constipated, bloated or your gut feels heavy, digestion and elimination have stalled, and haritaki helps get them moving again.8

    Where the research stands

    This page cites 17 human studies of haritaki on its own, led by mouth-rinse trials in which haritaki matched chlorhexidine, the standard medicated rinse, along with trials for colds, skin, knees, uric acid and blood vessels.316457 For regularity, its best-known use, the support comes from four places: Ayurveda's long history with the fruit, a placebo-controlled trial in people with hemorrhoids in which constipation eased, triphala studies in people, and studies of haritaki in animals.1521718

    Haritaki benefits, graded by evidence (updated October 2026). Labels are editorial judgments that compare haritaki's uses with each other; they aren't formal certainty ratings.
    UseEvidenceWhat was studiedWhat the research shows

    Regular bowel movements

    Traditional

    Haritaki powder, capsules and seed extract; triphala

    Ayurveda's gentle laxative; eased constipation in 104 people with hemorrhoids; sped gut transit in mice, and a seed extract strengthened bowel contractions in rats1151718

    Gums and cavity bacteria

    Moderate

    Haritaki mouth rinses

    Matched chlorhexidine for plaque and gum inflammation; one rinse cut cavity bacteria by nearly two-thirds within an hour3166

    Seasonal colds and coughs

    Emerging

    3 g haritaki with 1 g rock salt each morning

    Far fewer colds and coughs over 60 rainy-season days4

    Skin

    Emerging

    Extract by mouth; a 5% cream; powder in vinegar

    Fewer wrinkles, and less oil in oily skin; matched hydroquinone for melasma and terbinafine for ringworm51914

    Uric acid

    Emerging

    500 mg extract twice a day

    Uric acid fell over 24 weeks while it rose on placebo7

    Knees

    Emerging

    250 or 500 mg extract twice a day

    Better knee function and a longer 6-minute walk20

    Blood vessels and blood sugar

    Emerging

    250 or 500 mg extract twice a day

    Better blood-vessel function in 12 weeks21

    Calmer inflammation

    Preclinical

    Chebulagic acid from the fruit

    Blocked COX-2 and 5-LOX, two enzymes that make inflammation signals22

    How does haritaki work in your body?

    Ayurveda starts with taste, and it holds that haritaki's astringent taste settles aggravated doshas, that its warming potency acts on vata and kapha, that its qualities are light and dry, and that it kindles agni, your digestive fire.42 Agni works like the pilot light under your digestion, and in Ayurveda's view, haritaki helps keep that flame lit. Because the fruit is both astringent and laxative, it's used to firm loose stools and also to move a sluggish bowel.110 Researchers have traced several of the steps behind that reputation:

    1A sour, bitter, astringent fruit

    Haritaki is packed with tannins and phenolic acids such as chebulagic and chebulinic acids, the compounds behind its sharp taste.10

    2The bowel's muscles get moving

    Haritaki strengthens the bowel's contractions: in rats, an extract of the seed made the intestine contract more often and more strongly.818

    3Helpful microbes get fed

    In human stool cultures, triphala, the blend that includes haritaki, raised Bifidobacterium, Lactobacillus and butyrate-making bacteria, changes the researchers expect to support the colon's lining.23

    4Your microbes make urolithins

    Human gut bacteria turned chebulagic and chebulinic acids into urolithins in lab tests, and the urolithins protected rat liver cells from oxidative damage.24

    5Calmer inflammation

    Chebulagic acid blocked COX-2 and 5-LOX in lab tests, and in people with type 2 diabetes, 12 weeks of haritaki extract improved blood-vessel function compared with placebo.2221

    Put together, haritaki works with your body's own machinery: it strengthens the bowel's contractions, feeds the helpful bacteria in your gut microbiome as part of triphala, and quiets two enzymes that drive inflammation,182322 all of which helps your gut do the work it was built to do.

    Haritaki benefits

    Here's what haritaki does for you, starting with the job Ayurveda gives it first, regularity, then the benefits tested in people, from your gums to your blood vessels.

    1

    Gentle, regular bowel movements

    Traditional useTraditional useTraditional use · placebo-controlled trial, 104 people with hemorrhoids · triphala studies in people · studies in mice and rats

    Ayurveda uses haritaki as a gentle laxative and a rejuvenator, and I describe it as the fruit in triphala that strengthens the intestinal muscles to contract more efficiently.18 In people with hemorrhoids, 4 weeks of haritaki capsules eased constipation more than placebo did.15 If your bowels run slow, start with the constipation section below, which shows how it works on the bowel's muscles, what the studies found and how to use it.

    Study takeaway: Ayurveda's classic remedy for a sluggish bowel.

    2

    Healthier gums and fewer cavity bacteria

    Moderate evidenceHuman studyRandomized trials · 30 to 90 people

    A haritaki mouth rinse lowered plaque and gum inflammation as well as chlorhexidine, the standard medicated rinse, in two placebo-controlled trials.316 And in a trial in schoolchildren, a single rinse cut the bacteria behind cavities within an hour.6 The teeth and gums section below has the numbers, plus a rinse you can stir up at home.

    Study takeaway: a haritaki rinse matched the medicated standard for inflamed gums.

    3

    Fewer seasonal colds and coughs

    Emerging evidenceHuman studyRandomized trial · 60 healthy adults · compared with no treatment

    Taken every morning through the monsoon, haritaki meant far fewer colds. In a 60-day randomized trial of 60 healthy adults in Kerala, India, 30 took 3 grams of haritaki tablets with 1 gram of rock salt in warm water each morning, Ayurveda's rainy-season pairing, while the other 30 took nothing, and everyone knew which group they were in.4 Colds struck 8 of the 30 taking haritaki and 25 of the 30 who weren't, and coughs struck 9 against 18, so most of the people taking nothing caught a cold while most of the people on haritaki didn't. Everyone in the haritaki group who caught a cold got over it without medicine, while 40% of those who caught one in the other group needed medicine. Fevers followed the same pattern: 67% of the people on haritaki who ran a fever got over it without medicine, while nearly 94% of those with a fever in the other group needed it.4 That fits lab tests in which extracts of the fruit have blocked influenza A and herpes simplex viruses.10 When cold season comes around, haritaki fits right beside the other natural cold remedies you rely on.

    Study takeaway: colds in 8 of 30 on haritaki, against 25 of 30 without it.

    Fewer colds with haritaki every morning through the rainy season

    Fewer colds with haritaki every morning through the rainy season60 healthy adults · 3 g haritaki with 1 g rock salt each morning for 60 days · people knew which group they were in. Haritaki with rock salt: 8 people of 30 who caught a cold; No treatment: 25 people of 30 who caught a cold60 healthy adults · 3 g haritaki with 1 g rock salt eachmorning for 60 days · people knew which group they were in
    8 people of 30 who caught a cold
    HARITAKI WITH ROCK SALT
    25 people of 30 who caught a cold
    NO TREATMENT
    Source: Smitha & Dilipkumar · Ayu, 2019 [4]People in each group who caught a cold during the 60 days. Coughs followed the same pattern, 9 of 30 against 18 of 30. Five of the 60 dropped out, though the paper's tables count 30 in each group.
    4

    Smoother skin and fewer dark spots

    Emerging evidenceHuman studyRandomized trials · 38 overweight women; 30 women; 40 people

    Taken by mouth for 8 weeks, a haritaki extract smoothed wrinkles and cut oil in the oiliest skin. In a placebo-controlled trial of 38 overweight women aged 25 to 65, 250 mg of a standardized extract twice a day lowered wrinkle severity 4.4%, while it rose 3.9% on placebo. It also eased cheek redness, and in the 15 with the oiliest skin, it cut forehead sebum 33%, while sebum rose 29% on placebo. Neither the women nor the researchers knew who got what, and one author worked for the extract's supplier.5

    Haritaki works on the skin from the outside, too. In a randomized trial of 36 women, 30 of whom finished, a 5% haritaki cream applied nightly for 12 weeks faded melasma, a type of dark patch on the skin, as well as 2% hydroquinone, the standard lightening cream. Haritaki's improvement showed up by week 4 and hydroquinone's by week 8, and the cream was far gentler on skin: irritation struck 2 of 15 on haritaki against 12 of 15 on hydroquinone.19 Haritaki powder mixed with vinegar, a Unani preparation, also worked as well as terbinafine cream for ringworm of the body in a randomized trial of 40 people.14 (For more on dark spots, see hyperpigmentation.)

    Study takeaway: fewer wrinkles from the inside, and a cream that matched the standard for melasma.

    5

    Lower uric acid

    Emerging evidenceHuman studyPlacebo-controlled pilot trial · 110 adults with high uric acid; 88 finished

    A standardized haritaki extract brought high uric acid down over 24 weeks, while it climbed on placebo. In a pilot trial of 110 adults with high uric acid, 500 mg of extract twice a day lowered uric acid from 7.76 to 6.42 mg/dL in the 18 who finished on haritaki. In the 17 who finished on placebo, it rose from 7.55 to 8.04 mg/dL. Nobody taking part in the trial or running it knew who had the real extract, and the extract's maker supplied the capsules.7 The gout drug febuxostat lowered it further, from 8.53 to 4.28 mg/dL.7 High uric acid can lead to gout, so if you've ever had gout, you know why a steady drop like this is worth having.7

    Study takeaway: uric acid fell on haritaki and rose on placebo.

    Uric acid fell on haritaki extract and rose on placebo over 24 weeks

    Uric acid fell on haritaki extract and rose on placebo over 24 weeksAdults with high uric acid · 500 mg extract twice a day · 18 finished on haritaki, 17 on placebo · placebo-controlled. Start: Haritaki extract 7.76 mg/dL uric acid, Placebo 7.55 mg/dL uric acid; After 24 weeks: Haritaki extract 6.42 mg/dL uric acid, Placebo 8.04 mg/dL uric acidAdults with high uric acid · 500 mg extract twice a day · 18finished on haritaki, 17 on placebo · placebo-controlled7.766.42Haritaki extract (mg/dL uric acid)7.558.04Placebo (mg/dL uric acid)StartAfter 24 weeks
    Source: Usharani et al. · Clinical Pharmacology: Advances and Applications, 2016 [7]Average serum uric acid at the start and after 24 weeks in the people who finished each group. Lower is better.
    6

    Easier-moving knees

    Emerging evidenceHuman studyPlacebo-controlled trial · 105 overweight adults; 2 studies of 12 healthy men each

    In 12 weeks, a haritaki extract improved how knees felt and moved during activity. In a placebo-controlled trial of 105 overweight but otherwise healthy adults aged 35 to 70, 250 or 500 mg of a standardized extract twice a day improved a knee-function score compared with placebo. It also eased knee discomfort during exercise, and people walked farther in a 6-minute walk test, with the lower dose working as well as the higher one.20 Low-back comfort improved too, but not enough to stand apart from placebo, and the extract's maker funded the trial.20 One clue to how a fruit could help your knees comes from lab tests, where chebulagic acid from the fruit blocked COX-2 and 5-LOX, two enzymes that sound your body's inflammation alarm.22 And in two placebo-controlled studies of 12 healthy men each, in which each man tried both haritaki and placebo, a single 1,000 mg dose raised the pressure it took to register pain, and the time under hot air, by about 20%.2526 (For more ways to care for your joints, see knee pain relief.)

    Study takeaway: better knee function at 250 mg twice a day.

    7

    Blood vessel and blood sugar support

    Emerging evidenceHuman studyPlacebo-controlled trial · 60 adults with type 2 diabetes; studies in rats

    In people with type 2 diabetes, 12 weeks of haritaki extract helped blood vessels work better. In a placebo-controlled trial of 60 adults with type 2 diabetes, 250 or 500 mg of a water-based haritaki extract twice a day improved blood-vessel function, a measure of how well your arteries relax and let blood through. The researchers tracked it with a pulse-wave reflection index, which fell 2.55 and 5.21 points on the two doses and rose 1.40 points on placebo. They also reported that the other heart-risk markers they measured improved, and again, nobody taking part or running the trial knew who had the real extract.21 In diabetic rats, 2 months of a haritaki fruit extract lowered blood sugar 43.2%.27 (For the daily habits that keep blood sugar steady, see normal blood sugar.)

    Study takeaway: better blood-vessel function at 500 mg twice a day.

    Does haritaki help with constipation?

    Quick answer

    Yes. Haritaki is Ayurveda's classic remedy for a sluggish bowel, used as a gentle laxative, and in a 4-week placebo-controlled trial of 104 people with hemorrhoids, haritaki capsules eased constipation.115 The powder sped gut transit in mice, a seed extract strengthened the bowel's contractions in rats, and in a clinical trial in people, triphala, the three-fruit blend that includes it, eased constipation, gas and belly pain.17182

    Here's how I think about constipation. Chinese medicine traces it to heat and dryness in the large intestine and to a stagnant liver, with overwork and frustration adding to it.8 Stress matters, too, and if your bowels slow down during a hard week, you've felt it yourself. On my show, I put it this way:

    I like triphala. I think it's a great herb for gut motility. But you can't just take triphala, live in a stressed-out state and think that pill, that herb, is going to fix it.Dr. Josh Axe, DC, DNM, CNSFrom What's Living Inside You Could Be Why You're Sick | Dr. Bill Rawls, The Dr. Josh Axe Show (2025), at 52:43

    To see where haritaki fits, start with its job in triphala, where the fruits work like a crew of three, each with its own task. In Ancient Remedies, I describe how the three fruits share the work of elimination: amla supports intestinal repair and healing, haritaki strengthens the intestinal muscles to contract more efficiently, and bibhitaki cleanses,8 which makes haritaki the one that gets things moving. Triphala is one of the five ancient remedies I list for constipation, beside probiotics, slippery elm and marshmallow root, chia and flaxseed, and magnesium.8

    That muscle work shows up in studies of the gut itself. Your intestine moves food along in waves, a little like squeezing toothpaste along a tube. In mice, haritaki powder shortened the time it took food to move through the gut, and the powder worked better than a tablet made from it.17 In rats, a water extract of haritaki seed made the small intestine squeeze more often and more strongly, and in rats made constipated with morphine, it raised the number of stools and their water content.18 That lines up with what Ayurveda has described all along: a fruit that gets a sluggish bowel moving.

    Haritaki on its own eased constipation in a 4-week trial of 104 people with hemorrhoids, a use Ayurveda and Persian medicine share. Compared with placebo, haritaki capsules taken four times a day on an empty stomach eased constipation and pain and shrank the hemorrhoids, and neither the people nor the researchers knew who got what.115 Triphala adds to the picture. A 2017 review of triphala's medical uses reports a clinical trial, its size not given, in which triphala eased constipation, mucus, belly pain, hyperacidity and gas, and stools came more often and were better formed.2 Ayurveda describes triphala by dose: a bowel tonic at low doses, a mild laxative at normal doses and a purgative at high ones.2 So in Ayurveda the amount decides what it does, which is why starting low makes sense.

    For triphala as a laxative, my advice is to take it in the evening, about two hours after eating and at least 30 minutes before bed,8 and haritaki powder fits the same window. But you'll want to build the foundation first: water, vegetables, chia or flaxseed, and a daily walk (these natural laxatives and steps for natural constipation relief will help). Then add haritaki in the evening.

    Is haritaki good for your teeth and gums?

    Quick answer

    Yes. In a 2-week placebo-controlled trial of 78 people with plaque and gingivitis, a 10% haritaki rinse used twice a day lowered plaque and gum inflammation about as well as 0.12% chlorhexidine.3 And in a randomized trial of 60 children, one haritaki rinse cut cavity-causing bacteria 64.14% within an hour.6

    Your mouth is the front door of your digestive tract, with an oral microbiome of its own, and haritaki goes to work right at that door. In lab tests, its water extract stopped Streptococcus mutans, the main bacterium behind cavities, from growing, sticking and clumping together.28 It also keeps saliva less acidic: in a randomized study of 30 people, saliva stayed alkaline for an hour after a single haritaki rinse.29

    A haritaki rinse, made from a dried fruit, holds its own against chlorhexidine, the standard medicated mouthwash, which matters if your gums bleed when you brush. In the 2-week trial of 78 people with plaque and gingivitis, 26 rinsed twice a day with 10% haritaki, 26 with 0.12% chlorhexidine and 26 with salt water. Plaque and gum inflammation fell with both medicated rinses, with no meaningful difference between them. Haritaki also brought salivary pH back toward neutral.3 In a 30-day trial of 90 college students, a haritaki mouthwash worked as well as 0.2% chlorhexidine for plaque and bleeding gums, and both beat plain water.16 In both trials, neither the people rinsing nor the researchers knew who had which rinse.316

    With cavities, researchers count the bacteria. In a randomized trial of 60 schoolchildren aged 12 to 15 in India, one 1-minute rinse with a 2.5% haritaki extract cut S. mutans in saliva 44.42% at 5 minutes and 64.14% at 60 minutes, so a single minute of swishing, the kind you'd do after brushing, cut those cavity bacteria by nearly two-thirds within the hour. In 8 of the 10 children followed longer, counts stayed low for up to 6 hours. A look-alike rinse without haritaki served as the comparison, and neither the children nor the researchers knew who got which.6

    One haritaki rinse cut cavity bacteria by nearly two-thirds within an hour

    One haritaki rinse cut cavity bacteria by nearly two-thirds within an hour60 children aged 12 to 15 · one 1-minute rinse of 2.5% haritaki extract · randomized, with a look-alike rinse for comparison. 5 minutes after rinsing: 44.42 % fewer cavity bacteria than before rinsing; 60 minutes after rinsing: 64.14 % fewer cavity bacteria than before rinsing60 children aged 12 to 15 · one 1-minute rinse of 2.5%haritaki extract · randomized, with a look-alike rinse forcomparison
    44.42 % fewer cavity bacteria than before rinsing
    5 MINUTES AFTER RINSING
    64.14 % fewer cavity bacteria than before rinsing
    60 MINUTES AFTER RINSING
    Source: Nayak et al. · Journal of Indian Society of Pedodontics and Preventive Dentistry, 2012 [6]Drop in Streptococcus mutans in saliva in the haritaki rinse group, measured against each child's own count before rinsing.

    The results held up in younger children, too. In a randomized trial of 60 children aged 8 to 12 at high risk of cavities, a single rinse lowered cavity bacteria at 10, 60 and 90 minutes, whether the rinse was made with hot or cold water,30 a useful detail if you make your own. And when 40 people with active cavities, 37 of whom finished, tried rinses made from the seeds of haritaki, bibhitaki and amla, and a triphala rinse of all three, in turn, each person using all four, every rinse cut S. mutans, and the three together, in triphala, cut it most.31

    A haritaki rinse pairs well with oil pulling, another Ayurvedic habit for the mouth, and you'll find more ideas in how to get rid of bad breath. To use it, make the rinse in the recipes below, swish it for a minute after brushing, and spit it out.

    Haritaki vs. triphala

    Triphala blends haritaki in equal parts with amla and bibhitaki, so haritaki on its own gives you the one crew member that does the bowel's muscle work, while triphala brings the whole crew, adding amla's repair and bibhitaki's cleansing.28 Which should you choose? Take triphala as an everyday formula, and haritaki when you want that one job, a rinse, or Ayurveda's seasonal practice.

    I've put triphala into a formula for constipation, paired with a probiotic,32 and its benefits go well beyond healthy bowel movements.33 When I listed the supplements I'd add for longevity, I named triphala for the gut and constipation.12 In Heal Your Cells, Dr. Will Cole and I describe detox as nourishment, not punishment, with triphala as a perfect example: a gentle housekeeping crew that sweeps out waste so your cells can reset and recharge. We list it at 500 to 1,000 mg a day to regulate bowel movements and nourish gut bacteria.34

    Triphala has its own studies in people, for both your gut and your gums. In a 4-week placebo-controlled pilot trial of 31 healthy adults, 9 of whom finished on triphala, the triphala group took 2,000 mg a day, and it shifted gut bacteria in personal ways: each person's gut responded a little differently, with a trend toward more Akkermansia muciniphila.35 And a 2020 review of 7 randomized trials found that triphala mouth rinses improved gum inflammation and plaque about as well as chlorhexidine,36 the same result haritaki showed on its own in the rinse trials above. (For the full picture, see our guide to triphala.)

    Haritaki in Ayurveda and Chinese medicine

    My approach to ancient remedies draws on Ayurveda, India's 4,000-year-old system of natural healing (our guide to Ayurvedic medicine walks through it). Ayurveda reads your health as a balance of three doshas, or energies: vata, pitta and kapha. Like Chinese medicine, it looks for the root cause of what you're feeling, then uses diet, stress reduction and herbs to bring your body back into balance.8

    Ayurveda classes haritaki as a rasayana, a rejuvenating herb that builds strength and resistance to disease, and credits it with balancing all three doshas and strengthening agni.4 Charaka, the physician behind one of Ayurveda's founding texts, taught that taking triphala daily with honey and ghee could help a person live 100 years free of old age and disease.2 People have taken it day after day for generations, and the trials in people on this page have begun to test what they found.

    Traditional Energetic Profile
    Taste
    Sour, bitter, astringent
    Bitter and sour in Chinese medicine; astringent in Ayurveda[10][4]
    Temperature
    Warming in Ayurveda
    Hot potency in Ayurveda; neutral in Chinese medicine[4][10]
    Quality
    Light and dry
    Ayurveda's reading of haritaki, shared with bibhitaki[2]
    Actions
    Rejuvenates, kindles digestion
    A rasayana that raises digestive fire and balances all three doshas[4]
    Tissue affinity
    Large intestine and lungs
    The lung and large intestine channels in Chinese medicine[10]
    Classic pairing
    Amla and bibhitaki
    Equal parts make triphala; in the rainy season, rock salt[2][4]

    In Ayurveda, taste carries the medicine, and haritaki's medicine starts with those sour, bitter and astringent flavors. Those flavors matter in the rest of your diet, too, especially if you fight a sweet tooth. As I said on a 2026 episode of my show, "I've often found, working with patients, that when you add more bitter and sour flavors to the diet, cravings for sweets start to decrease."37 That's the idea behind digestive bitters, too.

    Ayurveda also times haritaki to the seasons in a practice called Ritu Haritaki, giving the fruit a different partner in each season, much the way you might change what you eat when the weather turns. In the rainy season, when Ayurveda holds that strength and digestion run low, the partner is rock salt, the same pairing tested in the cold trial above.4

    Traditional Chinese Medicine describes the dried fruit in its own language: bitter and sour, neutral in temperature, and headed for the lung and large intestine channels. In plain terms, it's used to tighten, or astringe, the lungs and intestines and to help the throat. So if you're dealing with chronic diarrhea, a cough that lingers, throat pain or a voice that's gone, Chinese medicine would reach for it.10 The two traditions meet on one point: Ayurveda and Chinese medicine both rely on the fruit's astringency to firm loose stools.

    How to use haritaki: powder, tea, capsules and triphala

    Quick answer

    Take haritaki as a powder stirred into warm water, as a tea, in capsules or as part of triphala. The Ayurvedic Pharmacopoeia of India gives 3 to 6 grams of fruit powder a day, the extract trials used 250 to 500 mg twice a day, and the rainy-season trial used 3 grams of powder tablets each morning.75204

    Here are the main forms and the amounts behind them. You'll find the evening tonic, warm milk and mouth rinse in the recipes below.

    • Powder: start with about ½ teaspoon in a cup of warm water and adjust to how your bowels respond, staying within Ayurveda's 3 to 6 grams a day.7

    • Capsules or tablets: the easiest way past the taste; the extract trials used 250 to 500 mg twice a day.5207

    • Triphala: 500 to 1,000 mg a day.34

    For regularity, use the evening window, about two hours after dinner,8 and drink a full glass of water with your dose. For colds, the rainy-season trial gave it first thing in the morning on an empty stomach.4 The taste is strong, like a mouthful of tea that steeped too long, so if it's too much for you, switch to capsules or the warm milk recipe below.

    Evening tonic. Stir the powder into warm water after dinner for regularity.8
    Warm milk. Whisk it into warm goat milk or coconut milk with a teaspoon of raw honey.
    Smoothie. Blend a pinch into a berry smoothie, where its sour edge fits right in.
    Mouth rinse. Swish a cooled haritaki tea after brushing.
    Face mask. Mix 1 tablespoon of powder with 2 tablespoons of rose water, leave it on 20 minutes and rinse.
    Hair and scalp paste. Mix the powder with water into a thin paste, work it through your scalp and hair, leave it up to an hour and rinse.

    How to choose a haritaki supplement

    Start with the label. You want Terminalia chebula fruit, in a powder or extract that a third party has tested for heavy metals and identity. For extracts, look for a standardized tannin content. The extract in the skin trial, for example, was standardized to 70% hydrolyzable tannins.5 At home, keep the powder in a tightly closed jar, away from heat and light.

    Want help fitting haritaki into your routine?

    Ask Dr. Axe AI. Answers are grounded in this library, with sources shown.

    Haritaki recipes

    These four recipes cover the classic ways to use haritaki, inside and out. For a gentle reset, take the evening tonic during a few days of simple, warm meals, such as this kitchari.

    Recipe
    Total5 minutes
    Yield1 cup

    Ingredients

    • ½ to 1 teaspoon haritaki powder
    • 1 cup warm water, not boiling
    • 1 teaspoon raw local honey (optional)

    Instructions

    1. Stir the haritaki powder into the warm water until it's evenly mixed.
    2. Stir in the honey, if using, once the water is just warm.
    3. Drink it about two hours after dinner and at least 30 minutes before bed, then follow it with a glass of plain water.
    Recipe
    Total10 minutes
    Yield1 cup

    Ingredients

    • 1 cup goat milk, or canned coconut milk thinned half and half with water
    • ½ teaspoon haritaki powder
    • A pinch of ground cinnamon (optional)
    • 1 teaspoon raw local honey

    Instructions

    1. Warm the milk in a small saucepan over low heat until it steams; don't let it boil.
    2. Whisk in the haritaki powder and cinnamon until smooth, then take the pan off the heat.
    3. Let it cool until it's comfortable to sip, then stir in the honey.
    Recipe
    Total15 minutes, plus cooling
    YieldAbout ½ cup, enough for 4 to 8 rinses

    Ingredients

    • 2 teaspoons haritaki powder
    • 1 cup water

    Instructions

    1. Bring the water and powder to a boil, then simmer for 10 minutes.
    2. Let it cool, then strain it through a fine strainer or a coffee filter.
    3. After brushing, swish 1 to 2 tablespoons for 1 minute, then spit it out.
    4. Keep the rest covered in the refrigerator and make a fresh batch every day or two.
    Recipe
    Total25 minutes
    Yield1 mask

    Ingredients

    • 1 tablespoon haritaki powder
    • 2 tablespoons rose water

    Instructions

    1. The first time, dab a little on your inner forearm and wait 24 hours to make sure your skin agrees with it.
    2. Stir the powder and rose water into a smooth paste.
    3. Spread it over clean skin, away from your eyes, and leave it on for 20 minutes.
    4. Rinse with warm water and follow with your usual moisturizer.

    Haritaki side effects and who should skip it

    Quick answer

    Haritaki is well tolerated at the amounts used in trials, and its main side effect is loose stools when the dose is too high. Skip it in pregnancy and while breastfeeding, and if you're underweight, run down or dehydrated.749

    Loose stools at high doses. Before the rainy-season trial, the researchers ran a pilot with 6 grams of haritaki powder and rock salt. It caused severe purging and vomiting, so they halved the dose to 3 grams.4 Start low, take it with a full glass of water, and cut back at the first loose stool you notice.

    In the trials. Side effects were few in the placebo-controlled trials above. In the uric acid trial, one of the 18 taking 500 mg twice a day for 24 weeks had mild stomach upset. In the skin trial, none were reported at 250 mg twice a day for 8 weeks. In the 12-week knee trial, 250 or 500 mg twice a day brought a few mild or moderate complaints, in line with placebo and none serious. And in a placebo-controlled trial in adults with chronic schizophrenia, 3 grams a day for 4 weeks caused no serious side effects.752013 At the amounts people take, haritaki has been easy on the body.

    Pregnancy and breastfeeding. Classical Ayurveda rules haritaki out in pregnancy, and there are no human safety data for pregnancy or nursing, so skip it during both.9 For regularity while you're pregnant, lean on water, vegetables, cooked fruit and a daily walk.

    Underweight, run down or dehydrated. Ayurveda also rules haritaki out for people who are malnourished or have lost their appetite.9 Because it loosens the stool, skip it while you're dehydrated, and rebuild your strength and fluids first.14

    Children. Haritaki hasn't been studied as a daily supplement for children, so give it only under a practitioner's guidance. In the rinse trials, children aged 8 to 15 rinsed and spat out a single dose.306

    Stop and get help for diarrhea that lasts more than a day, cramping belly pain, dizziness or other dehydration symptoms. See a doctor for constipation with blood in the stool, vomiting, an inability to pass gas, unexplained weight loss or a sudden change in bowel habits.

    The bottom line

    Should you take haritaki?

    Yes, if you want an Ayurvedic herb that keeps your digestion and elimination moving. Ayurveda has ranked haritaki first among its medicines for centuries, and now trials in people have begun to measure what its physicians saw: rinses that matched a medicated mouthwash for inflamed gums, fewer colds in the rainy season and smoother skin. The gum and cavity results are the strongest, and the cold, skin, knee and uric acid findings are promising.

    Start with ½ teaspoon of powder in warm water in the evening, or take triphala, and give it a steady place in your routine. Pair it with water, fiber, movement and a calmer pace, so you're handling the herb and the root cause together. The psalmist praised God for the "herb for the service of man" (Psalm 104:14), and for generations, haritaki has been one of those herbs.

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    Haritaki: frequently asked questions

    What is haritaki good for?

    Haritaki is good for keeping your digestion and elimination moving. Ayurveda uses it as a gentle laxative, and in 104 people with hemorrhoids, it eased constipation more than placebo did.115 It reaches beyond the gut, too: in a placebo-controlled trial of 78 people, its rinse matched chlorhexidine for inflamed gums, and in a randomized trial of 60 adults, a daily dose with rock salt cut rainy-season colds.34

    What is haritaki used for in Ayurveda?

    In Ayurveda, haritaki is a rasayana, or rejuvenator. It's used to strengthen your digestion, keep the bowels regular and balance all three doshas, and it's one of the three fruits in triphala.42 It's always listed first among Ayurveda's medicines and is called the king of medicines.1

    Does haritaki help with constipation?

    Yes. It's Ayurveda's classic remedy for a sluggish bowel, and I describe its job in triphala as strengthening the intestinal muscles so they contract more efficiently.18 Take it in the evening with warm water, about two hours after dinner.8

    How much haritaki should you take a day?

    The Ayurvedic Pharmacopoeia of India gives 3 to 6 grams of fruit powder a day, and trials of standardized extracts used 250 to 500 mg twice a day.75 Start at the low end, about ½ teaspoon of powder, because higher doses loosen stools.4 For triphala, take 500 to 1,000 mg a day.34

    When is the best time to take haritaki?

    Take it in the evening for regularity, about two hours after dinner and at least 30 minutes before bed, the timing I give for triphala.8 For colds, the timing flips: in a randomized trial of 60 adults, people took it first thing in the morning with warm water and rock salt.4

    What's the difference between haritaki and triphala?

    Triphala blends three fruits in equal parts: haritaki, amla and bibhitaki. Haritaki is the one that strengthens the bowel's muscles.28 Choose triphala as your everyday formula, and haritaki on its own when you want that one job or a mouth rinse.

    Is haritaki good for your teeth and gums?

    Yes. In a 2-week placebo-controlled trial of 78 people with gingivitis, a 10% haritaki rinse lowered plaque and gum inflammation about as well as chlorhexidine. And in a randomized trial of 60 children, one rinse cut cavity bacteria 64.14% within an hour.36

    Is haritaki good for your skin?

    Yes, from the inside and the outside. Taken by mouth, 250 mg of haritaki extract twice a day for 8 weeks lowered wrinkle severity 4.4% in a placebo-controlled trial of 38 overweight women, while it rose 3.9% on placebo.5 On the skin, a 5% haritaki cream faded melasma as well as 2% hydroquinone, with less irritation, in a randomized trial of 36 women, 30 of whom finished.19

    Are there haritaki benefits for women or men?

    Haritaki's uses apply to both women and men. A few trials did study one sex: the skin and melasma trials enrolled women, and the two pain studies enrolled healthy men.5192526 For women, the skin results stand out, with fewer wrinkles, and less oil in the oiliest skin, in a placebo-controlled trial of 38 overweight women.5

    Is haritaki good for your kidneys?

    Tibetan medicine counts haritaki as good for the kidneys and builds it into formulas for kidney trouble and gout.10 It hasn't been tested in people with kidney disease. But in a placebo-controlled pilot trial of 110 adults with high uric acid, a haritaki extract brought uric acid down over 24 weeks in the 18 who finished on it, while it rose on placebo.7

    What are the side effects of haritaki?

    The main one is loose stools when the dose is too high.4 In trials, side effects were rare and mild. In a 24-week placebo-controlled pilot trial of 110 adults, just one of the 18 taking haritaki had mild stomach upset.7 So start low and drink water with it.

    Is haritaki safe during pregnancy?

    No, skip it. Classical Ayurveda rules haritaki out in pregnancy, and there are no human safety data for pregnancy or breastfeeding.9

    Can you take haritaki every day?

    Yes, at normal amounts. Ayurveda takes it daily as a seasonal rasayana.4 And in a placebo-controlled pilot trial of 110 adults, the 18 who finished on haritaki took the extract every day for 24 weeks without serious side effects.7

    What does haritaki taste like?

    Haritaki tastes sour, bitter and astringent, with a dry, puckering finish, like strong tea.104 If that's too much for you, take capsules or stir the powder into warm goat or coconut milk with raw honey.

    Freshness & update log

    November 10, 2026 — Corrected details of several studies: the skin trial was in overweight women, the uric acid trial was a pilot, the four-rinse cavity trial used seed extracts and 37 of its 40 people finished, the rat bowel study used a seed extract, the liver-cell tests used rat cells, the hot-air pain result measured time, and the triphala rinse paper is now called a review.

    October 29, 2026 — Rewrote the page in full around Ayurveda's view of haritaki as a rasayana and digestive tonic, with Dr. Axe's own triphala guidance and two of his show quotes. Kept from the previous version, each at its level of evidence: regularity and digestion, oral care, colds and coughs, skin, joints, blood sugar, the seven classical varieties, the king of medicines tradition, the traditional uses for asthma, coughs, hemorrhoids, appetite, skin and memory, antiviral activity as lab findings, the uses for powder drinks, warm milk, smoothies, a rose water face mask, a hair paste and a mouth rinse, and the side effects, now with four recipes. Corrected citations that had presented a mouse study, a triphala mouthwash trial, a three-herb joint formula and a guinea pig study as human trials of haritaki. Removed the 5 to 10 gram dose and the children's dose, which had no source, the vitamin, mineral and fatty acid claims (USDA FoodData Central has no record for the fruit), the adaptogen and sedative labels and the eye-rinse instructions; eye use stays as history. Added a placebo-controlled trial of haritaki in people with hemorrhoids, in which constipation eased, a Dr. Axe Score (7.2) with an interaction check, three charts, a step diagram, an Ayurvedic and Chinese medicine profile and 39 references.

    March 28, 2021 — Previous version published.

    References

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    6. Nayak SS, Ankola AV, Metgud SC, Bolmal U. Effectiveness of mouthrinse formulated from ethanol extract of Terminalia chebula fruit on salivary Streptococcus mutans among 12 to 15 year old school children of Belgaum city: a randomized field trial. J Indian Soc Pedod Prev Dent. 2012;30(3):231-6. doi:10.4103/0970-4388.105016. PMID:23263427
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    12. Axe J. 9 Signs You're Aging Too Fast & How to Reverse Them. The Dr. Josh Axe Show. 2025 (a daily, well-formed bowel movement at 6:28; triphala for the gut and constipation among longevity supplements at 47:55; YouTube: https://www.youtube.com/watch?v=2xR7q_t2WSo&t=388s).
    13. Banazadeh M, Mehrabani M, Banazadeh N, Dabaghzadeh F, Shahabi F. Evaluating the effect of black myrobalan on cognitive, positive, and negative symptoms in patients with chronic schizophrenia: A randomized, double-blind, placebo-controlled trial. Phytother Res. 2022;36(1):543-550. doi:10.1002/ptr.7340. PMID:34814232
    14. Tasneem Parapur S, Husain N, Khalid M, Mamdapur SAR, Kauser Khan KA. Evaluation of the efficacy of topical Terminalia chebula Retz. with vinegar in the treatment of tinea corporis: a non-inferiority randomized controlled trial. Drug Metab Pers Ther. 2023;38(3):237-245. doi:10.1515/dmpt-2022-0188. PMID:37012894
    15. Andarkhor P, Sadeghi A, Khodadoost M, Kamalinejad M, Gachkar L, Abdi S, et al. Effects of Terminalia chebula Retz. in treatment of hemorrhoids: A double-blind randomized placebo-controlled clinical trial. Eur J Integr Med. 2019;30:100935. doi:10.1016/j.eujim.2019.100935
    16. Gupta D, Gupta RK, Bhaskar DJ, Gupta V. Comparative evaluation of terminalia chebula extract mouthwash and chlorhexidine mouthwash on plaque and gingival inflammation - 4-week randomised control trial. Oral Health Prev Dent. 2015;13(1):5-12. PMID:25386630
    17. Jirankalgikar YM, Ashok BK, Dwivedi RR. A comparative evaluation of intestinal transit time of two dosage forms of Haritaki [Terminalia chebula Retz]. Ayu. 2012;33(3):447-9. doi:10.4103/0974-8520.108866. PMID:23723658
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    19. Kheirieh AE, Sharififar F, Ansari Dogaheh M, Dabaghzadeh F, Shamsi Meymandi S, Bakhshoudeh B. Evaluating the efficacy of Terminalia chebula Retz. 5% cream compared to hydroquinone 2% cream in the treatment of melasma. Avicenna J Phytomed. 2024;14(5):527-536. PMID:40255950
    20. Lopez HL, Habowski SM, Sandrock JE, Raub B, Kedia A, Bruno EJ, et al. Effects of dietary supplementation with a standardized aqueous extract of Terminalia chebula fruit (AyuFlex(®)) on joint mobility, comfort, and functional capacity in healthy overweight subjects: a randomized placebo-controlled clinical trial. BMC Complement Altern Med. 2017;17(1):475. doi:10.1186/s12906-017-1977-8. PMID:28969626
    21. Pingali U, Sukumaran D, Nutalapati C. Effect of an aqueous extract of Terminalia chebula on endothelial dysfunction, systemic inflammation, and lipid profile in type 2 diabetes mellitus: A randomized double-blind, placebo-controlled clinical study. Phytother Res. 2020;34(12):3226-3235. doi:10.1002/ptr.6771. PMID:32618037
    22. Reddy DB, Reddy TC, Jyotsna G, Sharan S, Priya N, Lakshmipathi V, et al. Chebulagic acid, a COX-LOX dual inhibitor isolated from the fruits of Terminalia chebula Retz., induces apoptosis in COLO-205 cell line. J Ethnopharmacol. 2009;124(3):506-12. doi:10.1016/j.jep.2009.05.022. PMID:19481594
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    24. Olennikov DN, Kashchenko NI, Chirikova NK. In Vitro Bioaccessibility, Human Gut Microbiota Metabolites and Hepatoprotective Potential of Chebulic Ellagitannins: A Case of Padma Hepaten® Formulation. Nutrients. 2015;7(10):8456-77. doi:10.3390/nu7105406. PMID:26473917
    25. Pokuri VK, Kumar CU, Pingali U. A randomized, double-blind, placebo-controlled, cross-over study to evaluate analgesic activity of Terminalia chebula in healthy human volunteers using a mechanical pain model. J Anaesthesiol Clin Pharmacol. 2016;32(3):329-32. doi:10.4103/0970-9185.173365. PMID:27625480
    26. Kumar CU, Pokuri VK, Pingali U. Evaluation of the Analgesic Activity of Standardized Aqueous Extract of Terminalia chebula in Healthy Human Participants Using Hot Air Pain Model. J Clin Diagn Res. 2015;9(5):FC01-4. doi:10.7860/JCDR/2015/11369.5916. PMID:26155489
    27. Murali YK, Anand P, Tandon V, Singh R, Chandra R, Murthy PS. Long-term effects of Terminalia chebula Retz. on hyperglycemia and associated hyperlipidemia, tissue glycogen content and in vitro release of insulin in streptozotocin induced diabetic rats. Exp Clin Endocrinol Diabetes. 2007;115(10):641-6. doi:10.1055/s-2007-982500. PMID:18058598
    28. Jagtap AG, Karkera SG. Potential of the aqueous extract of Terminalia chebula as an anticaries agent. J Ethnopharmacol. 1999;68(1-3):299-306. doi:10.1016/s0378-8741(99)00058-6. PMID:10624892
    29. Nayak SS, Kumar BR, Ankola AV, Hebbal M. The efficacy of Terminalia chebula rinse on Streptococcus mutans count in saliva and its effect on salivary pH. Oral Health Prev Dent. 2010;8(1):55-8. PMID:20480055
    30. Palit M, Hegde SK, Bhat SS. Effectiveness of Mouthrinse formulated from Aqueous Extract of Terminalia chebula on Salivary Streptococcus mutans Count and pH among 8- to 12-year-old School Children of Karnataka: A Randomized Clinical Trial. Int J Clin Pediatr Dent. 2016;9(4):349-354. doi:10.5005/jp-journals-10005-1390. PMID:28127168
    31. Saxena S, Lakshminarayan N, Gudli S, Kumar M. Anti Bacterial Efficacy of Terminalia Chebula, Terminalia Bellirica, Embilica Officinalis and Triphala on Salivary Streptococcus Mutans Count - A Linear Randomized Cross Over Trial. J Clin Diagn Res. 2017;11(2):ZC47-ZC51. doi:10.7860/JCDR/2017/23558.9355. PMID:28384980
    32. Axe J. The Spice That Fights Inflammation Better Than Ibuprofen | Dr Shivani Gupta. The Dr. Josh Axe Show. 2026 (triphala for digestive health at 18:56; a constipation formula with a probiotic at 19:53; YouTube: https://www.youtube.com/watch?v=5_wClrC754I&t=1136s).
    33. Axe J. 20+ Healing Foods Most People Have Never Heard Of | Jordan Rubin. The Dr. Josh Axe Show. 2026 (triphala's benefits beyond healthy bowel movements at 38:43; triphala as a straight powder at 47:12; YouTube: https://www.youtube.com/watch?v=vUr8wAPp9y8&t=2832s).
    34. Axe J, Cole W. Heal Your Cells. Avery; 2026 (Herbs That Support Cellular Detoxification: triphala; Precision Healing Protocols, Reversing Digestive and Metabolic Age, supplement 7, triphala 500-1,000 mg a day, p. 351).
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    Dr. Josh Axe

    Dr. Josh Axe, DC, DNM, CNS

    Doctor of Natural Medicine · Founder, DrAxe.com

    Dr. Axe is a certified doctor of natural medicine, clinical nutritionist, and multiple New York Times bestselling author. He has spent 20+ years in clinical practice helping people heal at the root cause and founded one of the most-visited natural-health platforms in the world.

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